BEHAVIORAL INTERVENTIONS FOR CONTROL OF TUBERCULOSIS

描述：主要目的是开发和测试各种教育 针对两个卫生中心的结核病感染青少年的战略， 洛杉矶的一项实验设计，以评估相对 对药物依从性、预约保持的有效性， 完成治疗。教育内容和方式是基于 一个以干预为导向的行为行动模型， 理性行为理论、计划行为理论和 跨理论模型 实验四组设计将用于评估独立的 以及同伴咨询的综合效应，参与者/父母 应急合同干预，以及同伴咨询的组合 和应急合同，与常规护理对照组相比。 共有880名参与者将被随机分配到四个 组除了评估干预措施的影响外， 分析将比较假设的 行为的影响和中介因素。成本效益 并会进行分析。在研究的后期， 来自整个洛杉矶县的诊所工作人员将接受培训， 鼓励将似乎有效的战略纳入 诊所设置。

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.