|| Seetha MA & Aneja KS
||Problem of drug default and role of Motivation.
||INDIAN J PUBLIC HEALTH 1982, 36, 234-243.
The paper stresses the need for an interdisciplinary
approach to the study of drug default among TB patients and presents
several studies to discuss the role of motivation in reducing drug
default, underscoring the importance of using an action-oriented
definition of default. One study, conducted by the NTI, determined
the number of defaults and the collection at which default occurred
through a retrospective analysis of treatment cards. Analysis of
the data collected from 2,419 patients showed that a large proportion
of patients, whether they visited the (DTC - specialised institutions)
or the Rural PHIs (GHIs), dropped out immediately after starting
the treatment. Another study, on the influence of initial motivation,
was conducted among adult patients newly diagnosed at the Bangalore
LWTDTC. Three types of motivational contents for verbal communication
were developed and a total of 407 patients were randomly distributed
into three groups. The third study determined the influence of patient
and family motivation on the drug collection of TB patients, using
250 newly diagnosed cases of TB at LWTDTC. It was concluded from
the three studies that age, sex, education and occupation of the
patients did not influence the drug collection pattern. Different
schedules of motivation with variable quality of contents and, changed
sequence of points did not appreciably affect the TB patients
behaviour. Sputum-positive cases needed strong and more effective
motivation compared to sputum-negative ones. Family motivation had
a positive influence on the patients drug collection pattern.
|KEYWORDS: MOTIVATION; DEFAULT; INDIA.