Download TB Awareness / Perceptions Questionnaire Gender: M / F How old

TB Awareness / Perceptions Questionnaire
Gender: M /
F
How old are you? (circle one)
10 -19
20-29
30-39
40-49
50-59
60 and above
Nationality: ______________________________
Marital status: (circle one)
Never Married / Married / Divorced / Widowed
Educational background: (circle one)
None
Primary
Secondary
College
University and above
Residence: ____________________
1. Have you heard of TB?
Yes / No
2. What do you call it in your culture? ____________________________________
3. Have you ever been infected with TB?
Yes / No
4. If you answered “yes” to question 3, how long ago were you infected? _______________
5. Do you know someone who has been infected with TB? Yes / No
6. Do you know what TB (tuberculosis) is? Yes / No
7. How is it spread?
8. What causes TB?
Cough (Air) / Unclean food or water / Public area / Hereditary / Sexual
contact with TB patient / Don’t know / Other reason _________________
Bacteria / Virus / Evil eye / Satan or witchcraft / Don’t know /
Other cause _________
9. Is it infectious?
Yes / No / Don’t know
10. Is it preventable?
Yes / No / Don’t know
11. How?
_________________________
12. Is it treatable?
Yes / No / Don’t know
13. How long does the treatment take?
14. Is the recovery complete?
1 month / 2months / 3months / 6 months / 1 year
Yes / No / Don’t know
15. If you had cough with blood, what would you do? (circle ONE of the 4 choices)
Self treatment:
traditional medicine / Modern medicine
Consult someone: traditional medicine / Modern medicine
16. If you had a persistent cough with no blood, what would you do?
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Nothing / Ask a family member or a friend / Self –treatment / Wait for sometime before
consulting a health care provider / Other ______________________
17. If you answered ‘wait for sometime’, in question 16, how long would you wait for?
1 week / 2 weeks / 1 month / 2 months / 3 months / more than 3 months
The questionnaire was adapted from the following resources:
Abebe G, Deribew A, Apers L, Woldemichael K, Shiffa J, et al. (2010) Knowledge, Health Seeking
Behavior and Perceived Stigma towards Tuberculosis among Tuberculosis Suspects in a Rural
Community in Southwest Ethiopia. PLoS ONE 5(10): e13339.
doi:10.1371/journal.pone.0013339
Liefooghe, R., J.B. Baliddawa, E.M. Kiruto, C. Vermeire, and A.O. De Munynck. (1997) From their
own perspective. A Kenyan community’s perception of tuberculosis . Tropical Medicine and
International Health 2.8: 809-821. Web. 24 Oct 2010.
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SEMI-STRUCTURED INTERVIEW GUIDE FOR TB PATIENTS
Gender:
Age:
Nationality:
Educational background:
Year of arrival in Qatar:
Questions to elicit cultural and traditional beliefs regarding the disease and its treatment:
1. What is the name of this disease in your region/tradition/culture?
2. Are the symptoms of the “named” disease similar to your symptoms?
3. What do you think is the reason for contracting this disease?
4. Are there any other cultural conditions/symptoms related to this disease, besides the medical
symptoms that you have mentioned?
5. Can this disease be treated? If not, why?
6. How is this disease treated?
7. Should the disease be treated immediately? Why should/should not the disease be treated
immediately?
8. Is this disease indicative of another disease or does it cause any other disease? If yes, please
describe the symptoms of the disease.
Questions designed to elicit social response to patients with TB from the patient’s viewpoint:
1. Have you informed your family about your disease? If yes, what is their response to your
disease?
2. Has there been a change in your family’s interaction with you since you contracted the
disease?
3. Why do you think your family’s interaction with you has changed?
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4. Have you informed your co-workers about your disease?
5. Do your co-workers/friends visit you?
6. Has there been a change in their attitude towards you?
7. Why do you think their attitude towards you has changed?
Questions designed to elicit patient’s response to the treatment they are receiving:
1. Do you know why you are here?
2. What kind of treatment are you receiving?
3. Are you satisfied with your treatment? Do you feel like its changing you or helping you?
4. Do you think you need some other form of treatment? If yes, what is that form? Do you
know of any other treatments?
5. How would you describe your interaction with the medical staff?
Sources used to design questions:
R Shrestha-Kuwahara, M Wilce, HA Joseph, JW Carey, R Plank, and E Sumartojo. (2004).
Tuberculosis Research and Control. Encyclopedia of Medical Anthropology (I)5
www.findtbresources.org/material/Anthrop_Contrib.PDF
Hansel N, Wu A, Chang B, Diette G. (2004) Quality of life in tuberculosis: Patient and provider
perspectives. Quality of Life Research. 13: 639-652
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