BEHAVIORAL INTERVENTIONS FOR CONTROL OF TUBERCULOSIS

描述：主要目标是开发和测试各种教育 年两个卫生中心针对感染结核病的青少年的战略 洛杉矶在一项实验设计中评估了 服药依从性、预约时间和 完成治疗。教育的内容和方式是基于 论一种以干预为导向的行为行为模式 理性行动理论、计划行为理论和 跨理论模型。 四组实验设计将被用来评估独立性 和同伴咨询的综合效果，参与者/家长 应急合同干预，与同伴咨询相结合 和应急承包，与通常的护理控制组相比。 总共880名参与者将被随机分配到四个小组中的一个 组。除了评估干预的影响外， 分析将比较假设的相对重要性 影响和调节行为的因素。成本效益 还将进行分析。在研究的后期阶段， 来自洛杉矶县各地的诊所工作人员将接受培训并 鼓励将看似有效的战略纳入 他们的诊所环境。

DESCRIPTION: The major aim is to develop and test various educational strategies targeting TB-infected adolescents at two health centers in Los Angeles in an experimental design to assess the relative effectiveness on medication adherence, appointment keeping, and completion of therapy. The educational content and modalities are based on an intervention-oriented model of behavioral action derived from the theory of reasoned action, the theory of planned behavior, and the transtheoretical model. An experimental four group design will be used to assess the independent and combined effects of peer counseling, a participant/parent contingency contract intervention, and a combination of peer counseling and contingency contracting, compared with a usual care control group. A total of 880 participants will be randomly assigned to one of the four groups. In addition to assessing the impact of the intervention, analyses will compare the relative importance of the hypothesized influencing and mediating factors on behavior. Cost-effectiveness analyses will also be conducted. During the later stages of the study, clinic staff from throughout Los Angeles County will be trained and encouraged to integrate the strategies that appear to be effective into their clinic setting.