Development of the Peer Support Group Care Model for Persons with Tuberculosis in Community

Abstract

This action research aimed to develop the peer support group care model for persons with tuberculosis in the community in the context of Mueang district, MahaSarakham province. Participants consisted of persons with tuberculosis, caregivers, village health volunteer, and health providers. Research instruments included questions for a focused group discussion, patient medical record form, Internalized Stigma of Tuberculosis Scale, and health status record form. The data were analyzed using descriptive statistics, chi-square, odds ratio, multiple logistic regression, paired t-test, and content analysis.The research results revealed that 1) the peer support group care model consisted of three elements as follows: (1) inputs, including policy and implementation guidance, peer group structure, peer group’s roles, and facilities supports; (2) process: a care framework for peer support group and self-management of persons with TB, including peer group competency enhancement, peer-led face-to-face self-management programs, peer coaches or mentors, and appreciative inquiry; and (3) outcomes, including key performance indicators about physical and psychosocial health outcomes. 2) After implementing the model, peer support group network was established for management and care for person with TB in community and completed implementation along the plan setting. Twenty-six persons with TB received complete treatment and were cured. The internalized stigma was decreased among persons with TB.