Adherence to Pediatric Medical Regimens: 2nd Edition by Michael A. Rapoff (auth.)

By Michael A. Rapoff (auth.)

It was once referred to 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 remedy, frequently resulting in extra care, better expenditures, and severe, even lethal, issues.

Reflecting a unmarried, authoritative voice, the second one variation of Adherence to Pediatric scientific Regimens analyzes in complete medical element the criteria that impact children’s and youths’ dedication to remedy – from developmental concerns to the impression of oldsters, 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 knowing 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 outline of adherence premiums to power and acute disorder regimens and examines universal adherence difficulties in childrens and youngsters.
  • Details results of nonadherence and correlates of adherence.
  • Critiques significant adherence theories and their scientific implications.
  • Discusses the diversity of adherence review measures.
  • Reviews academic, behavioral and different recommendations for making improvements to adherence.
  • Offers how one can translate study into pediatric scientific adherence.

This up-to-date version of Adherence to Pediatric scientific Regimens is a vital reference for a person occupied with enhancing healthiness results in children, specifically clinicians, researchers, and graduate scholars in psychiatry in addition to pediatric, scientific baby, and health and wellbeing psychology.

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Extra resources for Adherence to Pediatric Medical Regimens: 2nd Edition

Example text

Intuitively, regimens which produce more negative side effects should be associated with lower adherence. For example, chest physiotherapy for patients with cystic fibrosis helps clear the lungs of excessive mucous but results in paroxysms of coughing and gagging. Surprisingly, few studies have examined 42 2 Consequences of Nonadherence and Correlates of Adherence this factor. , 1998). In contrast, studies have shown that although children may have taste preferences for different antibiotics, these preferences are not differentially related to adherence (El-Charr, Mardy, Wehlou, & Rubin, 1996; Matsui, Barron, & Rieder, 1996).

Clinical Implications Related to Adherence Correlates Some correlates of adherence are static or immutable. For example, what are the clinical implications for considering socioeconomic status as a risk factor for nonadherence to chronic disease regimens (increase family income)? Fortunately, most adherence correlates are modifiable and suggest ways to improve adherence. Even static correlates may be useful in identifying at-risk patients or other modifiable variables that are “marked” by the static variable.

The second reason why clinicians should consider theories is to get them out of their “conceptual ruts” (Wicker, 1985). Examining adherence issues from different perspectives will help clinicians find new ways to assess, analyze, and solve adherence problems. It is easier to justify why researchers should critically examine theories. Like all scientific theories, those which seek to explain why patients adhere or fail to adhere to medical regimens can impact researchers in at least two ways (Johnston & Pennypacker, 1993; O’Donohue & Krasner, 1995).

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