Evidence map›Paper›PMID 37612116›Full record

ArticleBMJ open2023

What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam.

Isabel Smith, Rachel Forse, Kristi Sidney Annerstedt, Nguyen Thi Thanh, Lan Nguyen, Thi Hoang Yen Phan, Han Nguyen, Andrew Codlin, Luan Nguyen Quang Vo, Nga Thi Thuy Nguyen and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06916962 (Understanding Psycho-socioeconomic Linkages Through an Intervention Providing Enhanced Financial and Social Support During Tuberculosis Treatment), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06916962 narecruitingnot on this mapstarted 2025, after this paper: background citation

Understanding Psycho-socioeconomic Linkages Through an Intervention Providing Enhanced Financial and Social Support During Tuberculosis Treatment

TypeinterventionalSponsorFreundeskreis Für Internationale Tuberkulosehilfe e.VRan2025 to 2026Enrolled1,324ConditionsTuberculosis (TB)ArmsIntervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 3 countries.

Isabel SmithDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
Rachel ForseDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden rachel.forse@tbhelp.org.ORCID 0000-0002-0716-3342
Kristi Sidney AnnerstedtDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
Nguyen Thi ThanhCentre for Development of Community Health Initiatives, Ha Noi, Viet Nam.
Lan NguyenIRD VN, Ho Chi Minh City, Viet Nam.
Thi Hoang Yen PhanCentre for Development of Community Health Initiatives, Ha Noi, Viet Nam.
Han NguyenFriends for International TB Relief, Ha Noi, Viet Nam.
Andrew CodlinDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
Luan Nguyen Quang VoDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-5937-6286
Nga Thi Thuy NguyenFriends for International TB Relief, Ha Noi, Viet Nam.
Amera KhanStop TB Partnership, Geneva, Switzerland.
Jacob CreswellStop TB Partnership, Geneva, Switzerland.
Minh Pham HuyUSAID Vietnam, Ha Noi, Viet Nam.
Lopa BasuUSAID Vietnam, Ha Noi, Viet Nam.
Knut LönnrothDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
Binh Hoa NguyenNational TB Program, National Lung Hospital, Ha Noi, Viet Nam.ORCID 0000-0002-1543-4907
Viet Nhung NguyenNational TB Program, National Lung Hospital, Ha Noi, Viet Nam.
Salla AtkinsDepartment of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SECenter for Creative Initiatives in Health and Population · VNHanoi Lung Hospital · VNTampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal strategies in this context is lacking. This study aimed to increase understanding of what people with TB and healthcare providers (HCPs) perceive as important to improve TB treatment outcomes and reduce costs.

methodsWe conducted qualitative focus group discussions (seven groups, n=30) and key informant interviews (n=4) with people with drug-susceptible and multidrug-resistant TB and HCPs in Ha Noi and Ho Chi Minh City. Topic guides covered perspectives on and prioritisation of different forms of social protection and support. Data were analysed using reflexive thematic analysis and interpreted using a Framework for Transformative Social Protection.

resultsWe identified three themes and seven subthemes. The first theme, 'Existing financial safety nets are essential, but could go further to support people affected by TB', highlights that support to meet the medical costs of TB treatment and flexible cash transfers are a priority for people with TB and HCPs. The second, 'It is important to promote "physical and spiritual health" during TB treatment', demonstrates that extended psychosocial and nutritional support would encourage people with TB during their treatment. The third, 'Accessibility and acceptability are critical in designing social support interventions for people with TB', shows the importance of ensuring that support is accessible and proportional to the needs of people with TB and their families.

conclusionsAccessible interventions that incorporate financial risk protection, nutritional and psychosocial support matter most to people with TB and HCPs in urban Viet Nam to improve their treatment outcomes and reduce catastrophic costs. This study can inform the design of stronger person-centred interventions to advance progress towards the goals of the WHO's End TB Strategy.

Indexed as

TuberculosisTuberculosis, Multidrug-ResistantFocus GroupsHumansQualitative ResearchVietnamHealth policyPublic healthTuberculosis

Identifiers

PMID37612116
PMCPMC10450053
OpenAlexW4386116432

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.