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Tuberculosis Epidemiologic Studies Consortium (TBESC)
Task Order 12: Assessing the TB knowledge, attitudes, beliefs,
and practices among private providers serving foreign-born
populations at risk for TB
Task Order 12 is assessing knowledge, attitudes, beliefs, and
practices among private providers serving foreign born populations
at risk for TB. Epidemiologic data indicates that United States
(U.S.) populations with the highest incidence of acute TB disease
are recent immigrants from Mexico, the Philippines and Vietnam. Most
newly arrived foreign-born individuals present for general medical
care in “safety net” settings: community clinics, public clinics,
and private practitioners caring for these communities. This study
is intended to elicit and clarify the knowledge, attitudes and
practices of primary care providers who see foreign born patients at
risk for LTBI and TB disease. Based on these data, an intervention
will be designed to improve their knowledge, attitudes, and
practice. Pre- and post intervention surveys will be conducted to
document the impact of the intervention.
Sites
University of Washington and Seattle-King County Public Health
Department (Seattle, WA)
Study Objectives
- Conduct formative research to describe the factors
influencing the efficient management of latent and active
tuberculosis among primary care providers caring for immigrants
from Mexico, the Philippines, and Vietnam
- Design, implement, and assess the impact of an intervention
to address the knowledge, attitudes, and practice factors
amenable to an intervention
Study Design
This study will be conducted in three phases. Phase I is the
qualitative interview phase. Task Order 12 will select from primary
care providers who see and provide primary care to the foreign born
at risk for LTBI and TB disease. In particular, they will be
targeting those providers seeing patients from three immigrant
communities with a high burden of TB disease and LTBI incidence:
Mexican, Vietnamese, and Filipino. They will also be seeking
providers seeing substantial numbers of foreign born patients in
three distinct practice settings: 1) private practice, 2) community
clinics, and 3) public hospitals. “Substantial” is defined as
self-reported estimate of 25% or more of the patient panel being
foreign born. A combination of focus groups and individual
interviews will be conducted to elucidate information about the
facilitators and barriers to the detection and management of LTBI
and TB disease and collaboration with local TB clinics. The issues
identified in Phase I will be used in Phase II to develop a
pre-intervention survey to quantitatively document knowledge,
attitudes, and practices of primary care providers. Using the
knowledge gained in Phase I and II, an intervention to address
deficits will be designed and executed in Phase III. Phase III
includes a follow up survey to assess the impact of this
intervention on knowledge, attitudes, and practices relevant to LTBI
and TB management in primary care.
Study Progress
Data collection and initial analysis for Phase I of this study
has been completed. Phase II, the pre-intervention survey, has been
completed as well. Data collection for Phase III, which assesses the
impact of the educational intervention, is currently seventy percent
complete and expected to end in August 2007.
Last Modified: 07/25/2007
Last Reviewed: 05/18/2008 Content Source: Division of Tuberculosis Elimination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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