As every health care provider knows only too well, poor patient adherence to treatment is an enormous barrier to effective health care delivery. Promoting Treatment Adherence provides health care providers with a comprehensive set of information and strategies for understanding and promoting treatment adherence across a wide range of treatment types and clinical populations.
The information is presented in a practical how-to manner, and is intended as a resource that practitioners can draw from to improve skills in promoting treatment adherence. To facilitate ease of use for the practitioner, the volume is divided into five targeted sections. In the first section, the reader is provided with a general overview of the primary issues in treatment adherence relevant to practitioners. The second presents specific guidelines for assessing rates of patient adherence, as well as for assessing patient readiness to adhere to treatment and for identifying and understanding specific barriers to adherence in individual patients. In the third section, detailed guidelines for the implementation of each of effective strategies and techniques for facilitating patient adherence to treatment are presented, including motivational interviewing, patient education, skills training, increasing resources and support, problems solving, and relapse prevention. The fourth and fifth sections provide guidelines for the application of the information and strategies discussed in the previous sections to promoting adherence to a variety of specific treatments and with a variety of specific patient populations, with an emphasis is discussing considerations and issues specific to each treatment and patient population. Where applicable, each of the chapters presents a case-example as well as suggestions for further reading.
Inhaltsverzeichnis
PART I: INTRODUCTION
Ch 1: Patient Adherence and Nonadherence to Treatments: An Overview for Health Care Providers – Eric R. Levensky and William T. O′Donohue
PART II: ASSESSMENT STRATEGIES IN PROMOTING ADHERENCE
Ch 2. Integrating Regimen Adherence Assessment Into Clinical Practice – Kristin A. Riekert
Ch 3: Assessing Readiness for Adherence to Treatment – Janice M. Prochaska, James O. Prochaska, and Sara S. Johnson
Ch 4: Identifying and Addressing Barriers to Treatment Adherence Using Behavioral Analysis and Modification Techniques – Elaine M. Heiby and Carrie Lukens
PART III: SPECIFIC STRATEGIES AND TECHNIQUES FOR PROMOTING TREATMENT ADHERENCE
Ch 5: Promoting Treatment Adherence Through Motivational Interviewing – Ana M. Bisono, Jennifer Knapp Manuel, and Alyssa A. Forchehimes
Ch 6: Patient Education to Promote Adherence to Treatments – Megan L. Oser
Ch 7: Skills Training to Promote Patient Adherence to Treatments – Kyle E.Ferguson and Heather Scarlett-Ferguson
Ch 8: Increasing Resources and Supports to Improve Adherence to Treatments – Robin Shapiro and Marcia Herival
Ch 9: Problem Solving to Promote Treatment Adherence – Arthur M. Nezu, Christine Maguth Nezu, and Michael G. Perri
Ch 10: Relapse Prevention to Promote Treatment Adherence – Arthur W. Blume and G. Alan Marlatt
Ch 11: Promoting Treatment Adherence Through Collaborative Teams (PACT): A Practice Model – Brian Giddens and Lana Sue I. Ka′opua
PART IV: PROMOTING ADHERENCE TO SPECIFIC TREATMENTS
Ch 12: Adherence to Medications – Paul F. Cook
Ch 13: An Ecological Approach to Adherence in Diabetes Management: Perspectives From the Robert Wood Johnson Foundation Diabetes Initiative – Edwin B. Fisher, Carol A. Brownson, Mary L. O′Toole, Victoria Anwuri, Gowri Shetty, and Richard R. Rubin
Ch 14: Adherence Challenges in Asthma Treatment – Susan D. Schaffer
Ch 15: Adherence to Smoking Cessation Treatments – Whitney M. Waldroup, Elizabeth V. Gifford, and Preety Kalra
Ch 16: Adherence to Hypertension Treatments – Barry L. Carter
Ch 17: Cancer-Related Adherence: Background, Clinical Issues, and Promotion Strategies – David Victorson and Amy H. Peterman
Ch 18: Adherence to HIV/AIDS Treatments – Eric R. Levensky
Ch 19: Adherence to Treatment of Substance Use Disorders – Steven J. Lash and Jennifer L. Burden
Ch 20: Adherence to Exercise Regimes – Jessica A. Whiteley, David M. Williams, and Bess H. Marcus
Ch 21: Adherence to Dietary Recommendations – Barbara S. Mc Cann
Ch 22: Adherence to Dialysis Treatment for End-Stage Renal Disease – Jamie A. Cvengros and Alan J. Christensen
PART V: PROMOTING ADHERENCE WITH SPECIFIC POPULATIONS
Ch 23: Treatment Adherence in Children and Adolescents – Tonya S. Watson, Nancy Foster, and Patrick C. Friman
Ch 24: Strategies for Enhancing Medication Adherence in the Elderly – Hillary Le Roux and Jane E. Fisher
Ch 25: Treatment Adherence in Pregnancy – Neger Nicole Jacobs and Scott Evan Jacobs
Ch 26: Treatment Adherence in People With Psychiatric Disabilities – Patrick W. Corrigan and Amy Watson
Ch 27: Treatment Adherence in Ethnic Minorities: Particularities and Alternatives – Jose R. Rodriguez-Gomez and Carmen S. Salas-Serrano
Ch 28: Treatment Difficult (Personality Disordered) Patients – Kendra Beitz and Mandra L. Rasmussen-Hall
Ch 29: Treatment Adherence in Developmental Disabilities/Cognitively Impaired Patients – Michele D. Wallace, Edwin J. Dyer, and Becky Penrod
About the Contributors
Appendix
References
Index
Über den Autor
Eric Ross Levensky recently completed his Ph D in Clinical Psychology at the University of Nevada, Reno, and is currently serving as coordinator of the Southwest Node of the Clinical Trials Network (CTN), a NIDA-funded multisite project evaluating the effectiveness of known efficacious behavioral, pharmacological, and integrated interventions across a broad range of community-based treatment settings and diverse patient populations. A secondary goal of the CTN is to disseminate effective interventions to physicians, providers, and their patients to improve the quality of treatment throughout the country. Dr. Levensky’s primary area of research interest is inthe development, evaluation, and dissemination of treatment adherence interventions for patients with chronic illness, as well as examining psychosocial aspects of chronic illness management. Dr. Levensky’s current work centers primarily on understanding and promoting treatment adherence in HIV patients, and he recently received a grant from the National Institutes of Health to conduct research in this area. Dr. Levensky has clinical interest in forensic psychology, as well as the practice, application, and supervision of Motivational Interviewing and Dialectical Behavior Therapy. He has co-edited one book and authored 11 papers and book chapters on these topics.
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