Effect of a health education programme on nutrition, treatment adherence and quality of life among newly diagnosed tuberculosis patients at a tertiary care hospital in Central India

INTERVENTION: Intervention1: Health Belief Model‐based Educational and Nutritional Counselling Intervention: Participants in the intervention arm will receive a structured Health Belief Model (HBM)‐based educational intervention in addition to standard anti‐tuberculosis treatment under the National Tuberculosis Elimination Programme (NTEP). The intervention will be delivered by the investigator using a standardized educational module and counselling sessions covering: Tuberculosis disease and transmission Importance of treatment adherence Nutritional counselling based on NTEP/ICMR recommendations Prevention of disease transmission and cough etiquette Recognition and management of adverse drug reactions Importance of follow‐up and treatment completion Behaviour change techniques based on the Health Belief Model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self‐efficacy) Educational material (leaflet) will be provided, and Reinforcement counselling will be delivered at 2 months, 4 months, and at the end of treatment. Control Intervention1: Standard NTEP care alone.: Routine NTEP care and standard counselling as per existing practice. CONDITION: Health Condition 1: A150‐ Tuberculosis of lung PRIMARY OUTCOME: Change in nutritional status, assessed by Body Mass Index and Mid‐Upper Arm Circumference from baseline to the end of follow‐up. Treatment adherence, assessed using NTEP treatment records/Nikshay treatment records at the end of follow‐up. ; Change in Quality of Life, assessed using the WHOQOL‐BREF questionnaire from baseline to the end of follow‐up.Timepoint: Baseline and 6 months SECONDARY OUTCOME: Change in tuberculosis‐related knowledge score and Change in Health Belief Model construct scores ‐ perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self‐efficacy.Timepoint: Baseline and 6 months INCLUSION CRITERIA: Newly diagnosed pulmonary tuberculosis patients and willing to participate and give informed written consent.