By Michael A. Rapoff
The 1st finished review of this subject that balances medical and learn issues, Adherence to Pediatric clinical Regimens reports the superiority and very likely critical outcomes of negative adherence to clinical regimens for young children and young people. This unique textual content examines intimately the nature of adherence difficulties, purposes for nonadherence, ideas for assessing and enhancing adherence to either acute and persistent illness regimens, and released examine. the writer presents protocols for adherenceenhancement and applies adherence theories to particular scientific situations.
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Extra info for Adherence to Pediatric Medical Regimens (Clinical Child Psychology Library)
However, clinicians should be careful to avoid overemphasizing this approach and to help the patient and parents experience successes in managing the regimen. Otherwise, parents and patients may discount any attempts to boost self-efficacy just by verbal persuasion. Clinicians would also need to assess outcome expectancies, particularly patient and parental perceptions of the likelihood that their efforts to manage CF would reap positive benefits. If expectations of beneficial outcomes are low, the clinician may need to emphasize the purpose and potential benefits of prescribed regimens.
Therefore, the clinician would want to assess self-efficacy perceptions of the patient and the parents. , 1994). Ifparents (or the patient) are not very confident about managing regimen tasks, efforts can be made to enhance selfefficacy through three major processes: enactive mastery, vicarious experiences, and verbal persuasion (Bandura, 1997). Enactive mastery is the most powerfbl source of self-efficacy and refers to taking steps to ensure that the patient and parents are successful in managing the CF regimen and that they attribute their successes to their efforts.
Other influences on adherence need to be considered such as social contingencies, physiologic factors, and perceptions of self-efficacy 27 Adherence Theories (Guerin, 1994; Janz & Becker, 1984). (4) The HBM fails to suggest particular strategies for altering relevant health beliefs. Therefore, there is a dearth of studies designed to experimentally manipulate HBM-related factors to improve adherence (Janz & Becker, 1984). Supporters of the HBM have called for such studies rather than replications of previously confirmed correlational findings (Strecher & Rosenstock, 1997).
Adherence to Pediatric Medical Regimens (Clinical Child Psychology Library) by Michael A. Rapoff