By Michael A. Rapoff (auth.)
It was once known as noncompliance, and the sufferers themselves often called difficult. yet whatever the terminology, children’s reluctance or failure to decide to prescribed regimens reduces the effectiveness of therapy, usually resulting in extra care, larger bills, and severe, even lethal, problems.
Reflecting a unmarried, authoritative voice, the second one version of Adherence to Pediatric clinical Regimens analyzes in finished medical element the standards that impact children’s and teenagers’ dedication to therapy – from developmental concerns to the impact of folks, friends, and others of their orbit – and gives empirically sound guidance for encouraging adherence. It cautions opposed to viewing younger consumers as miniature grownups or thinning out grownup information, advocating in its place for a extra nuanced figuring out of the inhabitants and a collaborative courting among practitioner and client.
Critical components of curiosity to clinicians and researchers in pediatrics are introduced into transparent concentration because the book:
- Provides an summary of adherence premiums to continual and acute disorder regimens and examines universal adherence difficulties in youngsters and teenagers.
- Details results of nonadherence and correlates of adherence.
- Critiques significant adherence theories and their scientific implications.
- Discusses the diversity of adherence overview measures.
- Reviews academic, behavioral and different options for making improvements to adherence.
- Offers how one can translate examine into pediatric scientific adherence.
This up to date variation of Adherence to Pediatric clinical Regimens is an important reference for an individual all in favour of enhancing health and wellbeing results in teenagers, particularly clinicians, researchers, and graduate scholars in psychiatry in addition to pediatric, scientific baby, and wellbeing and fitness psychology.
Read Online or Download Adherence to Pediatric Medical Regimens: 2nd Edition PDF
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Extra info for Adherence to Pediatric Medical Regimens: 2nd Edition
Originally developed in the early 1950s to understand why people failed to take advantage of preventive health services (such as hypertension screening), the HBM was later extended to adherence to prescribed medical regimens (Janz & Becker, 1984; Rosenstock, 1974). The HBM posits five major sets of variables that predict or explain adherence: (1) perceived susceptibility (including the person’s perceived risk of contracting or recontracting a condition or acceptance of an existing condition); (2) perceived severity (the person’s evaluation of the medical and social consequences of contracting an illness or not receiving treatment); (3) perceived benefits (the person’s judgment of the perceived benefits of taking a particular health action); (4) perceived barriers (the person’s perception of impediments to adhere to recommended treatments, including a cost-benefit analysis where the person weighs the pros and cons of taking action); and (5) cues to action (internal cues, such as disease symptoms or external cues, such as prompting by others that trigger action).
2007; Brownbridge & Fielding, 1994). , 1990). Because these studies assess adherence and symptoms concurrently rather than longitudinally, it is just as likely that lower adherence produced worsening or increased symptoms. However, some studies have shown the opposite pattern. , 2002). Perceived Severity. Here we are speaking of patient or parental perceptions of severity, which appear to be more useful predictors of adherence than those of providers (Rapoff & Barnard, 1991). There is some evidence that parent and patient perceptions are differentially related to adherence.
If physicians are unaware of adherence problems, they may incorrectly attribute poor outcomes to inadequacies in the treatment regimen and prescribe more potent medicines with more serious side effects. They may also order more invasive and risky procedures to determine the lack of treatment success. The opposite pattern can also occur. Physicians may overattribute treatment failures to adherence problems, particularly when they use treatment outcome as an indicant for adherence. They may then fail to make appropriate and necessary changes in regimens.
Adherence to Pediatric Medical Regimens: 2nd Edition by Michael A. Rapoff (auth.)