TY - JOUR
T1 - Effects of an incentive and education program on return rates for PPD test reading in patients with HIV infection
AU - Chaisson, Richard E.
AU - Keruly, Jeanne C.
AU - McAvinue, Sharon
AU - Gallant, Joel E.
AU - Moore, Richard D.
PY - 1996/1/1
Y1 - 1996/1/1
N2 - To determine the impact of a food voucher incentive and patient education program on compliance with tuberculin skin test (PPD, purified protein derivative) performance in HIV-infected adults, we analyzed return rates for PPD reading for patients at our urban HIV clinic. The groups studied included patients who received no intervention (controls), patients offered a food voucher incentive, and patients offered a food voucher and patient education intervention. Return rates for PPD reading were 96 (35%) of 272 for the control grotLp, 111 (48%, p = 0.004) of 229 for the food voucher group, and 96 (61%, p < 0.001) of 158 for the food voucher and patient education group. By univariate analysis, black patients (p = 0.01), mules (p = 0.01), older patients (p = 0.004), city residents (p = 0.001), and injection drug users were more likely to return for PPD reading. By logistic regression, food voucher, food voucher plus education, city residence, and male sex were significantly associated with return for PPD reading. Two simple, inexpensive interventions were found to increase compliance with tuberculin skin test performance in HIV-infected adults. Additional interventions are required to achieve better rates of return for PPD reading.
AB - To determine the impact of a food voucher incentive and patient education program on compliance with tuberculin skin test (PPD, purified protein derivative) performance in HIV-infected adults, we analyzed return rates for PPD reading for patients at our urban HIV clinic. The groups studied included patients who received no intervention (controls), patients offered a food voucher incentive, and patients offered a food voucher and patient education intervention. Return rates for PPD reading were 96 (35%) of 272 for the control grotLp, 111 (48%, p = 0.004) of 229 for the food voucher group, and 96 (61%, p < 0.001) of 158 for the food voucher and patient education group. By univariate analysis, black patients (p = 0.01), mules (p = 0.01), older patients (p = 0.004), city residents (p = 0.001), and injection drug users were more likely to return for PPD reading. By logistic regression, food voucher, food voucher plus education, city residence, and male sex were significantly associated with return for PPD reading. Two simple, inexpensive interventions were found to increase compliance with tuberculin skin test performance in HIV-infected adults. Additional interventions are required to achieve better rates of return for PPD reading.
KW - Adherence
KW - Education
KW - HIV
KW - Incentives
KW - PPD
KW - Tuberculosis
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U2 - 10.1097/00042560-199604150-00005
DO - 10.1097/00042560-199604150-00005
M3 - Article
C2 - 8605590
AN - SCOPUS:0029866043
VL - 11
SP - 455
EP - 459
JO - Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
JF - Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
SN - 1525-4135
IS - 5
ER -