Evidence map›Paper›PMID 40760794›Full record

ArticleBrain and behavior2025

Improving Treatment Adherence in Youths With Multidrug-Resistant Tuberculosis With Psychosocial Intervention.

Gauri Dhumal, Neetal Nevrekar, Nikhil Gupte, Rechel Shrisunder, Prashant Kulkarni, Sayali Sarpotdar, Akhil Pm, Abhijit Hosmani, Rahul Lokhande, Amita Gupta and 1 more

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Gauri DhumalJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-4955-4648
Neetal NevrekarJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.
Nikhil GupteJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.
Rechel ShrisunderJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.
Prashant KulkarniJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-6066-586X
Sayali SarpotdarByramjee Jeejeebhoy Government Medical College Clinical Trial Unit-Johns Hopkins University, Pune, Maharashtra, India.
Akhil PmJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.
Abhijit HosmaniAundh Chest Hospital, Pune, India.
Rahul LokhandeByramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India.
Amita GuptaJohns Hopkins University, Baltimore, USA.
Nishi SuryavanshiJohns Hopkins Center for Infectious Diseases in India, Pune, Maharashtra, India.

Funding

National Institute on Alcohol Abuse and Alcoholism (NIAAA)National Institutes of Health (NIH)United States Agency for International Development
6 · The paper itself

Abstract

introductionMultidrug-resistant tuberculosis (MDR-TB) deeply impacts the well-being of adolescents and young adults (AYA), resulting in poor treatment adherence. Identifying psychosocial challenges and preferred interventions is essential to enhance treatment adherence and outcomes in this unique group.

methodsThis was a mixed-method study where participants aged between 15 and 24 years, diagnosed with MDR-TB, were recruited for in-depth interviews and a semi-structured questionnaire.

resultsThe individual-level psychosocial challenges included mental stress, suicidal ideation, reluctance to continue medication, perceived and experienced stigma, and socio-economic burdens. Health system-related challenges encompassed delayed diagnosis, drug stockouts, and negative experiences with Health Care Providers (HCPs). Among 75 participants, the median age was 20.5 years, with 57% (n = 41) females, 85% (n = 62) single, and a median treatment duration of 8 months at the interview. Seventy-two percent (n = 54) of the participants reported psychological issues such as irritation, loneliness, anxiety, sleep disorder, suicidal ideation, and stigma. Individual-level interventions were preferred by 61% (n = 46) of participants, including social media, deep breathing, and exercise training.

conclusionsTo enhance results in MDR-TB, it is crucial to develop and assess personalized psychosocial interventions with tailored adjustments to tackle the psychosocial obstacles encountered by adolescents and young adults with MDR-TB.

Indexed as

Medication AdherencePsychosocial InterventionTuberculosis, Multidrug-ResistantAdolescentAdultFemaleHumansMaleSocial StigmaSuicidal IdeationYoung Adultadolescents and young adultsinterventionMDR‐TBpsychosocial challenges

Identifiers

PMID40760794
PMCPMC12321948

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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.