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Tuberculosis Epidemiologic Studies Consortium (TBESC)

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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

  1. 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
  2. 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 is completed and analysis is underway.

 
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