Text for Figures and Slides in TB Behavioral
and Social Science Research Forum Proceedings
BEHAVIORAL AND SOCIAL SCIENCE RESEARCH IN TUBERCULOSIS
CONTROL
Kenneth G. Castro, MD
Director, Division of Tuberculosis Elimination
Centers for Disease Control and Prevention
Slide #1: Tuberculosis Behavioral and
Social Sciences
Research Forum, December 10-11, 2003
Behavioral and Social Science
Research in TB Control
Kenneth G. Castro, M.D.
Assistant Surgeon General, USPHS
Director, Division of Tuberculosis Elimination
National Center for HIV, STD, and TB Prevention
Centers for Disease Control and Prevention
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Slide #2: Behavioral and Social Science
Research in TB Control
- 1950s: “Health Belief Model” examined motivators of free TB screening
programs
- Recently behavioral research studies emphasized treatment adherence
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Slide #3: Behavioral and Social Science
Research Efforts in TB Control
- 1994: TB and Behavior: National Workshop on Research for the 21st
Century (CDC co-sponsor)
- 2000: IOM Report, Ending Neglect: The Elimination of Tuberculosis
in the United States
- 2003: TB Behavioral and Social Science Research Forum
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Slide #4: This figure is the front cover of the
1994 TB and Behavior: National Workshop on Research for the 21st
Century Proceedings.
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Slide #5: Themes from 1994 Conference
- How to inform the public about TB and overcome stigma?
- How to identify and reach persons at highest risk for TB?
- How to increase patient adherence?
- How to improve provider practices?
- How to identify and implement the best mix of TB control services?
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Slide #6: This figure is the front cover
of the Institute of Medicine Report, Ending Neglect: The Elimination
of Tuberculosis in the United States.
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Slide #7: IOM Call for Behavioral Science
Research
- Explore impact of behavior change models on health seeking and adherence
- Identify cultural barriers to Rx, P&C, and role of incentives
and enablers
- Tailor adherence interventions to needs, lifestyles, social support
system, and beliefs
- Ensure translation of research into TB programs
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Slide #8: Role of Behavioral and Social
Science
Research in TB Control (1)
- Individual and interpersonal health behavior research
- Patient care seeking behavior
- Patient adherence behavior
- Provider behavior
- Health care service delivery
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Slide #9: Role of Behavioral and Social
Science
Research in TB Control (2)
- Systems research
- Health systems structure and organization
- Environmental, economic, and sociopolitical dynamics
- Policies and laws
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Slide #10: Role of Behavioral and Social
Science
Research in TB Control (3)
- Identify, understand, and address broad range of relevant socio-cultural,
behavioral, and structural issues
- Engage systematic, theory-based, mutidisciplinary research with scientifically
rigorous experimental and quasi-experimental designs
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