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Volume 12, Issue 4 (Autumn-In Press 2026)
JCCNC 2026, 12(4): 0-0 |
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Jittimanee S, Chaichan C. Effect of Person-Centered Care on Tuberculosis Treatment Success: A systematic Review and Meta-Analysis. JCCNC 2026; 12 (4)
URL: http://jccnc.iums.ac.ir/article-1-829-en.html
URL: http://jccnc.iums.ac.ir/article-1-829-en.html
1- Research Unit for Enhancing Well-being in Vulnerable and Chronic Illness Populations Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand , sirinapha.j@chula.ac.th
2- Faculty of Medicine Vajira Hospital, Navamindrahiraj University, Navamindrahiraj University, Bangkok, Thailand
2- Faculty of Medicine Vajira Hospital, Navamindrahiraj University, Navamindrahiraj University, Bangkok, Thailand
Abstract: (9 Views)
Introduction: Individuals with tuberculosis (TB) often encounter challenges during treatment, including adverse events, financial burden, social stigma, and concurrent health issues. Person-centered care, which prioritizes individual needs and preferences, is recommended to assist individuals in overcoming these challenges. This systematic review and meta-analysis sought to answer the question: Does person-centered care contribute to treatment success in individuals with TB?
Methods: The study followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Electronic databases (ScienceDirect, Scopus, PubMed, Wiley) and the JSTOR digital library were searched for relevant studies published between 1998 and 2024. Inclusion criteria required studies that: (1) involved adults 18 years of age or older; (2) incorporated person-centered care intervention with clearly defined sharing power and responsibility within any aspect of treatment and care; (3) reported treatment success rates; (4) were published in English, and (5) adopted either an experimental or non-experiential design. The study used the Effective Public Health Practice Project (EPHPP) quality assessment tool to assess the methodology quality. Two reviewers evaluated the studies independently, and any discrepancies were resolved through discussion to reach consensus. A funnel plot and Egger’s test of asymmetry was used to evaluate publication bias. The Endnote 21 was used for citation management. For the meta-analysis, we calculated risk ratios with 95% confidence intervals and assessed heterogeneity using STATA-14.2. The protocol was registered in PROSPERO (CRD42023438696).
Results: Out of the 754 studies initially found, 4 were eligible for systematic review. Among these, three randomized controlled trials involving 956 patients with drug-susceptible TB were included for meta-analysis. The meta-analysis, using risk ratio, showed no statistically significant effect of person-centred care on treatment success (RR=1.03, 95% confidence interval (CI): 0.96-1.10, p=0.40). The risk of selection bias was low, as there were no significant differences between included and excluded studies (p>.05), but there was heterogeneity in the outcomes of studies.
Conclusions: This meta-analysis found no significant benefit of person-centered care on treatment success in TB patients. This suggests that additional strategies may be needed to improve treatment outcomes, such as healthcare infrastructure, enhancing case management, or provision of social and economic support.
Methods: The study followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Electronic databases (ScienceDirect, Scopus, PubMed, Wiley) and the JSTOR digital library were searched for relevant studies published between 1998 and 2024. Inclusion criteria required studies that: (1) involved adults 18 years of age or older; (2) incorporated person-centered care intervention with clearly defined sharing power and responsibility within any aspect of treatment and care; (3) reported treatment success rates; (4) were published in English, and (5) adopted either an experimental or non-experiential design. The study used the Effective Public Health Practice Project (EPHPP) quality assessment tool to assess the methodology quality. Two reviewers evaluated the studies independently, and any discrepancies were resolved through discussion to reach consensus. A funnel plot and Egger’s test of asymmetry was used to evaluate publication bias. The Endnote 21 was used for citation management. For the meta-analysis, we calculated risk ratios with 95% confidence intervals and assessed heterogeneity using STATA-14.2. The protocol was registered in PROSPERO (CRD42023438696).
Results: Out of the 754 studies initially found, 4 were eligible for systematic review. Among these, three randomized controlled trials involving 956 patients with drug-susceptible TB were included for meta-analysis. The meta-analysis, using risk ratio, showed no statistically significant effect of person-centred care on treatment success (RR=1.03, 95% confidence interval (CI): 0.96-1.10, p=0.40). The risk of selection bias was low, as there were no significant differences between included and excluded studies (p>.05), but there was heterogeneity in the outcomes of studies.
Conclusions: This meta-analysis found no significant benefit of person-centered care on treatment success in TB patients. This suggests that additional strategies may be needed to improve treatment outcomes, such as healthcare infrastructure, enhancing case management, or provision of social and economic support.
Keywords: Tuberculosis, Systematic review, Patient-centered care, Psychosocial Support Systems, Counseling
Type of Study: Research |
Subject:
General
Received: 2025/03/3 | Accepted: 2026/06/27 | Published: 2026/11/4
Received: 2025/03/3 | Accepted: 2026/06/27 | Published: 2026/11/4
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