TY - JOUR KW - Adolescent KW - Adult KW - Case-Control Studies KW - Drug Therapy, Combination KW - Female KW - Humans KW - Incidence KW - Leprostatic Agents KW - leprosy KW - Male KW - Middle Aged KW - Nepal KW - Predictive Value of Tests KW - Retrospective Studies KW - Risk Factors KW - Sensitivity and Specificity KW - Treatment Refusal AU - Heynders M L AU - Meijs J J AU - Anderson A M AB -

Within the Eastern Leprosy Control Project of Nepal, a retrospective case control study looked for simple factors that might be used operationally to predict non-compliant behaviour in patients. Patients with these factors would then become the targets of measures such as intensified health education messages and home visits in order to reduce the risk of defaulting. A study of 1442 patient cards (half defaulters, half treatment completed) revealed occasional small but significant demographic and clinical differences, but none was of a sufficient magnitude to be operationally useful. Review of the attendance of patients in the first few months of treatment suggested that eventual defaulting was strongly associated with irregularity from the commencement of treatment. It is possible that an early indicator based on attendance over the first months can be used to target patients who are in danger of non-completion of treatment.

BT - Leprosy review C1 - http://www.ncbi.nlm.nih.gov/pubmed/11105497?dopt=Abstract CN - Infolep Library - available DA - 2000 Sep DO - 10.5935/0305-7518.20000042 IS - 3 J2 - Lepr Rev LA - eng N2 -

Within the Eastern Leprosy Control Project of Nepal, a retrospective case control study looked for simple factors that might be used operationally to predict non-compliant behaviour in patients. Patients with these factors would then become the targets of measures such as intensified health education messages and home visits in order to reduce the risk of defaulting. A study of 1442 patient cards (half defaulters, half treatment completed) revealed occasional small but significant demographic and clinical differences, but none was of a sufficient magnitude to be operationally useful. Review of the attendance of patients in the first few months of treatment suggested that eventual defaulting was strongly associated with irregularity from the commencement of treatment. It is possible that an early indicator based on attendance over the first months can be used to target patients who are in danger of non-completion of treatment.

PY - 2000 SP - 369 EP - 76 T2 - Leprosy review TI - Towards an understanding of non-compliance. An assessment of risk factors for defaulting from leprosy treatment. UR - http://leprev.ilsl.br/pdfs/2000/v71n3/pdf/v71n3a18.pdf VL - 71 SN - 0305-7518 ER -