||Aneja KS, Seetha MA, Hardan Singh & Leela V
||Influence of initial motivation on treatment of tuberculosis
||INDIAN J TB 1980, 27, 123-129.
The effect of initial motivation on pulmonary TB
patients in terms of regularity of drug collection and pattern of
default for three months was studied at LWTDTC, by adopting three
different schedules of motivation: (i) motivation as per routine
procedures of DTP, (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: Sixty
nine patients (49.6%) of the 139 patients in Group I, 60 of the
126 (47.6%) in Group II and, 67 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.
|KEYWORDS: MOTIVATION; INDIA.