Return of school forms and nurse home visits increased adherence with follow up reading of tuberculosis tests in children
Question In high risk children, can strategies of verbal and written instructions, telephone follow up, transportation tokens and a toy, education, or withholding school forms (proof of immunisation status) improve the rate of adherence with follow up reading of tuberculosis tests?
Randomised controlled trial.
Outpatient department of an urban children's hospital in Washington, DC, USA.
627 consecutive children aged 1 to 12 years (91% African-American, 74% Medicaid recipients) who were healthy and had no recent history of tuberculosis contact. 45% of participants had ≥1 risk factor for tuberculosis (born in a country with a high prevalence of tuberculosis or contact with people who were homeless, street drug abusers, incarcerated, from high prevalence areas, or had HIV infection).
Participants and their families were given routine verbal and written instructions and randomised by day of the week to 1 of 5 strategies to improve adherence to follow up …