The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients

Background: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Priyo Purnomo As’hab, Budi Anna Keliat, Ice Yulia Wardani
Formato:	article
Lenguaje:	EN
Publicado:	PAGEPress Publications 2021
Materias:	ACT adherence anxiety depression MDR-TB suicidal ideation Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/8dd4ea2fb97d4295b8355aa4349c5ce9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8dd4ea2fb97d4295b8355aa4349c5ce9
record_format	dspace
spelling	oai:doaj.org-article:8dd4ea2fb97d4295b8355aa4349c5ce92021-12-02T09:09:26ZThe effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients 10.4081/jphr.2021.27372279-90282279-9036https://doaj.org/article/8dd4ea2fb97d4295b8355aa4349c5ce92021-12-01T00:00:00Zhttps://www.jphres.org/index.php/jphres/article/view/2737https://doaj.org/toc/2279-9028https://doaj.org/toc/2279-9036 Background: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000 population. MDR-TB requires a long-time treatment and has accompanying side effects: biological and psychosocial effects. However, efforts to overcome the psychosocial impacts have not been conducted. This study aims to determine the effect of acceptance and commitment therapy (ACT) on anxiety, depression, suicidal ideation, and treatment adherence in MDR-TB patients. Design and methods: This research employed a quasi-experimental design with a pre-test three post-tests using total sampling. The pre-test was conducted before the standard nursing intervention, post-test 1 was after the standard nursing intervention, post-test 2 was after ACT session 1, and post-test 3 was after ACT session 2. Data were collected by the Hamilton Rating Scale for Anxiety (HAM-A), Beck Hopelessness Scale (BHS), a Scale for Suicide Ideation (SSI), and Morisky Medication Adherence Scale (MMAS). Results: The standard nursing action and ACT reduce anxiety (p = 0.002), reduced depression (p = 0.0001), reduced suicidal ideation (p = 0.008), and increased treatment adherence (p = 0.0001). Conclusions: The standard nursing action and ACT reduce anxiety, depression, and suicidal ideation. They increase treatment adherence recommended for use in MDR-TB patients. Priyo Purnomo As’habBudi Anna KeliatIce Yulia WardaniPAGEPress PublicationsarticleACTadherenceanxietydepressionMDR-TBsuicidal ideationPublic aspects of medicineRA1-1270ENJournal of Public Health Research (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ACT adherence anxiety depression MDR-TB suicidal ideation Public aspects of medicine RA1-1270
spellingShingle	ACT adherence anxiety depression MDR-TB suicidal ideation Public aspects of medicine RA1-1270 Priyo Purnomo As’hab Budi Anna Keliat Ice Yulia Wardani The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
description	Background: The Worldwide resistance prevalence of the first-line TB drug, rifampicin (RR-TB), in 2017 was 7.4 per 100,000 population, and 82% of them experienced multidrug-resistant tuberculosis (MDR-TB). Indonesia is the top 20 country with an MDR-TB burden, and its prevalence is 8.8 per 100,000 population. MDR-TB requires a long-time treatment and has accompanying side effects: biological and psychosocial effects. However, efforts to overcome the psychosocial impacts have not been conducted. This study aims to determine the effect of acceptance and commitment therapy (ACT) on anxiety, depression, suicidal ideation, and treatment adherence in MDR-TB patients. Design and methods: This research employed a quasi-experimental design with a pre-test three post-tests using total sampling. The pre-test was conducted before the standard nursing intervention, post-test 1 was after the standard nursing intervention, post-test 2 was after ACT session 1, and post-test 3 was after ACT session 2. Data were collected by the Hamilton Rating Scale for Anxiety (HAM-A), Beck Hopelessness Scale (BHS), a Scale for Suicide Ideation (SSI), and Morisky Medication Adherence Scale (MMAS). Results: The standard nursing action and ACT reduce anxiety (p = 0.002), reduced depression (p = 0.0001), reduced suicidal ideation (p = 0.008), and increased treatment adherence (p = 0.0001). Conclusions: The standard nursing action and ACT reduce anxiety, depression, and suicidal ideation. They increase treatment adherence recommended for use in MDR-TB patients.
format	article
author	Priyo Purnomo As’hab Budi Anna Keliat Ice Yulia Wardani
author_facet	Priyo Purnomo As’hab Budi Anna Keliat Ice Yulia Wardani
author_sort	Priyo Purnomo As’hab
title	The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
title_short	The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
title_full	The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
title_fullStr	The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
title_full_unstemmed	The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients
title_sort	effects of acceptance and commitment therapy on psychosocial impact and adherence of mdr-tb patients
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/8dd4ea2fb97d4295b8355aa4349c5ce9
work_keys_str_mv	AT priyopurnomoashab theeffectsofacceptanceandcommitmenttherapyonpsychosocialimpactandadherenceofmdrtbpatients AT budiannakeliat theeffectsofacceptanceandcommitmenttherapyonpsychosocialimpactandadherenceofmdrtbpatients AT iceyuliawardani theeffectsofacceptanceandcommitmenttherapyonpsychosocialimpactandadherenceofmdrtbpatients AT priyopurnomoashab effectsofacceptanceandcommitmenttherapyonpsychosocialimpactandadherenceofmdrtbpatients AT budiannakeliat effectsofacceptanceandcommitmenttherapyonpsychosocialimpactandadherenceofmdrtbpatients AT iceyuliawardani effectsofacceptanceandcommitmenttherapyonpsychosocialimpactandadherenceofmdrtbpatients
_version_	1718398257124605952

The effects of acceptance and commitment therapy on psychosocial impact and adherence of MDR-TB patients

Ejemplares similares