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Education Materials > Publications > Improving Patients Adherence to TB Treatment > Strategies > Table 2

Improving Patient Adherence to Tuberculosis Treatment (1994)

Table 2: Behavioral Diagnosis Tool for Enhancing Adherence to TB Treatment

Finding of Behavioral Diagnosis Educational-Behavioral Strategies
Lack of knowledge Use teaching, repetition, audiovisual aids
Forgetfulness Obtain help from family or friends
Simplify regimen
Use combined capsules
Associate pill taking with other activities
Provide special pill dispensers
Lack of motivation Point out dangers of nonadherence and benefits of therapy
Increase frequency of visits
Give DOT
Provide incentives
Fear of getting hooked on drugs Allow extra time to discuss side effects
Provide reassurance
Make staff available to answer questions that arise during therapy
Lack of skill in pill taking Instruct patient through guided practice and demonstration
Give DOT
Lack of support from family, friends, or significant others Make home visits
Encourage a family member or friend to accompany patient on clinic visits
Poor relationship with health care provider Develop communication skills (provider)
Improve accessibility and continuity of care
Provide social support, incentives, and enablers
Insufficient money to pay for health care Provide free care or facilitate third-party payment
Refer to social worker
Strive for community change
No sick leave available Provide clinic appointments in evening, at lunch time, or in early morning
Long clinic waiting time Have patient see only one person at follow-up visits
Keep to scheduled appointment times
Separate medical appointments and appointments for drug refills
Medication side effects Evaluate medication options:
  change medications or dosages
  take with or without food
Complex regimen Simplify regimen
Associate pill taking with other activities
Use combined capsules
Give DOT

Adapted from Bartlett EE, Behavioral diagnosis: a practical approach to patient education, Patient Counseling and Health Education, 1982;4(1):29-35.


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

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