Bock N N, Sales R M, Rogers T, DeVoe B
Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia 30303, USA.
Int J Tuberc Lung Dis. 2001 Jan;5(1):96-8.
To determine whether incentives increase adherence to directly observed therapy (DOT) for tuberculosis (TB) treatment.
The TB program gave a five-dollar grocery coupon for each DOT appointment kept to 55 patients who had missed at least 25% of DOT doses over a 4-week period. Treatment completion rates were compared with an historic control group of 52 patients who began treatment a year earlier, who would have been eligible for incentives but did not receive them.
Incentive program patients were more likely than control patients to complete therapy within 32 weeks (OR 5.73, 95%CI 2.25-14.84) and 52 weeks (OR 7.29, 95%CI 2.45-22.73).
Patient incentives can increase adherence to DOT in TB programs.
确定激励措施是否能提高结核病（TB）治疗中直接观察治疗（DOT）的依从性。
结核病项目为55名在4周内错过至少25% DOT剂量的患者，每次按时接受DOT治疗发放一张5美元的食品杂货优惠券。将治疗完成率与一年前开始治疗的52名历史对照组患者进行比较，这些患者本有资格获得激励但未得到。
与对照组患者相比，激励项目组患者在32周内（比值比5.73，95%可信区间2.25 - 14.84）和52周内（比值比7.29，95%可信区间2.45 - 22.73）完成治疗的可能性更大。
患者激励措施可提高结核病项目中DOT的依从性。
