|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.
|INFLUENCE OF MOTIVATION OF PATIENTS AND THEIR FAMILY
MEMBERS ON THE DRUG COLLECTION BY PATIENTS
|MA Seetha, N Srikantaramu, KS Aneja & Hardan Singh:
Indian J TB 1981, 28, 182-90.
A controlled study was conducted at Lady Willingdon
Tuberculosis Demonstration and Training Centre (LWTDTC), Bangalore
among 250 patients randomly selected urban patients of pulmonary
tuberculosis of whom 155 were in the 'motivation' group and
95 were in the 'control' group. In the motivation group,
patients were interviewed by National Tuberculosis Institute health
visitor and motivated by LWC staff; a month of drugs (TH) were given.
Within 3 days of initiation of treatment they were motivated along
with their household members during home visit by NTI staff every
month for a period of three months. Control group patients were
motivated at the clinic as per the programme guidelines.
In the motivation group, 59.9% of patients
had made all the three collections during the first three months
compared to 27.8% in the 'control' group. During the remaining
months also the drug collection was 47% and 35.6% respectively.
The drug collection pattern among the patients in the motivation
group was found to be better than among the patients in control
group who did not have the benefit of home visiting. Sputum conversion
was also found accordingly better among the motivation group as
compared to control group.
|KEY WORDS: COMPLIANCE, FAMILY MOTIVATION, CONTROL
PROGRAMME, TREATMENT COMPLETION.