Table 5. Organization of risk factors for default in urban Morocco within the information-motivation-behavioral (IMB) skills theoretical framework.
| IMB | Univariate/multivariate* analysis | Patient responses | Medical personnel responses |
| Information | Not knowing treatment duration* | Lack of knowledge or understanding about treatment duration, what constitutes a cure, side-effects, ability to transfer care upon moving | Lack of knowledge or understanding about treatment duration, what constitutes a cure, side-effects, ability to transfer care upon moving or travel, lack of time for patient education because of staff shortages or low staff motivation, lack of public education campaigns about TB |
| Motivation | Daily DOT*, moderate/severe treatment side effects*, perception of work interfering with treatment*, quick resolution of symptoms*, no friends who know about TB diagnosis*, alcohol use, cannabis use, drug use, smoking | Personal or family problems, incarceration, unwelcoming clinic personnel, having to move for work, having to travel for personal reasons, resolution of symptoms, alcohol or cannabis use, fear of stigma, living far away from treatment site. Personal motivation to be cured, fear of complications, support from clinicians or family, concern about family or one’s health | Daily DOT, living far away from clinic, quick symptom resolution, treatment side-effects, interference with work, having to travel to find work or for personal reasons, cannabis, alcohol, drug use, mental illness, incarceration, unwelcoming clinic personnel, family support and involvement |
| Barriers, Resources | Low income, low level of education, age <50* (may be due to less life experience and less well-developed coping strategies at younger ages) | Low health literacy, lack of money for transportation, no income and need to make money despite illness, acute illness, no one to provide assistance with obtaining medications | Low education, low income and lack of money for transportation or inability to take time off work despite illness, lack of financial and staff resources to find patients who have defaulted treatment |
*Statistically significant in multivariate analyses in this study.