Annexure B: Adherence Plan
Adherence Step 1: Education of patient Adherence Step 2: Life goals Adherence Step 3: Patient support system Adherence Step 4: Getting to appointments Adherence Step 5 - Treatment schedule Adherence Step 6: Reminder strategies Adherence Step 7: Managing missed doses Adherence Step 8: Storing medication and extra doses Adherence Step 9: Dealing with side-effects Adherence Step 10: Planning for tri
Adherence Step 1: Education of patient
Adherence Step 3: Patient support system
Adherence Step 4: Getting to appointments
Adherence Step 5 - Treatment schedule
Adherence Step 6: Reminder strategies
Adherence Step 7: Managing missed doses
Adherence Step 8: Storing medication and extra doses
Adherence Step 9: Dealing with side-effects
Adherence Step 10: Planning for trips
Adherence Step 11: Dealing with substance use
Adherence Step 1: Education of patient
- How treatment for TB infection differs from treatment for TB disease.
- Type of treatment regimen suitable for the patient and why.
- Risk factors associated with treatment, such as:
- side effects of treatment regimen chosen
- interactions with other medicines
- risk of getting infected with TB whilst on treatment
- risk of developing TB disease whilst on treatment
- the importance of completing the full course of treatment
Adherence Step 2: Life goals
My motivations to stay healthy are:
(1) .............................................................
(2) .............................................................
(3) .............................................................
It is important for the client to have a health goal to motivate him- or herself to not interrupt their treatment. The long-term benefit of TPT to their overall health should override the inconvenience of taking treatment before they feel sick.
Adherence Step 3: Patient support system
Agree for home visit (where possible): Yes No
Who can support me during my treatment? ...............................................................................
Adherence Step 4: Getting to appointments
How will I get to my clinic appointments: ...............................................................
The best time to collect my treatment will be: ..........................................................
If I face difficulties with keeping clinic appointments my alternative plan will be: .....................
Adherence Step 5 - Treatment schedule
The best time for me to take my treatment is: .....................................................................
I am taking the following treatment and I will add this treatment to my daily dose: ...............................
I am not taking any other medication and will need a reminder to take my weekly/daily dose: ..................
Adherence Step 6: Reminder strategies
To remind me to take treatment, I will use: ............
Adherence Step 7: Managing missed doses
If I miss a dose, I know exactly what to do to get back to my regular treatment schedule: Yes No
Adherence Step 8: Storing medication and extra doses
I will store my medication in: .................................
I will carry extra supply and keep it in: ..................
Adherence Step 9: Dealing with side-effects
I know what side effects to expect Yes No
If I experience side effects, I will: ........................
Adherence Step 10: Planning for trips
If I have some trips planned, before going away I will: ....................................................................................
In case I cannot come to the health facility before going away, I will: ...........................................
Adherence Step 11: Dealing with substance use
I am aware of the implications of taking alcohol with the treatment:
Yes..................... No...........................
My plan is to .......................................
National Guidelines on the Treatment of Tuberculosis Infection, February 2023
Annexure B: Adherence Plan