PLOS Glob Public Health December 2021 PMID 36962123

Do community-based active case-finding interventions have indirect impacts on wider TB case detection and determinants of subsequent TB testing behaviour? A systematic review.

Helena R A Feasey, Rachael M Burke, Marriott Nliwasa, Lelia H Chaisson, Jonathan E Golub, Fahd Naufal, Adrienne E Shapiro, Maria Ruperez, Lily Telisinghe, Helen Ayles, Cecily Miller, Helen E D Burchett, Peter MacPherson, Elizabeth L Corbett

Mentions

17
Peak: 13 in Dec 2021
across 2 sources since Dec 2021

Extended reach

77,482
potential audience

Total likes

51

Video views

29

Mentions per month

Dec 2021 – Jun 2023

Where it's discussed

  • X / Twitter16 posts
  • YouTube1 videos

AI synopsis

What people are saying

The discussions primarily focus on the potential for community-based active case-finding interventions to increase TB detection, with examples like the mention of CNR ratios and indirect effects on testing behavior, supported by references to ongoing research and health organizations. The tone shows cautious optimism, emphasizing the preliminary nature of the evidence while acknowledging its potential importance.

AgreementModerate agreement

Most discussions reflect support for the idea that community-based ACF positively influences TB detection and testing behaviors, indicated by phrases like 'indirect impacts' and 'some indication of increase.'

InterestModerate interest

The discussions show moderate interest, with mentions of new research findings, implications for practice, and references to ongoing surveillance efforts.

EngagementModerate engagement

Participants engage by referencing specific aspects like case-notification rates and citing other studies or organizations involved, demonstrating a moderate depth of discussion.

ImpactModerate impact

The conversations suggest that the research may influence ongoing TB control strategies and guidelines, with words like 'indirect impacts' and 'inform the WHO guidelines' implying some significance.

Abstract in brief

  • The systematic review suggests that community-based active case finding (ACF) for TB can indirectly increase routine TB case detection beyond just the cases directly identified through screening, as indicated by CNR ratios greater than 1.
  • Most studies reviewed showed that ACF had a positive impact on TB notifications, with ratios typically ranging from about 0.47 to 1.14, though many studies had a high risk of bias.
  • Evidence on how ACF influences TB testing behaviors or community knowledge and attitudes was limited and insufficient to draw firm conclusions about its broader behavioral impact.

Top posts

Most liked on X and Bluesky
Helena Feasey
@HelenaFeasey · X

Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case notifications & subsequent TB testing behaviour. Not enough evidence but some indication of increase in clinically diagnosed routine cases https://t.co/9DahSaO66X https://t.co/E8kAO62RdA

Dec 9, 2021 · 24 likes · 6 shares · 507 followers View post →
PLOS Global Public Health
@PLOSGPH · X

NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB patients, using routine case-notification rate (CNR) ratios as a measure of indirect effect. https://t.co/gywg6chm7Q https://t.co/Awh7b9XksA

Dec 13, 2021 · 17 likes · 7 shares · 11,038 followers View post →
Helena Feasey
@HelenaFeasey · X

Team led from @MlwTrust, @LSHTM, @LSHTM_TB, @NordHnti, @LSTMnews and many others involved in the literature search which was part of a suite of reviews conducted to inform the @WHO #TB guidelines updates https://t.co/9DahSaO66X

Dec 9, 2021 · 4 likes · 1 share · 507 followers View post →
Emily Kendall
@emilyakendall · X

#1. TB awareness. Our TB research team’s presence and outreach may have made residents more likely to seek care for symptoms + clinicians more likely to test for TB. Such indirect case-finding benefits have been seen elsewhere (@HelenaFeasey https://t.co/Ze1RKX4i42). (5/10)

Mar 6, 2023 · 4 likes · 1 share · 385 followers View post →
PLOS Global Public Health
@PLOSGPH · X

Do community-based active case-finding interventions have indirect impacts on wider TB case detection and determinants of subsequent TB testing behaviour? A systematic review https://t.co/7aJRVHeEM8

Mar 24, 2022 · 2 likes · 11,038 followers View post →
Dr. Catherine Kyobutungi Muzukulu wa Bityo
@CKyobutungi · X

RT @PLOSGPH: NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB…

Dec 13, 2021 · 7 shares · 28,483 followers View post →

All mentions

Helena Feasey
@HelenaFeasey · X

RT @emilyakendall: #1. TB awareness. Our TB research team’s presence and outreach may have made residents more likely to seek care for sy…

Mar 10, 2023 · 1 share · 507 followers View post →
Emily Kendall
@emilyakendall · X

#1. TB awareness. Our TB research team’s presence and outreach may have made residents more likely to seek care for symptoms + clinicians more likely to test for TB. Such indirect case-finding benefits have been seen elsewhere (@HelenaFeasey https://t.co/Ze1RKX4i42). (5/10)

Mar 6, 2023 · 4 likes · 1 share · 385 followers View post →
PLOS Global Public Health
@PLOSGPH · X

Do community-based active case-finding interventions have indirect impacts on wider TB case detection and determinants of subsequent TB testing behaviour? A systematic review https://t.co/7aJRVHeEM8

Mar 24, 2022 · 2 likes · 11,038 followers View post →
McEwen Khundi
@MacKhundi · X

RT @PLOSGPH: NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB…

Dec 13, 2021 · 7 shares · 949 followers View post →
Titus Divala MD MPH MS PhD
@TDivala · X

RT @PLOSGPH: NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB…

Dec 13, 2021 · 7 shares · 4,646 followers View post →
Dr. Catherine Kyobutungi Muzukulu wa Bityo
@CKyobutungi · X

RT @PLOSGPH: NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB…

Dec 13, 2021 · 7 shares · 28,483 followers View post →
Helena Feasey
@HelenaFeasey · X

RT @PLOSGPH: NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB…

Dec 13, 2021 · 7 shares · 507 followers View post →
Julia Robinson
@JuliaE_Robinson · X

RT @PLOSGPH: NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB…

Dec 13, 2021 · 7 shares · 1,641 followers View post →
PLOS Global Public Health
@PLOSGPH · X

NEW: In this new #systematicreview, @HelenaFeasey and colleagues investigate the impact of #ACF beyond directly diagnosed #TB patients, using routine case-notification rate (CNR) ratios as a measure of indirect effect. https://t.co/gywg6chm7Q https://t.co/Awh7b9XksA

Dec 13, 2021 · 17 likes · 7 shares · 11,038 followers View post →
McEwen Khundi
@MacKhundi · X

RT @HelenaFeasey: Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case not…

Dec 9, 2021 · 6 shares · 949 followers View post →
McGill TB Centre
@McGill_TB · X

RT @HelenaFeasey: Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case not…

Dec 9, 2021 · 6 shares · 4,191 followers View post →
Adrienne Shapiro, MD, PhD
@DrAShapiro · X

RT @HelenaFeasey: Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case not…

Dec 9, 2021 · 6 shares · 816 followers View post →
Ngozi
@udnore · X

RT @HelenaFeasey: Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case not…

Dec 9, 2021 · 6 shares · 9,487 followers View post →
Julia Robinson
@JuliaE_Robinson · X

RT @HelenaFeasey: Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case not…

Dec 9, 2021 · 6 shares · 1,641 followers View post →
Helena Feasey
@HelenaFeasey · X

Team led from @MlwTrust, @LSHTM, @LSHTM_TB, @NordHnti, @LSTMnews and many others involved in the literature search which was part of a suite of reviews conducted to inform the @WHO #TB guidelines updates https://t.co/9DahSaO66X

Dec 9, 2021 · 4 likes · 1 share · 507 followers View post →
Helena Feasey
@HelenaFeasey · X

Our new @PLOSGPH paper: Systematic review - indirect impacts of community-based TB ACF on routine facility-based case notifications & subsequent TB testing behaviour. Not enough evidence but some indication of increase in clinically diagnosed routine cases https://t.co/9DahSaO66X https://t.co/E8kAO62RdA

Dec 9, 2021 · 24 likes · 6 shares · 507 followers View post →