By Michael A. Rapoff (auth.)

ISBN-10: 1441905693

ISBN-13: 9781441905697

It was once referred to as noncompliance, and the sufferers themselves known as 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, larger expenditures, and critical, even lethal, issues.

Reflecting a unmarried, authoritative voice, the second one version of Adherence to Pediatric clinical Regimens analyzes in finished scientific element the criteria that have an effect on children’s and teenagers’ dedication to therapy – from developmental concerns to the effect of folks, friends, and others of their orbit – and provides empirically sound guidance for encouraging adherence. It cautions opposed to viewing younger consumers as miniature grownups or thinning out grownup info, advocating as an alternative for a extra nuanced realizing of the inhabitants and a collaborative dating among practitioner and client.

Critical parts 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 illness regimens and examines universal adherence difficulties in young children and youngsters.
  • Details outcomes of nonadherence and correlates of adherence.
  • Critiques significant adherence theories and their medical implications.
  • Discusses the diversity of adherence overview measures.
  • Reviews academic, behavioral and different innovations for bettering adherence.
  • Offers how you can translate study into pediatric clinical adherence.

This up-to-date variation of Adherence to Pediatric scientific Regimens is an important reference for a person taken with enhancing health and wellbeing results in kids, specifically clinicians, researchers, and graduate scholars in psychiatry in addition to pediatric, medical baby, and overall healthiness psychology.

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

Sample text

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.

2007) Giannini et al. 1% of parents reported positive compliance with medications vs. 2% of children reported positive compliance with medications vs. 3 yrs) N = 35 2–12 yrs Mitchell, Scheier, and Baker (2000) Antiepileptic drugs Anticonvulsant medications N = 35 9–16 yrs Hazzard, Hutchinson, and Krawiecki (1990) Modi et al. 11 μg/ml Monitored over 28 consecutive days 48% nonadherent (<80% of doses taken) Median levels showed full adherence on 70% of days, partial on 14%, and no adherence on 7% Results 1 Seizures Friedman et al.

Patients and their families are more likely to need assistance from clinicians to address adherence issues after the first few years postdiagnosis. When first diagnosed, patients and families may be sufficiently motivated to be adherent in order to control symptoms and minimize disease impact. However, motivation is likely to decrease over time and during relatively asymptomatic periods. Adherence interventions could thus be timed to coincide with these vulnerable periods. Because the presence of increased symptoms has been associated with poorer adherence, clinicians should assist patients and families in simultaneously monitoring symptoms and adherence.

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


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