||Snider Jr DE
||An Overview of Compliance in Tuberculosis Treatment
||BULL IUAT 1982, 57, 246-251.
To solve compliance problems, they must first be
detected by identifying patients who fail to keep appointments,
identifying treatment failures, and identifying less overt forms
of non-compliance by interviewing patients and performing pill counts
and urine tests. To improve compliance, simple, specific instructions
about the behaviour desired, must be given. If problems develop,
the patients should be heard and obstacles to the desired compliant
behaviour should be identified. The regimens to overcome these obstacles
must be restructured and the support of family and friends elicited.
Behavioural strategies such as verbal encouragement, tailoring,
incentives, awards and contracts must be tried. Supervised therapy
must be used whenever non-compliant behaviour persists. Institutionalization
should be avoided whenever possible, but used if no other options
remain. There are several methods of detecting non-compliant behaviour
and a growing list of validated ways of improving compliance. Their
judicious use can help prevent the additional cost, morbidity and
mortality inevitably associated with poor compliance.
|KEYWORDS: COMPLIANCE; MOTIVATION; SOCIAL BEHAVIOUR;