Cass A D, Talavera G A, Gresham L S, Moser K S, Joy W
Graduate School of Public Health, San Diego State University, 3851 Rosecrans St, Mailstop P511D, San Diego, CA 92110, USA.
Int J Tuberc Lung Dis. 2005 Apr;9(4):415-20.
San Diego, California public health department tuberculosis clinic.
To evaluate the effectiveness of a behavioral intervention (the Treasure Chest) that employed the behavior modification techniques of self-monitoring and positive reinforcement to increase adherence to therapy for latent tuberculosis infection (LTBI) in children.
A retrospective study utilizing a historical comparison group. The treatment adherence of children who attended San Diego County TB Control Program (SDCTBCP) clinics with positive tuberculin skin tests who were started on LTBI treatment prior to Treasure Chest program implementation (n=841) was compared to that of SDCTBCP children enrolled in the Treasure Chest program (n=741).
Logistic regression analysis demonstrated that children who participated in the Treasure Chest program were 2.4 times more likely to complete therapy than those who did not receive the intervention.
The Treasure Chest intervention is effective in increasing adherence to LTBI therapy in children.
加利福尼亚州圣地亚哥市公共卫生部门结核病诊所。
评估一种行为干预措施（“百宝箱”）的有效性，该措施采用自我监测和积极强化的行为修正技术，以提高儿童对潜伏性结核感染（LTBI）治疗的依从性。
一项利用历史对照组的回顾性研究。将在“百宝箱”项目实施前开始接受LTBI治疗且结核菌素皮肤试验呈阳性的圣地亚哥县结核病控制项目（SDCTBCP）诊所就诊儿童（n = 841）的治疗依从性，与参加“百宝箱”项目的SDCTBCP儿童（n = 741）的治疗依从性进行比较。
逻辑回归分析表明，参加“百宝箱”项目的儿童完成治疗的可能性是未接受干预儿童的2.4倍。
“百宝箱”干预措施在提高儿童对LTBI治疗的依从性方面是有效的。
