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Thai people living with tuberculosis and how they adhere to treatment: A grounded theory study
Author(s) -
Choowong Jiraporn,
Tillgren Per,
Söderbäck Maja
Publication year - 2017
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12362
Subject(s) - grounded theory , tuberculosis , psychological resilience , stigma (botany) , health care , social stigma , medicine , psychology , social work , perspective (graphical) , qualitative research , social psychology , sociology , psychiatry , family medicine , human immunodeficiency virus (hiv) , social science , pathology , artificial intelligence , computer science , economics , economic growth
To develop a conceptual framework of adherence to treatment among Thai people living with tuberculosis, a grounded theory approach was used. A purposive sample of 20 Thai people living with tuberculosis, aged from 23 to 85 years, was interviewed. From the participants' perspective, a core category of social belonging was highlighted, with three categories of conditions connected: personal barriers, personal resilience, and social facilitation. Personal barriers encompassed fear of stigma, concealing the illness, and lack of knowledge and motivation to complete the treatment regime. Personal resilience encompassed positive thinking and self‐awareness. Social facilitation encompassed the ease of access to health services, continuity in the health service's ability to choose a directly‐observed therapy observer, and social support. This study contributes a deeper understanding of the perspective of Thai people living with tuberculosis with regards to adherence to tuberculosis treatment. It might improve how local healthcare workers provide tuberculosis care, and inspire them to tailor care to people living with tuberculosis in a local community to increase personal resilience and reduce stigma.