Does connecting tobacco cessation intervention with tuberculosis care improve quality of life outcomes?
Objectives: The objective of this study was to document the impact of an integrated TB directly observed therapy short-course (DOTS) plus smoking cessation intervention (SCI) on HRQoL. Methods: This was a non-randomized controlled study (quasi experimental design) involving 120 TB patients who we...
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2011
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iium-88362013-06-27T03:47:15Z http://irep.iium.edu.my/8836/ Does connecting tobacco cessation intervention with tuberculosis care improve quality of life outcomes? Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Noordin, NM Abd. Aziz, Noorizan Syed Sulaiman, Syed Azhar Ahmad Mahayiddin, Aziah Muttalif, Abdul Razak RA Public aspects of medicine RM Therapeutics. Pharmacology Objectives: The objective of this study was to document the impact of an integrated TB directly observed therapy short-course (DOTS) plus smoking cessation intervention (SCI) on HRQoL. Methods: This was a non-randomized controlled study (quasi experimental design) involving 120 TB patients who were current smokers at the time of TB diagnosis. Patients were assigned to either of two groups: conventional TB-DOTS plus smoking cessation intervention (SCIDOTS group) or conventional TB-DOTS only (DOTS group). The effects of the novel intervention on HRQoL were measured using EQ-5D questionnaire. Two-way repeated measure ANOVA was used to examine the effects. Results: When compared, participants who received the integrated intervention had a better HRQoL than those who received the conventional TB care. The SCIDOTS group had a significantly greater increase in EQ-5D utility score than the DOTS group during 6 months follow-up (mean± SD = 0.98 ± 0.08 vs. 0.91 ± 0.14, p = 0.006). Similarly, the mean scores for EQ-VAS showed a consistently similar trend as the EQ-5D indices, with the scores increasing over the course of TB treatment. Furthermore, for the EQ-VAS, there were significant main effects for group [F (1, 84) = 4.91, p = 0.029, η2 = 0.06], time [F (2, 168) = 139.50, p = <0.001, η2 = 0.62] and group x time interaction [F (2, 168) = 13.89, p = <0.001, η2 = 0.14]. Conclusions: This study provides evidence that an integrated TB-tobacco treatment strategy could potentially improve overall quality of life outcomes among TB patients who are smokers. Elsevier Inc. 2011 Article PeerReviewed application/pdf en http://irep.iium.edu.my/8836/4/PIN96-Poster-TB-Tobacco-QoL-ISPOR-2011-V2.pdf application/pdf en http://irep.iium.edu.my/8836/7/Value_in_Health.pdf Awaisu, Ahmed and Nik Mohamed, Mohamad Haniki and Noordin, NM and Abd. Aziz, Noorizan and Syed Sulaiman, Syed Azhar and Ahmad Mahayiddin, Aziah and Muttalif, Abdul Razak (2011) Does connecting tobacco cessation intervention with tuberculosis care improve quality of life outcomes? Value in Health, 14 (7). A283. ISSN 1524-4733 (O), 1098-3015 (P) http://www.valueinhealthjournal.com/article/S1098-3015(11)01844-4/fulltext |
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English English |
topic |
RA Public aspects of medicine RM Therapeutics. Pharmacology |
spellingShingle |
RA Public aspects of medicine RM Therapeutics. Pharmacology Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Noordin, NM Abd. Aziz, Noorizan Syed Sulaiman, Syed Azhar Ahmad Mahayiddin, Aziah Muttalif, Abdul Razak Does connecting tobacco cessation intervention with tuberculosis care improve quality of life outcomes? |
description |
Objectives: The objective of this study was to document the impact of an integrated TB directly
observed therapy short-course (DOTS) plus smoking cessation intervention (SCI) on HRQoL.
Methods: This was a non-randomized controlled study (quasi experimental design) involving
120 TB patients who were current smokers at the time of TB diagnosis. Patients were assigned to
either of two groups: conventional TB-DOTS plus smoking cessation intervention (SCIDOTS
group) or conventional TB-DOTS only (DOTS group). The effects of the novel intervention on
HRQoL were measured using EQ-5D questionnaire. Two-way repeated measure ANOVA was
used to examine the effects.
Results: When compared, participants who received the integrated intervention had a better
HRQoL than those who received the conventional TB care. The SCIDOTS group had a
significantly greater increase in EQ-5D utility score than the DOTS group during 6 months
follow-up (mean± SD = 0.98 ± 0.08 vs. 0.91 ± 0.14, p = 0.006). Similarly, the mean scores for
EQ-VAS showed a consistently similar trend as the EQ-5D indices, with the scores increasing
over the course of TB treatment. Furthermore, for the EQ-VAS, there were significant main
effects for group [F (1, 84) = 4.91, p = 0.029, η2 = 0.06], time [F (2, 168) = 139.50, p = <0.001, η2
= 0.62] and group x time interaction [F (2, 168) = 13.89, p = <0.001, η2 = 0.14].
Conclusions: This study provides evidence that an integrated TB-tobacco treatment strategy
could potentially improve overall quality of life outcomes among TB patients who are smokers. |
format |
Article |
author |
Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Noordin, NM Abd. Aziz, Noorizan Syed Sulaiman, Syed Azhar Ahmad Mahayiddin, Aziah Muttalif, Abdul Razak |
author_facet |
Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Noordin, NM Abd. Aziz, Noorizan Syed Sulaiman, Syed Azhar Ahmad Mahayiddin, Aziah Muttalif, Abdul Razak |
author_sort |
Awaisu, Ahmed |
title |
Does connecting tobacco cessation intervention with
tuberculosis care improve quality of life outcomes? |
title_short |
Does connecting tobacco cessation intervention with
tuberculosis care improve quality of life outcomes? |
title_full |
Does connecting tobacco cessation intervention with
tuberculosis care improve quality of life outcomes? |
title_fullStr |
Does connecting tobacco cessation intervention with
tuberculosis care improve quality of life outcomes? |
title_full_unstemmed |
Does connecting tobacco cessation intervention with
tuberculosis care improve quality of life outcomes? |
title_sort |
does connecting tobacco cessation intervention with
tuberculosis care improve quality of life outcomes? |
publisher |
Elsevier Inc. |
publishDate |
2011 |
url |
http://irep.iium.edu.my/8836/ http://irep.iium.edu.my/8836/ http://irep.iium.edu.my/8836/4/PIN96-Poster-TB-Tobacco-QoL-ISPOR-2011-V2.pdf http://irep.iium.edu.my/8836/7/Value_in_Health.pdf |
first_indexed |
2023-09-18T20:18:39Z |
last_indexed |
2023-09-18T20:18:39Z |
_version_ |
1777407958041231360 |