Michael A. Rapoff

Adherence to Pediatric Medical Regimens (eBook, PDF)

• Format: PDF

Produktbeschreibung

1. It is incumbent on medical providers that they are asking patients to - here to regimens with demonstrated eficacy, Providers need to remind themselves of the Hippocratic oath: "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit ofmy patients, and abstain from whatever is deleterious and mischievous" (as cited in Cassell, 199 1, p. 145). 2. Providers need to abandon the "blame and shame" approach to dealing with medical adherence problems. It is tempting to blame patients for adherence failures and shame them into changing their behavior. Providers need to share the blame (or better yet omit blame) and look at their own attitudes and behaviors that impact adherence. For example, failing to simplify regimens or minimize negative side effects can adversely impact patient adherence. 3. Patients and their families are no longer (or maybe were never) satisfied with apassive role in their health care. In fact, the tern compliance lost favor in the literature because it implied for some an authoritarian approach to health care that required unquestioned obedience by patients to provider recommendations (DiMatteo & DiNicola, 1982). Comprehensive and effective health care requires a cooperative relationship between providers and patients and their families. It also acknowledges the following realities, particularly for treating persons with chronic illness: "Doctors do not treat chronic illnesses. The chronically ill treat themselves with the help of their physicians; the physician is part of the treatment.

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Produktdetails

• Verlag: Springer New York
• Seitenzahl: 174
• Erscheinungstermin: 23. November 2007
• Englisch
• ISBN-13: 9780585375816
• Artikelnr.: 44052540

Autorenporträt

Michael Rapoff received his PhD in Developmental and Child Psychology in 1980 from the University of Kansas and completed a two year post-doctoral internship in Behavioral Pediatrics at the University of Kansas Medical Center. Dr. Rapoff is currently Ralph L. Smith Professor of Pediatrics and Chief of the Behavioral Pediatrics division in the Department of Pediatrics at the University of Kansas Medical Center. Dr. Rapoff is a Fellow of the American Psychological Association, is a licensed psychologist in Kansas and Missouri, and is listed in the National Registry of Health Service Providers in Psychology. His research interests during the past 26 years has focused on psychosocial issues affecting children and adolescents with chronic diseases, including adherence to medical regimens, pain, and psychosocial adjustment. He has been funded by NIH and Maternal and Child Health to evaluate strategies for improving adherence to medical regimens for children with asthma and juvenile rheumatoid arthritis (JRA) and by the Arthritis Foundation for evaluating a cognitive-behavioral pain management program for children and adolescents with JRA. Dr. Rapoff has 73 publications in journals or books, including a single-authored book published in 1999 on pediatric medical adherence (Adherence to Pediatric Medical Regimens, Kluwer/Plenum). In 2003, Dr. Rapoff received the Distinguished Scholar Award from the Association of Rheumatology Health Professionals, a division of the American College of Rheumatology, in recognition of outstanding rheumatology scholarship. Also in 2003, Dr. Rapoff was elected as a Fellow in the Society of Pediatric Psychology, Division 54 of the American Psychological Association. Dr. Rapoff is currently funded by NIH to evaluate the efficacy of a computer-based CD-ROM program (Headstrong) for treating chronic headaches in children. In addition to his research, Dr. Rapoff trains clinical psychology students in health psychology and pediatric psychology and teaches residents and medical students. He also sees patients once per week in his Behavioral Pediatrics Outreach Clinic in Lawrence, KS.

Inhaltsangabe

Definitions, Types, and Prevalence of Nonadherence.- Consequences, and Correlates.- Adherence Theories: Review, Critique, and Clinical Implications.- Assessing Adherence.- Assessing Disease and Health Status.- Strategies for Improving Adherence to Pediatric Medical Regimens.- Review of Adherence Intervention Studies and Recommendation for Research in Clinical Practice.- References.- Appendix.- Index.

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Medical Nonadherence Prevalence, Consequences, and Correlates.
Adherence Theories: Review, Critique, and Clinical Implications.
Assessing Adherence.
Assessing Disease and Health Status.
Strategies for Improving Adherence to Pediatric Medical Regimens.
Review of Adherence Intervention Studies and Recommendations for Research and Clinical Practice.

Rezensionen

From the reviews of the second edition:

"This book explores the reasons behind nonadherence in children and ways to increase adherence. This second edition aims to update the literature and provide an overview of this important topic. It is appropriate for anyone working clinically with a pediatric population, including physicians and psychologists, and it is written at an accessible level for clinicians and students in these fields. ... It covers all major aspects without shortchanging any particular area." (Christopher J. Graver, Doody's Review Service, April, 2010)

"Part of the Series Issues in Clinical Child Psychology, this volume analyses the different factors that influence the pediatric patient, the parents, peers and others to adhere to treatment in children and especially teen-agers. This book also discusses strategies to improve adherence and methods to evaluate adherence. ... Not only for psychologists." (Pediatric Endocrinology Reviews, Vol. 7 (3), March-April, 2010)