RESUMO
OBJECTIVE: The purpose of this study was to examine the effect of a cultural intervention (CI) on increasing adherence to latent tuberculosis infection (LTBI) therapy among Latino immigrants. DESIGN AND SAMPLE: This clinical study used a preexperimental design. A nonprobability sample of 86 Latino immigrant clients who were starting LTBI therapy were enrolled in the intervention. The comparison group was an historical sample of 131 clients' records randomly selected from the previous year. INTERVENTION: The CI, designed by the principal investigator, was delivered by 2 Spanish-speaking interventionist nurses at each of 9 clinic visits. The intervention was based on Latino cultural values and included 5 components. MEASURES: The patients' adherence was measured by a self-report of the number of pills taken. RESULTS: The findings of this study were that clients in the CI group took a significantly greater number of doses of INH than those in the historical sample. CONCLUSIONS: Using a CI to increase adherence to LTBI therapy shows promise for public health nursing practice.
Assuntos
Emigrantes e Imigrantes , Hispânico ou Latino , Tuberculose Latente/etnologia , Adesão à Medicação/etnologia , Educação de Pacientes como Assunto/organização & administração , Enfermagem em Saúde Pública/organização & administração , Adulto , Antituberculosos/uso terapêutico , Comunicação , Competência Cultural/organização & administração , Emigrantes e Imigrantes/educação , Emigrantes e Imigrantes/psicologia , Família/etnologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino/educação , Hispânico ou Latino/etnologia , Humanos , Tuberculose Latente/tratamento farmacológico , Tuberculose Latente/enfermagem , Masculino , Multilinguismo , Pesquisa em Avaliação de Enfermagem , Avaliação de Programas e Projetos de Saúde , Valores Sociais , Inquéritos e Questionários , VirginiaRESUMO
In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethical issues in utilizing this technology are discussed. Nurses need to be aware of these challenges when using electronic measuring devices to monitor medication adherence in clinical nursing practice and research.
