CHAPTER IV - TREATMENT BEHAVIOUR OF TB PATIENTS <<Back
 
a) Treatment Failure & The Problem of Non Adherence
 
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AU : Barnhoorn F & Driaanse H
TI : In search of factors responsible for non-compliance among tuberculosis patients in Wardha district, India.
SO : SOC SCI MED 1992, 34, 291-306.
DT : Per
AB :

From September 1988 to February 1989, 52 compliant and 50 non-compliant TB out-patients who were prescribed anti-TB drug regimens were interviewed in Wardha District, India. Patients were compared by means of a questionnaire with previously fixed response options in order to identify the factors which were responsible for compliance and for non-compliance. Discriminant analysis demonstrated differences between completers and non-completers on several health belief items, in particular, those regarding health motivation, the perceived severity of the disease, costs and benefits of the treatment regimen and self-efficacy. Compliers reported more physical symptoms at the onset of the disease, whereas more non-compliers mentioned a deteriorated health condition at the time of interviewing. Low associations were found between demographic and socio-economic variables and adherence, except for some indicators of income level. The relationship between presence of social support and co-operation with the treatment procedures was confirmed. An indication of an educational problem was the association between the compliance behaviour of a patient and his or her knowledge of specific aspects of the disease, the origin of TB and features of the drug regimen. Satisfaction with the health care provider contributed positively to the continuation of drug intake.

KEYWORDS: SOCIAL BEHAVIOUR; NON-COMPLIANCE; INDIA.
 
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