Providing detailed information about latent tuberculosis and compliance with the PPD test among healthcare workers in Israel: A randomized controlled study

Danielle Taubman; Nava Titler; Hana Edelstein; Mazen Elias; Walid Saliba

doi:10.1016/j.jegh.2013.06.003

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Volume 3, Issue 4, December 2013, Pages 253 - 260

Providing detailed information about latent tuberculosis and compliance with the PPD test among healthcare workers in Israel: A randomized controlled study

Authors

Danielle Taubman^a^{, *}^,dtaubman@umich.edu, Nava Titler^b, Hana Edelstein^b, Mazen Elias^c^{, d}, Walid Saliba^c^{, d}

^aDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States

^bInfectious Disease Unit, Ha’emek Medical Center, Afula, Israel

^cBruce Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel

^dDepartment of Internal Medicine C, Ha’emek Medical Center, Afula, Israel

^*Corresponding author. Address: Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, United States. Tel.: +1 248 410 0323.

Corresponding Author

Danielle Taubmandtaubman@umich.edu

Received 6 April 2013, Revised 10 June 2013, Accepted 11 June 2013, Available Online 10 July 2013.

DOI: 10.1016/j.jegh.2013.06.003 How to use a DOI?
Keywords: HCWs; PPD; Screening; Intervention; Latent tuberculosis infection; Health Belief Model
Abstract: Background: The compliance of screening for latent tuberculosis (TB) with the tuberculin purified protein derivative (PPD) test is very low among healthcare workers (HCWs) in Israel.

Methods: This randomized controlled study uses the Health Belief Model (HBM) as a conceptual framework to examine whether providing more information about latent TB and the PPD test increases the response rate for PPD screening among HCWs. All candidate HCWs for latent TB screening were randomly allocated to one of the following two invitations to perform the PPD test: regular letter (control group, n = 97), and a letter with information about latent TB and the PPD test (intervention group, n = 196).

Results: 293 HCWs were included (185 nurses, and 108 physicians). Overall, 36 (12.3%) HCWs were compliant with the PPD test screening. Compliance with PPD testing in the intervention group was not statistically different from the control group, RR 0.87 (95% CI, 0.46–1.65).

Conclusions: Compliance for latent TB screening is low among HCWs in northeastern Israel. Providing detailed information about latent TB was not associated with increased test compliance. Understanding existing disparities in screening rates and potential barriers to latent TB screening among HCWs is important in order to move forward and successfully increase screening rates.
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal: Journal of Epidemiology and Global Health
Volume-Issue: 3 - 4
Pages: 253 - 260
Publication Date: 2013/07/10
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2013.06.003 How to use a DOI?
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

ris enw bib

TY  - JOUR
AU  - Danielle Taubman
AU  - Nava Titler
AU  - Hana Edelstein
AU  - Mazen Elias
AU  - Walid Saliba
PY  - 2013
DA  - 2013/07/10
TI  - Providing detailed information about latent tuberculosis and compliance with the PPD test among healthcare workers in Israel: A randomized controlled study
JO  - Journal of Epidemiology and Global Health
SP  - 253
EP  - 260
VL  - 3
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.06.003
DO  - 10.1016/j.jegh.2013.06.003
ID  - Taubman2013
ER  -

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