Treatment Adherence among Tuberculosis patients: A Concept Analysis

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BACKGROUND: The principal difficulty of long-term tuberculosis (TB) treatment is patient nonadherence. During pandemic, nonadherence of TB treatment affects mortality since TB patients are more vulnerable to COVID-19. AIM: The purpose of this concept analysis was to clarify and analyze the concept of treatment adherence. METHODS: Analysis concept was conducted using the Walker and Avant’s method from relevant studies published by EBSCO, PubMed, ProQuest, Wiley Online Library, and Springer in 2003–2021. RESULTS: Five attributes characterizing the concept of treatment adherence from thirteen articles were identified: individual behavior, relationship, mutual participation, shared decision-making, and agreement. CONCLUSION: This concept analysis revealed that TB treatment adherence involves many aspects, including the patient, family, society, health professionals, and policy. These findings help to understand the contribution of major attributes, thereby promoting the body of knowledge on TB and contributing to its elimination during COVID-19 pandemic.

Original languageEnglish
Pages (from-to)20-28
Number of pages9
JournalOpen Access Macedonian Journal of Medical Sciences
Issue numberT5
Publication statusPublished - 11 Dec 2021


  • Adherence
  • Concept analysis
  • Treatment adherence
  • Tuberculosis


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