Effectiveness of psychosocial counselling on treatment adherence among patients with a new tuberculosis diagnosis in primary care: a study protocol for a cluster-randomised controlled trial.
BMJ OpenSep 30, 2026 (epub)
Zahroh Shaluhiyah, Sri Handayani, Ayun Sriatmi et al.
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In 30 seconds
This study protocol outlines a cluster-randomised controlled trial aimed at evaluating the effectiveness of psychosocial counselling on treatment adherence among newly diagnosed tuberculosis patients in primary care settings in Semarang City, Indonesia. The trial will involve 10 primary healthcare centres and 108 patients, comparing adherence rates between those receiving counselling and standard care alone.
Key findings
- The primary outcome is treatment adherence during the intensive phase of treatment.
- Secondary outcomes include psychological distress, TB-related stigma, TB knowledge, and treatment self-efficacy.
- The trial will utilize a two-arm, parallel design with random allocation of PHCs.
Why it matters
Improving treatment adherence in tuberculosis patients is crucial for effective disease management and public health. Psychosocial counselling may address barriers to adherence, potentially leading to better health outcomes and reduced transmission rates.