Tuberculosis in adolescence: an integrative review focusing on patient-centered care

Mendes, Clara Carvalho; Unger, Roberto José Gervasio; Araújo-Jorge, Tania Cremonini de; Carvalho, Anna Cristina Calçada

doi:10.1590/1984-0462/2024/42/2023027

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Revista Paulista de Pediatria

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Sumário

Review Article • Rev. paul. pediatr. 42 • 2024 • https://doi.org/10.1590/1984-0462/2024/42/2023027 copy

Tuberculosis in adolescence: an integrative review focusing on patient-centered care

Tuberculose na adolescência: uma revisão integrativa com foco no cuidado centrado no paciente

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To identify how patient-centered care has been addressed in tuberculosis studies with adolescents.

Data source:

We searched for articles published in Portuguese, Spanish and English in the Virtual Health Library (LILACS), PubMed (MedLine), and Scopus (Elsevier) databases, from 2000 to 2020, using descriptors (DeCS, MeSH) in Portuguese and English.

Data synthesis:

1,322 studies were identified, of which 18 were selected. The main themes found were related to adherence to tuberculosis treatment, knowledge, attitudes and practices, health education, and public policies.

Conclusions:

We observed that both the number of researchers dedicated to the topic and the presence of a truly person-centered view are still scarce elements in tuberculosis among adolescents research.

Keywords:
Tuberculosis; Adolescent; Patient-centered care; Integrative review

Search strategies	VHL	PubMed	Scopus
Tuberculose AND adolescente AND cuidado centrado no paciente	13	0	0
Tuberculose AND adolescente AND psicologia	370	0	0
Tuberculosis AND adolescent AND psychological support	4	62	49
Tuberculosis AND adolescent AND patient centered care	0	28	47
Tuberculosis AND adolescent AND psychosocial	0	55	74
Tuberculosis AND adolescent AND psychology	0	498	122

Authors	Country	Study designs	Objective/intervention	Study population
Morisky et al.,²⁷	USA	Quantitative, analytical, randomized, controlled	Impact assessment of four strategies to increase treatment adherence	794 adolescents (11–19 years old) undergoing treatment for latent TB
Hovell et al.,²⁴	USA	Quantitative, analytical, randomized, controlled, prospective	Comparison between coaching for adherence and counseling for self-esteem vs. usual medical care	286 adolescents (13–18 years old) undergoing treatment for latent TB
Hovell et al.,²⁵	USA	Quantitative, analytical, randomized, controlled, prospective	Assessment of factors associated with treatment adherence related to the study 5	286 adolescents (13–18 years old) undergoing treatment for latent TB
Coly et al,²³	USA	Quantitative, analytical, randomized, controlled	Analysis of factors associated with treatment completion for latent TB	766 adolescents (11–19 years old) with latent TB
Berg et al.,²⁹	USA	Quantitative, analytical, uncontrolled, prospective	Evaluation of side effects and adherence to the treatment of latent TB	96 adolescents (12–19 years old) with latent TB
Blumberg et al.,³⁰	USA	Quantitative, analytical, randomized, controlled, prospective	Verification of adherence to the treatment of latent TB through the adolescent's report vs. detection of isoniazid metabolites	286 adolescents (13–18 years old) with latent TB
Cass et al.,²⁸	USA	Quantitative, analytical, retrospective	Comparison between usual care vs. treatment behavioral reinforcement intervention to increase adherence	1714 children and adolescents with latent TB, of which 463 were between 10–14 years old
Kominski et al.,²⁶	USA	Quantitative, analytical, randomized, controlled	Cost-effectiveness analysis of different strategies for increasing treatment adherence	794 adolescents (11–19 years old) with latent TB
Bond et al.,³⁸	Zambia	Qualitative, prospective	Educational intervention based on discussions, drawings, dramatizations, and narratives to promote early case detection	209 adolescents (10–17 years old) without TB

Authors	Country	Study designs	Objective/intervention	Study population
Geldenhuys et al.,³⁶	South Africa	Quantitative, analytical, transversal	Identification of risk factors for TB among young people with and without TB	292 adolescents (12–18 years old), 62 with active TB, 112 with latent TB and 118 without TB
Isaakidis et al.,³²	India	Quantitative, descriptive, retrospective	Evaluation of TB treatment of adolescents coinfected with MDR-TB and HIV	11 adolescents (10–19 years old) with MDR-TB
Das et al.,³³	India	Quantitative, descriptive, retrospective	Psychological support intervention for HIV/TB-MDR coinfected patients with depressive symptoms at the beginning and/or during treatment for MDR-TB	7 people with MDR-TB, being 1 teenager aged 16 years
Alvarez et al.,³⁷	Canada	Qualitative, prospective	Educational intervention to promote the performance of adolescents as multipliers of information and awareness about TB	41 young people (12–21 years old) without TB
Schmidt et al.,³⁹	South Africa	Qualitative, prospective	Educational intervention with focus groups and role play to raise awareness of TB and increase youth participation in clinical studies	8–15 participants in the focus groups and 7500 reached during the plays, from high school and without TB
Zhang et al.,³⁵	China	Qualitative, prospective	Explore, through interviews, the experience of illness of young people with TB	22 high school participants (16–21 years old) with TB
Blok et al.,⁴⁰	Europe	Quantitative, descriptive, cross-sectional	Survey on adolescent TB policies and management among European countries	53 member states of the WHO European Region
Loveday et al.,³⁴	South Africa	Qualitative, transversal	Identify, through interviews with caregivers of young people with MDR-TB, the challenges faced during treatment	Caregivers of 26 children and adolescents (aged 2–14 years) with MDR-TB
Amanullah et al.,⁴¹	N.A.	Qualitative, retrospective	Review of the importance of quality in the care of children and adolescents with TB	Children and adolescents (0–19 years old) with TB

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[1] Corresponding author. E-mail: claracm.psi@gmail.com (C. C. Mendes)