|| Mangura BT, Passannante MR & Reichman LB
||An incentive in tuberculosis preventive therapy for
an inner city population
|| INT J TB & LUNG DIS 1997, 1, 576-78
Measures known to improve adherence such as short
course chemoprophylaxis and directly observed therapy can be enhanced
to a significant extent by the use of incentives. Adherence to TB
therapy is influenced by several factors, including the health care
system, complexity of therapeutic regimens and patients characteristics.
Individual factors that negatively influence patients adherence
are the most difficult to counter. Preventive TB therapy is doubly
challenging because the benefit of treatment is not felt, while
toxicity from the medication, when it occurs, is experienced immediately.
Ingenious incentives therefore have to make it worth the patients
while. During a study on preventive regimens, a request for an incentive,
Sustacal, was observed to help completion of preventive regimens.
Components of individual TB programs may help in patient adherence;
it is important for health care staff to identify these aspects
and, if they are successful, utilize these as an incentive to complete
|KEY WORDS: COMPLIANCE; INCENTIVE; ADHERENCE; USA.