Image of CDC Logo Image containing title: Tuberculosis Information CD-ROM   Image of people
jump over main navigation bar to content area
TB Guidelines
Surveillance Reports
Slide Sets
TB-Related MMWRs and Reports
Education/Training Materials
Ordering Information

U.S. Department of Health and Human Services logo

Improving Patient Adherence to Tuberculosis Treatment (1994)

Improving Patient Adherence to Tuberculosis Treatment PDF

Table of Contents


Basic Assumptions

Getting to Know Your Patient

  • Obtaining Patient Information
  • Working with an Interpreter
  • Assessing Health Needs
  • Assessing Patients' Perceptions about TB

Predicting Patient Adherence

Assessing for Adherence

  • Indirect Methods
  • Direct Methods

Strategies for Improving Adherence

  • Give Directly Observed Therapy
  • Use Incentives and Enablers
  • Educate Your Patient
  • Facilitate Open Discussions
  • Encourage Social Support
  • Individualize Medication Regimen
  • Facilitate Appointment Keeping
  • Provide Comprehensive Services

Problem Solving 

Adherence by Children and Adolescents

  • Strategies for Improving Adherence
  • Adherence by Adolescents

Legal Remedies

  • Patients' Rights and Due Process
  • Progressive Interventions to Ensure Treatment Completion
  • Criteria for Determining the Need for Involuntary Confinement
  • Final Note

A Quick Reference to Strategies for Improving Adherence



  • Testing for the Presence of TB Drugs or Their Metabolites in Urine
  • How to Test Urine for INH and Its Metabolites by Using Bacto INH Test Strips
  • References

Please refer to the electronic PDF version and/or the original paper copy for the graphics, figures, and tables.


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination -

Please send comments/suggestions/requests to:, or to
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333