By Michael A. Rapoff

ISBN-10: 0306460823

ISBN-13: 9780306460821

ISBN-10: 058537581X

ISBN-13: 9780585375816

The 1st finished evaluate of this subject that balances medical and study concerns, Adherence to Pediatric scientific Regimens studies the superiority and almost certainly critical results of bad adherence to scientific regimens for teenagers and teenagers. This unique textual content examines intimately the nature of adherence difficulties, purposes for nonadherence, ideas for assessing and bettering adherence to either acute and persistent affliction regimens, and released study. the writer offers protocols for adherenceenhancement and applies adherence theories to particular scientific circumstances.

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

Example text

Iannotti, 1990, Medical Care, 28, p. 7 1. Copyright 1990 by Lippincott-Raven Publishers. Reprinted with permission. -- 26 -- Chapter 2 wide range of health practices (Becker, 1974; Janz & Becker, 1984). There is also correlational support for components of the HBM in the pediatric medical adherence literature. , 1992). , 1991). , 1987). , 1978). , 1992). To date, however, only one analogue study has been conducted with the CHBM (Bush & Iannotti, 1990). This study found that 63% ofthe variance in children's expected medication use was predicted by the CHBM, with two readiness factors (perceived severity and benefit) accounting for most of the variance.

Their families are also likely to be larger and in the lower socioeconomic strata, possibly with only one parent living at home. The parents of at-risk children and adolescents tend to have less education in general andfor to be less informed about their childrens' illness and treatment. Also, the parents may be preoccupied with their own adjustment and coping problems. The children and adolescents themselves are also likely to have adjustment and coping problems and may be less knowledgeable about their disease and treatment.

The patient lived with both parents, who worked outside the home, and an older sister. Applying an ABA perspective to this case might suggest the following strategies: Focusing on the complexity of the regimen (response costs), the clinician might discuss with the patient's physician and occupational therapist ways to simplifL the regimen. For example, the patient may be able to take the anti-inflammatory medication three rather than four times per day and reduce the number of range-of-motion exercises.

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Adherence to Pediatric Medical Regimens (Clinical Child Psychology Library) by Michael A. Rapoff


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