|INFLUENCE OF INITIAL MOTIVATION ON TREATMENT OF
|KS Aneja, MA Seetha, Hardan Singh & V Leela: Indian
J TB 1980, 27, 123-29.
The effect of initial motivation on pulmonary tuberculosis
patients in terms of regularity of drug collection and pattern of
default for three months was studied at Lady Willingdon Tuberculosis
Demonstration & Training Centre (LWTDTC), by adopting three
different schedules of motivation (i) motivation as per routine
procedures of District Tuberculosis Programme (ii) issue of simple
brief instructions only and (iii) motivation with reduced contents
and with change in sequence of points. The patients without history
of previous treatment were randomly allocated to these 3 groups.
All the three groups were similar in respect of age and sex composition,
sputum status, extent of disease, duration of symptoms, education
level and the distance that the patient had to travel for collection
of drugs. However, there were more housewives in Group II.
The findings of the investigations were: Of the
139 patients in Group I, 49.6%, of the 126 in Group II,
46.7% and of the 142 in Group III, 47.2%, had made all
the three collections. On the whole different schedules of motivation
did not significantly affect the behaviour of the patients in making
all the three monthly collections. However, patients in Group
II with simple instructions were more regular and made less number
of defaults. There was also a suggestion that sputum negative patients
required more than mere instructions. The best response in such
cases was in Group III, wherein motivation was neither very elaborate
nor very brief and in which sequence of points was so arranged that
stress on important points was laid early enough to remain within
the recalling memory of the patients.
|KEY WORDS: CONTROL PROGRAMME, TREATMENT COMPLETION,
INITIAL MOTIVATION, SUSPECT CASE, CASE.