Applied Psychology

Download Adherence to Pediatric Medical Regimens (Clinical Child by Michael A. Rapoff PDF

By Michael A. Rapoff

The 1st complete evaluate of this subject that balances scientific and learn concerns, Adherence to Pediatric scientific Regimens experiences the superiority and in all probability critical results of terrible adherence to clinical regimens for youngsters and teens. This unique textual content examines intimately the nature of adherence difficulties, purposes for nonadherence, thoughts for assessing and bettering adherence to either acute and protracted sickness regimens, and released study. the writer presents protocols for adherenceenhancement and applies adherence theories to particular scientific instances.

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Additional resources for Adherence to Pediatric Medical Regimens (Clinical Child Psychology Library)

Example text

Progression through these stages may not be linear. People may relapse and recycle through previous stages, particularly with addictive behaviors. The second major dimension of the TTM is processes of change, which is concerned with "how" people change. These are empirically supported processes derived from various theoretical perspectives in psychotherapy (thus the term transtheoretical). People are said to use different processes at different stages of change. 1). , 1997). Similar to the HBM and TRA/PB, one construct is decisional balance, which refers to a person's relative weighing of the pros and cons of changing.

Patients and their families may need varying degrees of psychosocial support and assistance, ranging from brief and restricted interventions focused on specific adherence behaviors to more comprehensive therapies for enhancing adjustment and coping. 20 Chapter 1 Educational efforts also need to focus on patients and their families. This focus should also include siblings who can have a significant impact on adherence, particularly older siblings who have caretaking responsibilities for younger children with chronic illnesses.

Even static correlates may be useful in identifLing at-risk patients or in identifying other modifiable variables that are "marked" by the static variable. For example, adolescence is a relatively static variable. Parents and providers cannot just "wait out" this developmental period with the hope that patients will be more adherent as they get older. , how parents decrease their monitoring of regimen tasks during this period). The following clinical implications focus on modifiable variables that can be altered to improve adherence.

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