Table 1 Description of our meta-ethnography
From: Conducting a meta-ethnography of qualitative literature: Lessons learnt
Experiences of tuberculosis treatment: A meta-ethnographic analysis of facilitators and barriers to inform the development of an adherence-promoting intervention | |
|---|---|
Aim | To determine barriers and facilitators of tuberculosis adherence |
Search strategy | Text words included: Tuberculosis, adherence, compliance and concordance; obtained 7814 abstracts |
Quality assessment | Assessed for quality using 13 criteria, extracted data |
Synthesis approach | Meta-ethnographic analysis of 44 primary studies using both reciprocal translation and line of argument synthesis to develop a third order interpretation. |
Key findings | A model that indicated adherence is related to: structural factors, social influence, organisation of treatment and care, and factors related to the disease |
Hypotheses emerging from the synthesis | Increasing the visibility of TB programmes in the community may increase knowledge and improve attitudes towards TB Providing more information about the disease and treatment to patients and communities Increased support from family, peers and social networks Minimizing costs and unpleasantness related to clinic visits and increasing flexibility and patient autonomy Increasing flexibility in terms of patient choice of treatment plan and type of support Increasing the patient centredness of interactions between providers and clients Addressing 'structural' and 'personal' factors, for example through micro-financing and other empowerment initiatives Providing more information about the effects of medication to reduce the risk of patients becoming non-adherent when experiencing treatment side effects |