title: The Effectiveness of Family-Based DOTS versus Professional-Family Mix DOTS in Treating Smears Positive Tuberculosis.
abstract: BACKGROUND
  The present study compared the effectiveness of Family-Based DOTS (FB-DOTS) versus Professional-Family Mix DOTS (PFM-DOTS) in smear positive tuberculosis (TB) patients.
  
  
  METHODS
  This semi-experimental study was performed in Tuberculosis and Lung Diseases Research Center of Tabriz in 2011-2012, among 57 TB patients recruited into either FB-DOTS or PFM-DOTS groups. At the baseline of the study, knowledge of both patients and their supervisors were assessed while at the end point, smear and culture of sputum, quality of life, knowledge and satisfaction of the patients along with the knowledge and satisfaction of their supervisors were assessed.
  
  
  RESULTS
  The difference for sputum smear negative (culture) was 16.2 (4.8%) and 7.7(6.9%) for the PFM-DOTS in comparison with FB DOTS by the end of the second and forth months of treatment, respectively. A significant difference was observed between the two groups in relation to knowledge, satisfaction (patients and supervisors) and all four domains of quality of life: physical health (P=0.036), psychological health (P<0.001), social relations (P=0.026) and environmental health (P<0.001).
  
  
  CONCLUSIONS
  The PFM-DOTS treatment strategy in which health experts follow the patients in their homes seems to be among most appropriate strategies in treating TB.
authors.affiliation: Department of Healthcare Administration, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Hassan
authors.initials: H
authors.lastname: Yekrang Sis
authors.affiliation: Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Jannati
authors.affiliation: Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: AsghariJafarabadi
authors.affiliation: Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Ebrahimi-Kalan
authors.affiliation: Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Asghar
authors.initials: A
authors.lastname: Taheri
authors.affiliation: Medical Education Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Koosha
keywords: Effectiveness; Family-based DOTS; Professional-Family Mix DOTS; Tuberculosis
references.citation: Bull World Health Organ. 2006 Jun;84(6):437-45
references.pmid: 16799727
references.citation: Int J Tuberc Lung Dis. 2003 Sep;7(9 Suppl 1):S29-37
references.pmid: 12971652
references.citation: Cost Eff Resour Alloc. 2008 Oct 24;6:20
references.pmid: 18947436
references.citation: BMC Health Serv Res. 2011 Sep 30;11:247
references.pmid: 21961888
references.citation: Cost Eff Resour Alloc. 2005 Jul 14;3:6
references.pmid: 16018806
references.citation: Bull World Health Organ. 1998;76(5):475-83
references.pmid: 9868838
references.citation: PLoS One. 2010 Feb 17;5(2):e9158
references.pmid: 20174642
references.citation: Int J Tuberc Lung Dis. 2003 Sep;7(9 Suppl 1):S14-20
references.pmid: 12971650
references.citation: BMC Public Health. 2006 Aug 15;6:209
references.pmid: 16911786
references.citation: Health Policy Plan. 2002 Jun;17(2):178-86
references.pmid: 12000778
references.citation: BMC Public Health. 2007 May 18;7:84
references.pmid: 17511864
references.citation: PLoS One. 2010 Nov 17;5(11):e14014
references.pmid: 21103344