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

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By Michael A. Rapoff

The 1st complete evaluate of this subject that balances scientific and study concerns, Adherence to Pediatric clinical Regimens experiences the superiority and probably severe results of negative adherence to scientific regimens for young ones and kids. 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 sickness regimens, and released examine. 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)

Sample text

The ABA model emphasizes two general processes whereby human behavior is shaped: contingency-shaped and rule-governed behavior (Hayes, 1989; Skinner, 1974). Contingency-shaped behavior refers to behavior directly shaped by environmental contingencies and its basic form is schematically represented by the threeterm contingency: For example, a discriminative stimulus (pain) sets the occasion for or prompts a response (taking pain medications) and the probability of that response is altered by a consequent stimulus (pain relief).

If confidence is low, the clinician could review potential benefits of the prescribed regimen, such as increased participation in social and recreational activities. Clinicians should be alert to the possibility that prescribed treatments may not be beneficial for particular patients, in spite of optimal adherence. In these instances, the patient and parents should be encouraged to communicate this information to the physician and ask for modifications/additions to increase regimen efficacy. Perceived barriers: The clinician could interview the patient and parents to identi@ logistic barriers that prevent them from fully adhering to the regimen.

Also, physicians and nurses can provide disease outcome data (such as pulmonary function test results) or have the patient and parents monitor disease symptoms so as to demonstrate the benefits of prescribed regimens. In some cases low outcome expectancies are accurate (patients are not benefiting from treatment) and clinicians can refer patients and parents to their medical providers for reassessment of their condition and changes in their regimen. THE THEORY OF REASONED ACTION/PLANNED BEHAVIOR The Theory of Reasoned ActionIPlanned Behavior (TRAIPB) is a recent extension of the TRA and incorporates predictors from it (Montaiio, Kasprzyk, & Taplin, 1997).

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