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Increasing return compliance in a tuberculosis detection drive

S K Wurtele, A N Galanos, M C Roberts

    Journal of Behavioral Medicine
    |September 1, 1980
    PubMed
    Summary
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    Subject commitment, through verbal or written agreement, significantly boosted tuberculosis (TB) detection drive compliance. Interestingly, individuals with a family history of TB required stronger commitment methods for better participation.

    Area of Science:

    • Public Health
    • Behavioral Science

    Background:

    • Tuberculosis (TB) detection drives are crucial for public health initiatives.
    • Improving subject compliance is essential for the success of these drives.

    Purpose of the Study:

    • To investigate the impact of subject commitment on compliance rates in a university TB detection drive.
    • To compare compliance between overt commitment and standard procedures.

    Main Methods:

    • Overt commitment involved verbal or verbal plus written agreement to return.
    • A control group received a standardized, no commitment procedure.
    • Return rates for reaction readings were compared between groups.

    Main Results:

    • Both verbal and written commitment significantly increased return rates.

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  • Subjects with a family history of TB showed higher noncompliance rates than expected.
  • Verbal and written agreement was most effective for increasing compliance in the high-risk TB family history group.

    • Conclusions:

    • Overt subject commitment is an effective strategy to improve TB detection drive compliance.
    • Specific high-risk groups, like those with a family history of TB, may require tailored, stronger commitment protocols.
    • Future TB detection strategies should incorporate commitment-enhancing techniques.