Facilitating Treatment Adherence: A Practitioner's Guidebook

Overview

Facilitating Treatment Adherence provides practical clinical guidelines and describes adherence enhancement techniques for health care professionals dealing with noncompliant patients. Meichenbaum and Turk synthesize the vast amount of literature on the subject and formulate specific procedures for improving patient participation, such as anticipating nonadherence, considering the prescribed self-care curative measures from the patient's perspective, improving the patient-doctor relationship, customizing ...
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Paperback (Softcover reprint of the original 1st ed. 1987)
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Overview

Facilitating Treatment Adherence provides practical clinical guidelines and describes adherence enhancement techniques for health care professionals dealing with noncompliant patients. Meichenbaum and Turk synthesize the vast amount of literature on the subject and formulate specific procedures for improving patient participation, such as anticipating nonadherence, considering the prescribed self-care curative measures from the patient's perspective, improving the patient-doctor relationship, customizing treatment, enlisting family support, and making use of other health care providers. They integrate works from a variety of disciplines, including medicine, social psychology, and behavior modification, to describe the particular ways health care professionals can adapt the techniques presented to meet the needs of their patients. Numerous summary tables and examples of assessment instruments and interviews are included. To remind readers that nonadherence may not be limited to the patient, the authors examine a variety of projected reasons, excuses, and rationalizations readers may give themselves for not following the suggestions offered in this book.
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Product Details

  • ISBN-13: 9781468453614
  • Publisher: Springer US
  • Publication date: 3/17/2014
  • Edition description: Softcover reprint of the original 1st ed. 1987
  • Pages: 310
  • Sales rank: 980,220
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.66 (d)

Table of Contents

Prologue.- 1 The Nature of Adherence.- 1 Treatment Adherence: Terminology, Incidence, and Conceptualization.- Incidence of Nonadherence.- Assessment of Adherence.- Self-Report.- Behavioral Measures.- Biochemical Measures.- Clinical Outcome.- A Cautionary Note for Health Care Providers.- 2 Factors Affecting Adherence.- Patient Variables.- Role of the Patient’s Beliefs.- Treatment Variables.- Complexity of the Therapeutic Regimen.- Intrusiveness.- Duration of Treatment.- Knowledge of Illness.- Illness and Symptom Variables.- Relationship Variables.- Organizational-Structural Variables.- II Adherence Enhancement Procedures.- 3 Enhancing the Relationship between the Patient and the Health Care Provider.- The Changing Relationship.- Behavior That Interferes with Communication and the Development of Relationship.- Facilitating the Communication Process.- Cultivating Communication Skills.- Patients’ Explanatory Model of Their Illness.- Patients’ Worries and Concerns about Illness.- Patient Expectations about Treatment.- 4 Patient Education: Organizing and Structuring.- Providing Patients with Information.- Treating an Acute Disorder by Means of Medication.- Treating a Chronic Disorder by Means of Medication.- Simplifying and Customizing the Treatment Regimen.- Reducing Patient Forgetfulness.- Discussing Possible Side Effects.- 5 Behavior Modification Approaches.- Some Basic Concepts.- Self-Monitoring.- Soliciting Patients’ Suggestions and Preferences.- Goal Setting.- Corrective Feedback.- Behavioral Contracting.- Commitment Enhancement Procedures.- Reinforcement Procedures.- 6 Teaching Self-Regulatory Skills.- Establishing a Collaborative Relationship.- Skills Training.- Problem-Solving Skills.- Intrapersonal and Interpersonal Skills.- Coping and Benefiting from Lapses.- Attribution Retraining.- 7 Additional Interventions.- Emotional Inducements.- Emotional Role Playing.- Social Support.- Adherence Counseling.- Psychotherapeutic Interventions.- Paradoxical Interventions.- Another Level of Intervention.- III Integration of Adherence Procedures and Impediments to Their Use.- 8 The Integrated Application of Adherence Enhancement Interventions.- Examples of Integrative Adherence Programs.- Guideline 1: Anticipate Nonadherence.- Guideline 2: Consider the Prescribed Self-Care Regimen from the Patient’s Perspective.- Guideline 3: Foster a Collaborative Relationship Based on Negotiation.- Guideline 4: Be Patient-Oriented.- Guideline 5: Customize Treatment.- Guideline 6: Enlist Family Support.- Guideline 7: Provide a System of Continuity and Accessibility.- Guideline 8: Make Use of Other Health Care Providers and Personnel as Well as Community Resources.- Guideline 9: Repeat Everything.- Guideline 10: Don’t Give Up!.- 9 Why Health Care Providers Will Not Adhere to the Recommendations Outlined in This Volume (or Perhaps They Will).- Impediments to HCP Adherence.- The Beliefs of HCPs.- Low Expectation That Adherence Procedures Will Work.- Memory.- Inertia.- Epilogue.- References.- Author Index.

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