PREDICTORS OF MEDICATION ADHERENCE

AMONG PATIENTS WITH TUBERCULOSIS

A Thesis Proposal
Presented to the Faculty
of the College of Nursing
University of Cebu
Cebu City

In Partial Fulfillment
of the Requirements for the Degree
Bachelors of Science in Nursing

By:
BSN 3A Group 1
TUBERCULOSIS (Worldwide)
leading cause of death from a single infectious agent.
one of the top ten leading causes of deaths worldwide
infecting an average of 10 million people each year
an average of 1.4 million deaths in 2019
Source: The Global Tuberculosis Report released by the World
Health Organization (WHO) in October of 2020
 TUBERCULOSIS (in the Philippines)

one of the leading causes of morbidity and mortality at 60 deaths per day nationwide.
Most number of TB cases, besting other SE Asian nations.
In 2019, the Philippines had the highest TB incidence in Asia with 554 cases per
100,000 people.
74 Filipinos die of TB every day and is among the top 10 causes of death in the country.
TUBERCULOSIS (in Cebu and Cordova)
Cebu with most number of TB cases in the Central Visayas region, with close to 10,000
people having the disease in 2017.
Increase in the incidence of TB from January to March of 2020 to 10 cases per month
in Cordova.
cases of relapse and treatment failure and increase in MDR cases
approximate rate of three new cases diagnosed per week since February of this year.
 The RESEARCHER
resident of the municipality
 documenter and data enumerator of USAID – IMPACT from 2012 to 2016
Hopes to determine the predictors of medication adherence of TB therapy
among patient with tuberculosis in the municipality in order to proposed
action plan to enhance DOTS treatment adherence.
THEORETICAL BACKGROUND

Health Compliance
Model II
by Heiby, Lukens and Frank (2005)
 SUPPORTING THEORIES

1. Social Cognitive Theory by Bandura (1991)

2. Health Belief Model by Rosenstock (1991)
3. Theories of Reasoned Action/Planned
Behavior by Fishbein and Ajzen (1975)
 Statement of the

This study aims to determine the predictors of medication

adherence of patients with tuberculosis in the Municipality of
Cordova, Cebu. The findings will serve as bases for a proposed
action plan.
Specifically, this seeks to address the following:
Specifically, this seeks to address the following:
Statement of the Null Hypothesis

Ho: There is no significant relationship between the

profile of the respondents and the predictors to
medication adherence.
 Of The Study

1. Patients
2. Patient’s Family
3. Municipal Health Office
4. The Municipality of Cordova
5. Researcher
6. Future Researchers
RESEARCH
 RESEARCH

Quantitative Descriptive Correlational

RESEARCH
ENVIRONMENT
Municipality of Cordova
RESEARCH 76 Patients with Tuberculosis attending anti-TB Therapy
RESPONDENTS who satisfied the inclusion criteria
Inclusion
Criteria
(1) patients must have a confirmed diagnosis of tuberculosis,
(2) must be 18 years old and above,
(3) must be enrolled in the DOTS program,
(4) must be under the classification of DS-TB regardless of their regimen category;
(5) must be receiving TB treatment in the Municipal Health Unit, Barangay Health
Center or TB DOTS satellite facility, and
(6) must have consented to participate in this study.
 RESEARCH
RESEARCH Researcher Modified Questionnaire
INSTRUMENT Part 1: profile of the respondents in terms of age, gender, marital
status, educational attainment, employment status and category of
treatment.

Part 2: 27 statements that determined the predictors of medication

adherence.

Reliability Test
Cronbach’s alpha @0.5 level of significance
Confirmatory Factor Analysis
 RESEARCH
RESEARCH Data Gathering
PROCEDURE
Face to Face Intercept following recommended safety protocols

Statistical Treatment
Simple Percentage / Percentage Distribution

Weighted Mean

Chi Square
 Definition of Terms

• Predictors of Medication Adherence

• Profile
• Proposed Action Plan