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Self-Study Modules for Effective TB Interviewing
Module 4. Special Circumstances
Objectives
After reading this module, you will be able to
- Describe how TB interviews may vary depending on the patient’s
life circumstances;
- Decide when to use, how to choose, and how to interview a proxy;
- Conduct a source case interview by selecting an appropriate
interviewee and eliciting appropriate contact and exposure setting
information;
- Conduct interviews in outbreak circumstances; and
- Understand social network analysis and the role the interviewer
plays.
Introduction
While the objectives of TB interviewing and the skills involved
are the same for all patients, there are instances in which traditional
approaches for obtaining information may need to be altered. All
patients, regardless of their health status and their circumstances,
should be held to the same expectations for completing an interview.
However, it is important to be prepared for challenges that may
occur during an interview and to understand why these challenges
occur.
An interviewer should use information gleaned from the medical
record review to develop a preliminary strategy for working with
all patients. If the record indicates that the patient has a pre-existing
medical condition, unmet needs, a history of nonadherence, or behavior
that may make the interview process difficult, the interviewer should
be prepared to deal with these issues in a concerned and nonjudgmental
manner. Other circumstances may also include the need to utilize
someone other than the patient to identify contacts.
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Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination - http://www.cdc.gov/tb
Please send comments/suggestions/requests
to: hsttbwebteam@cdc.gov,
or to
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333 |