CHAPTER IV - TREATMENT BEHAVIOUR OF TB PATIENTS <<Back
 
a) Treatment Failure & The Problem of Non Adherence
 
213
AU : Snider Jr DE
TI : An Overview of Compliance in Tuberculosis Treatment Programmes
SO : BULL IUAT 1982, 57, 246-251.
DT : Per
AB :

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; USA.
 
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