12
Treatment
Table 3. Possible Components of a Multifaceted, Patient-
Centered Treatment Strategy
Enablers Incentives
Interventions to assist the patient in
completing therapy
Interventions to motivate the patient,
tailored to individual patient wishes
and needs and, thus, meaningful to the
patient
Transportation vouchers Food stamps or snacks and meals
Convenient clinic hours and locations Restaurant and grocery store coupons
Clinic personnel who speak the languages
of the populations served
Assistance in finding or provision of
housing
Reminder systems and follow-up of missed
appointments
Clothing or other personal products
Social service assistance (referrals for
substance abuse treatment and counseling,
housing, and other services)
Books
Outreach workers (bilingual/bicultural
as needed; can provide many services
related to maintaining patient adherence,
including provision of directly
observed therapy, follow-up on missed
appointments, monthly monitoring,
transportation, sputum collection,
social service assistance, and educational
reinforcement)
Stipends
Integration of care for tuberculosis with
care for other conditions
Patient contract
