Compliance with lymphedema management programs and MDA campaigns Sample Clauses

Compliance with lymphedema management programs and MDA campaigns. Measuring compliance to lymphedema management programs is difficult and has not been done consistently across studies. In Addiss’s study of the effectiveness of a basic lymphedema management program in Léogâne, Haiti, program compliance was measured through patient self-report, while ad-hoc home visits were made to assess patient capacity and to encourage compliance [37]. In a multivariable Poisson model exploring factors associated with ADL incidence, the authors found no significant relationship with program compliance. A limb-care management program in Sri Lanka collected data on compliance through a questionnaire at baseline and post-intervention time points [83]. Among those suffering from at least one ADL episode, the percentage of patients following the recommended home care procedures increased for limb elevation and limb cooling following the intervention. Between the pre- and post-intervention periods, there was a significant increase in the percentage of patients who washed the affected limb using soap, elevated, exercised, as well as in those who made efforts to reduce trauma to the limb. There was also a decrease in the percentage of those using an abrasive material to clean the skin. As opposed to compliance with lymphedema management programs, there have been several studies exploring compliance with MDA programs and factors associated with MDA compliance. A study in Haiti found age, sex, and education to be associated with MDA compliance as well as people’s perceived role in the community, their ability to take the pills, and overall knowledge of LF and LF elimination strategies [89]. In Khurda District, Odisha State India, Xxxxxx evaluated MDA compliance in areas with and without an LF education program [90]. A multivariable analysis revealed three modifiable predictors of MDA adherence when controlling for age, gender, and education: 1) knowing about MDA in advance, 2) knowing the mosquitoes transmit LF, and 3) knowing that the MDA distributed was for LF. There was also a significant interaction between knowing about the MDA in advance and knowledge of mosquito transmission of LF. Based on the barriers and predictors found in the latter MDA compliance evaluation, a refined educational campaign was implemented in Khurda District along with a lymphedema management program. Xxxxxx and colleagues evaluated the efficacy of the refined educational campaign and lymphedema management program in increasing compliance with MDA [91]. In communities ...
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