||Patient to patient motivation - an additional effort
to improve compliance.
||Annual Report of TB Research Centre, 1993, p. 9-11
A pilot study was initiated in 1990 to investigate
the feasibility of patient-to-patient motivation by having a patient
who had been regular for treatment to talk to a new patient. A controlled
study was begun in 1991. Only those patients who were unsuitable
for admission to the ongoing controlled clinical trial were admitted
to the investigation. A stratified, random procedure was used to
allocate patients to either routine motivation (motivation done
by clinic staff only) and patient-to-patient motivation (motivation
done by treated patients in addition to clinic staff, on admission
and, at 1 and 4 months). Defaulter retrieval action was taken for
both groups in accordance with the DTP manual. No home visits were
made. Patients defaulting after retrieval actions for a month, were
considered lost. All 297 admitted patients completed
six months of treatment. 281 patients remained for analysis (4 died
and 16 had change of treatment). Forty percent (143) of 281 patients
had more than 90% of treatment in both groups and nearly 60% of
lost patients were in the first phase of treatment in both groups.
The study revealed that patient-to-patient motivation did not result
in any greater improvement in patient compliance.
|KEYWORDS: MOTIVATION; COMPLIANCE; INDIA.