Self care integrative treatment demonstrated in rural community setting improves health related quality of life of lymphatic filariasis patients in endemic villages

• Published in: Acta tropica 2013-06, Vol.126 (3), p.198-204
• Main Authors: Aggithaya, Madhur Guruprasad, Narahari, Saravu R., Vayalil, Sudha, Shefuvan, Mohammed, Jacob, Neethu K., Sushma, Kandathu Valappil
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Camp; Community participation; Elephantiasis, Filarial - epidemiology; Elephantiasis, Filarial - therapy; Female; Health education; Health Education - methods; Humans; India - epidemiology; Lymphatic filariasis; Male; Middle Aged; Quality of Life; Rural Population; Self Care - methods; Surveys and Questionnaires; Treatment Outcome; Yoga; Young Adult
• ISSN: 0001-706X; 1873-6254
• DOI: 10.1016/j.actatropica.2013.02.022

•Filariasis patients participated in one day integrative treatment demonstration camps.•Skin wash, bacterial entry point care, yoga exercises were demonstrated in camps.•The quality of life of patients was assessed before and after six months of treatment.•A validated, disease specific questionnaire was used to assess the quality of life.•Self care integrative treatment significantly improved quality of life in concordant patients. This study assessed impact of community based self care integrative treatment provided through mass camps in villages of three districts of Kerala, India endemic for lymphatic filariasis (LF). Two most endemic Primary Health centres (PHCs) were selected from each of the three districts, where maximum concentration of LF patients is recorded. Fourteen one day LF camps, each attended by 30–40 patients were conducted. Trained Accredited Social Health Activists encouraged LF patients to attend camps. Skin wash and drying, care of bacterial entry points using dermatology drugs, and simple yoga and breathing exercises were demonstrated in these camps. Patients were advised to continue these self care activities daily at home for six months. The quality of life (QoL) of LF patients was determined for Indian life style domains using validated and pretested specific questionnaire (LF-specific QoL questionnaire-LFSQQ). It addressed conditions and state of individuals with reference to LF. The questionnaire had 7 domains and each domain consisted of a series of questions with likert scale (no problem, mild, moderate, severe, most severe). 446 patients attended one day camps to get training on integrative self care treatment. 425 patients (95.3%) were followed up after six months and QoL was reassessed. Each patient's QoL in mobility, self care, usual activity, pain and discomfort and social relationship significantly improved (P value