LINKING RELEASED INMATES TO TB CLINIC TO CONTINUE INH
LINKING RELEASED INMATES TO TB CLINIC TO CONTINUE INH
批准号:
2891276
负责人:
MARY Castle WHITE
金额:
$37.63万
依托单位国家:
美国
项目类别:
财政年份:
1997
资助国家:
美国
项目状态:
已结题
起止时间:
1997-07-01 至 2001-06-30
中文摘要
描述(改编自《调查者摘要》):最近的增长
美国的结核病归因于:艾滋病毒的流行,
从结核病流行国家移民,便利
在教养设施等聚集环境中传播,以及
不断恶化的公共卫生基础设施。大多数结核病控制方案将重点放在
关于活动性疾病;预防潜伏性结核病感染的激活是
在控制结核病流行的高危人群中同样至关重要。
这项随机对照研究的目的是研究结核病控制的战略。
之前获释的潜伏结核病感染者入狱人员
完成预防性治疗。这个应用程序提出了一个随机化的
临床试验(RCT)研究三种教育干预措施的效果
关于两个结果:入狱后第一次到县结核病诊所就诊;
完成后续的后续随访,以完成整个结核病疗程
预防性治疗。在监狱中进行筛查以识别感染者
患有结核病,许多人开始接受异烟肼(INH)的预防性治疗
在监狱里。然而,大多数人在INH完成之前就从监狱获释。
囚犯在没有药物治疗的情况下被释放,必须去结核病诊所
继续预防性治疗。试点工作表明,只有不到4%的
需要进一步感染的获释囚犯实际上向县结核病部门报告
门诊进行随访。数据证明了测试干预的必要性
提高被释放囚犯去结核病治疗的百分比的策略
诊所继续并完成结核病的预防治疗。本RCT
建议将监狱中感染结核病的INH囚犯随机分成以下一组
三个干预组:常规护理(标准教育和咨询,
在开INH处方时提供一次);通常护理加上加强
每两周一次的教育和释放;以及平时的照顾和照顾
提供价值25美元的奖励(酒店代金券、公交车代金券或食品券)
如果第一次去结核病诊所就诊是在出院后两周内。三个具体的
目的是衡量:1)三种教育干预措施的效果
第一次去结核病诊所就诊的百分比
释放;2)干预措施对完成率的影响
足够的就诊次数以完成INH预防治疗;以及3)原因
完成或不完成第一次结核病诊所就诊的人。的重要意义。
本项目是:1)加强以病人为中心的护理工作
关爱,监狱中的人越来越被认为是一个弱势群体
结核病的高风险;2)监狱是那些可能没有
其他护理来源;3)教育和财政奖励没有
在这项研究中,研究作为坚持预防性结核病治疗的预测因素
4)这个项目加强了监狱和监狱之间的联系
卫生服务和公共卫生署结核病控制服务,以及
可以作为其他监狱系统和公共卫生系统的典范
美国
英文摘要
DESCRIPTION (Adapted from the Investigator's Abstract): The recent increase
in tuberculosis in the U.S. has been attributed to: the HIV epidemic,
immigration of persons from countries where TB is endemic, facilitation of
spread in congregate settings such as correctional facilities, and a
deteriorating public health infrastructure. Most TB control programs focus
on active disease; prevention of activation of latent TB infection is
equally critical in high risk populations for control of the TB epidemic.
The purpose of this RCT is to investigate strategies for TB control among
jailed persons with latent TB infection who are released from jail before
completing preventive therapy. This application proposes a randomized
clinical trial (RCT) to study the effects of three educational interventions
on two outcomes: the first post-jail visit to the county TB Clinic; and the
completion of subsequent follow-up visits to complete a full course of TB
preventive therapy. Screening in jail identifies persons who are infected
with TB, and many are begun on isoniazid (INH) preventive therapy while in
jail. Most, however, are released from jail prior to INH completion.
Inmates are released without medication, and must go to the TB clinic to
continue preventive therapy. Pilot work has shown that less than 4% of
released inmates who need further INH actually report to the county TB
clinic for follow-up. Data demonstrate the need to test intervention
strategies to increase the percent of released inmates who go to the TB
Clinic to continue and complete preventive therapy for TB. This RCT
proposes to randomize TB-infected inmates on INH in the jail into one of
three intervention groups: usual care (standard education and counseling,
provided once at the time of INH prescription); usual care plus reinforced
education at two-weekly intervals and at release; and usual care plus
incentive valued at $25 (hotel vouchers, bus tokens, or food coupons) given
if the first TB Clinic visit is within two weeks of release. Three specific
aims are to measure: 1) the effects of the three educational interventions
on the percent who make a first visit to the TB Clinic within two weeks of
release; 2) the effects of the interventions on the percent who complete
enough visits to finish INH preventive therapy; and 3) the reasons why
persons do or do not complete a first TB Clinic visit. The significance of
this project is: 1) as nursing strengthens its focus on patient-centered
care, persons in jail are increasingly recognized as a vulnerable group at
high risk for TB; 2) the jail is a venue of care for those who may not have
other sources of care; 3) education and financial incentives have not been
studied as predictors of adherence to preventive TB therapy in this
population; and 4) this project strengthens the link between the jail's
health services and the Public Health Department TB control services, and
may serve as a model for other jail systems and public health systems in the
U.S.
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Tuberculosis prevalence in an urban jail: 1994 and 1998.
城市监狱中的结核病流行情况:1994 年和 1998 年。
DOI:
--
发表时间:
2001
期刊:
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease.
影响因子:
--
作者:
[White,MC, Tulsky,JP, Portillo,CJ, Menendez,E, Cruz,E, Goldenson,J]
通讯作者:
Goldenson,J
DOI:
10.1016/j.puhe.2012.04.009
发表时间:
2012-09
期刊:
Public health
影响因子:
5.2
作者:
[M. White;R. W. Nelson;L. Kawamura;J. Grinsdale;J. Goldenson]
通讯作者:
M. White;R. W. Nelson;L. Kawamura;J. Grinsdale;J. Goldenson
Incidence of TB in inmates with latent TB infection: 5-year follow-up.
潜伏性结核感染囚犯的结核发病率:5 年随访。
DOI:
10.1016/j.amepre.2005.06.014
发表时间:
2005
期刊:
American journal of preventive medicine.
影响因子:
--
作者:
[White,MaryC, Tulsky,JacquelineP, Menendez,Enrique, Goldenson,Joe, Kawamura,LMasae]
通讯作者:
Kawamura,LMasae
Strategies for effective education in a jail setting: the Tuberculosis Prevention Project.
监狱环境中有效教育的策略:结核病预防项目。
DOI:
10.1177/1524839903255443
发表时间:
2003
期刊:
Health promotion practice.
影响因子:
--
作者:
[White,MaryCastle, Duong,ThuanM, Cruz,EdwardS, Rodas,Alex, McCall,Cade, Menendez,Enrique, Carmody,EllieR, Tulsky,JacquelineP]
通讯作者:
Tulsky,JacquelineP
Jail inmates and HIV care: provision of antiretroviral therapy and Pneumocystis carinii pneumonia prophylaxis.
监狱囚犯和艾滋病毒护理:提供抗逆转录病毒治疗和卡氏肺孢子虫肺炎预防。
DOI:
10.1258/0956462011923327
发表时间:
2001
期刊:
International journal of STD & AIDS
影响因子:
1.4
作者:
[White,MC, Mehrotra,A, Menendez,E, Estes,M, Goldenson,J, Tulsky,JP]
通讯作者:
Tulsky,JP
Methamphetamine use in inmates: risk behaviors, health status and recidivism
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批准号:7574424
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项目类别:
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资助金额:$7.73万
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财政年份:2008
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负责人:MARY Castle WHITE
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依托单位:
Methamphetamine use in inmates: risk behaviors, health status and recidivism
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批准号:7447501
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项目类别:
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资助金额:$7.71万
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财政年份:2008
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负责人:MARY Castle WHITE
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依托单位:
Clinical Trial of Short Course vs. INH for LTBI in Jail
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批准号:6573960
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项目类别:
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资助金额:$34.94万
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财政年份:2003
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负责人:MARY Castle WHITE
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依托单位:
Clinical Trial of Short Course vs. INH for LTBI in Jail
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批准号:6879078
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项目类别:
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资助金额:$70.64万
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财政年份:2003
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负责人:MARY Castle WHITE
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Clinical Trial of Short Course vs. INH for LTBI in Jail
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批准号:6803175
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项目类别:
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资助金额:$73.81万
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财政年份:2003
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负责人:MARY Castle WHITE
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依托单位:
Clinical Trial of Short Course vs. INH for LTBI in Jail
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批准号:7498762
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项目类别:
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资助金额:$66.53万
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财政年份:2003
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负责人:MARY Castle WHITE
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依托单位:
Clinical Trial of Short Course vs. INH for LTBI in Jail
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批准号:7559141
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项目类别:
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资助金额:$45.91万
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财政年份:2003
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负责人:MARY Castle WHITE
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依托单位:
Clinical Trial of Short Course vs. INH for LTBI in Jail
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批准号:7068526
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项目类别:
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资助金额:$67.58万
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财政年份:2003
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负责人:MARY Castle WHITE
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依托单位:
TB Education in Jail: Transferring Research to Practice
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批准号:6332088
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项目类别:
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资助金额:$7.38万
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财政年份:2001
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负责人:MARY Castle WHITE
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依托单位:
LINKING RELEASED INMATES TO TB CLINIC TO CONTINUE INH
-
批准号:2735478
-
项目类别:
-
资助金额:$36.68万
-
财政年份:1997
-
负责人:MARY Castle WHITE
-
依托单位:
LINKING RELEASED INMATES TO TB CLINIC TO CONTINUE INH
-
批准号:2036170
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项目类别:
-
资助金额:$36.16万
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财政年份:1997
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负责人:MARY Castle WHITE
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依托单位:
DETERMINANTS OF RESPIRATOR USE AMONG SPRAY PAINTERS
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批准号:3422755
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项目类别:
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资助金额:$2.08万
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财政年份:1985
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负责人:MARY Castle WHITE
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依托单位:
海外基金