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Autor:  

Tsodzo, Charlton C.

Titel:  

Towards a real-time theoretical perspective into treatment adherence : the case of tuberculosis treatment monitoring using the Simpill system in South Africa


Dissertation 
URN:  urn:nbn:de:hbz:294-33798
URL:  http://www-brs.ub.ruhr-uni-bochum.de/netahtml/HSS/Diss/TsodzoCharltonC/diss.pdf
Format:  application/pdf (2.5 M)
Kommentar:  Ruhr-Universität Bochum, Institute of Development Research and Development Policy (IEE), International Development Studies. Tag der mündlichen Prüfung: 2011-12-20

Inhaltsverzeichnis
Datei:  http://www-brs.ub.ruhr-uni-bochum.de/netahtml/HSS/Diss/TsodzoCharltonC/Inhaltsverzeichnis.pdf
Format:  application/pdf (227.9 k)

Zusammenfassung
Datei:  http://www-brs.ub.ruhr-uni-bochum.de/netahtml/HSS/Diss/TsodzoCharltonC/Zusammenfassung.pdf
Format:  application/pdf (316.4 k)

Schlagworte:  Tuberkulose; Monitoring; Südafrika; Echtzeitverarbeitung; Therapieplan

Inhalt der Arbeit: 

This study interrogated the challenge of limited understanding in real-time dynamics of non-adherence, contending that treatment scheduling-related factors ultimately had a bearing on the severity of other causative factors of non-adherence. Using data generated by a real-time adherence monitoring device called Simpill, this study thus generally sought to investigate the relationship between treatment-scheduling related variables and Tuberculosis treatment adherence outcomes. It was shown that treatment-scheduling related variables e.g. phase of taking treatment, the day and time affected adherence outcomes. This was attributed to the inter-connection of drug regimen complexity, patient-related, socio-cultural, care and support-related factors etc. The study also argued on what declined rational medication behaviour among TB patients. Finally, a multi-perspective theoretical model for treatment adherence called the Point of Medication Model was formulated from the analyses.


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