Effectiveness of health education intervention in improving knowledge, attitude and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria - A study protocol
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Background Tuberculosis (TB) is a disease of major public health concern especially in Africa where there is significant upsurge because of the HIV epidemic. It is also the commonest cause of death in AIDS patients. The risk of development of active TB in HIV-infected individuals is 20-37 times higher than those that are HIV negative. Studies have reported that knowledge, attitude and practice (KAP) regarding tuberculosis among HIV patients is poor and has been associated with high transmission. A review of available literature of studies on KAP regarding TB among HIV patients have recommended a health education intervention that is specific and directed at this high risk group. This paper outline the study protocol to evaluate the effectiveness of a new developed health education intervention module in improving knowledge, attitude and practice among HIV patients in Nigeria. Methods/design A single blind parallel group randomized control trial will be conducted to test and evaluate the effectiveness of a new developed module on KAP regarding TB among HIV patients receiving treatment at General Hospital, Minna, Nigeria. A simple random sampling method will be used in selecting 226 eligible participants. The participants will be randomly allocated to intervention and control group at a ratio of 1:1. The intervention group will receive health education regarding tuberculosis. The control group will received the normal services provided for the HIV patients. Data will be collected using a self-administered questionnaire at baseline, immediate post intervention, three, six and nine months. The data collected will be analyzed using SPSS version 22.The outcome measures will be knowledge, attitude and practice. Discussion/ expected implication of the study Studies on the effect of health education intervention on KAP regarding tuberculosis among HIV patients are scarce. The effect of health education intervention program has not been evaluated in Nigeria. Advocacy, Communication, and Social Mobilization (ACSM), a component of TB control program in Nigeria was evaluated in 2012 and found to be largely ineffective. This study will test and evaluate the effect of health education intervention program using a theory based approach. If the intervention is effective it will provide a structured behavioral modification intervention program that is directed and specific for HIV patients and will generate valuable information for evaluating and further developing national training program regarding TB that can be adopted nationwide. Trial Registration - www.pactr.org identifier: PACTR201603001403923
Authors and Affiliations
Chindo Ibrahim Bisallah, Lekhraj Rampal, Munn-Sann Lye, Sherina Mohd Sidik
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