由认知见解驱动的行为改变解决方案,以改善弱势群体寻求结核病医疗保健:印度的一项探索性多州定性研究
Atreyee Sinha1, L Ponnuchamy2, Ambuja Kowlgi1
1Karnataka Health Promotion Trust (KHPT), Bengaluru, Karnataka, 560044, India.
BMC public health
|February 12, 2026
概括
行为改变解决方案 (BCS) 改善了印度弱势群体的结核病 (TB) 病例识别和治疗坚持. 解决认知障碍的有针对性的干预措施显示出改善结核病治疗和结核病治疗结果的前景.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 卫生系统研究 卫生系统研究
背景情况:
- 结核病 (TB) 在印度不成比例地影响弱势群体,国家计划中以人为中心的方法有限.
- 低健康意识和低于最佳的护理行为加剧了结核病对边缘化社区的影响.
研究的目的:
- 评估行为改变解决方案 (BCS) 的实用性,以改善结核病例识别和治疗坚持.
- 在包括矿工,移民和部落社区在内的各种弱势群体中评估BCS的有效性.
主要方法:
- 定性研究涉及147次与印度四个州的结核病患者,辅导员和医疗保健提供者的深入访谈.
- 探索了四个BCS的用户体验:健康自动, jaanch优惠券,结核病起始包和结核病mukt证书.
- 采用了当地语言采访的演和主题分析,确保主题和的协作分析.
主要成果:
- 健康自动和 jaanch 优惠券提高了结核病意识,减少了诊断延迟,并增加了病例发现.
- 结核病启动套件和结核病结核病证明证书改善了治疗坚持和赋予患者权力.
- 通过改善可访问性,可负担性,减少耻辱感和增强社区接受度,BCS解决了脆弱性.
结论:
- 行为改变解决方案 (BCS) 通过克服认知障碍,有效催化了结核病医疗保健的寻求.
- 有针对性的认知干预是改变偏见和改善结核病治疗结果的有希望的策略.
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