Michael A. Rapoff – författare

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.

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.

The authors—professional psychologists who work with children and families—believe that adults can help children build hope and combat hopelessness, and use stories that children construct about themselves to document the hope-building process. Included are two useful appendixes and a new introduction, in which the authors respond to readers’ questions and reactions to the original edition, which was published by Westview Press in 1997.   From the Introduction to the Percheron Press Edition . . . '[H]ope results when an adult spends the time and effort to convey hopeful thinking to a child.  Hope is a highly personal experience. The power rests in the adult who is committed to raising a child’s hope.'   From the Foreword . . . 'The authors . . . have captured and conveyed the preciousness of hope in human development throughout one’s life span. Here you will encounter numerous stories that illustrate the formidable power of positive possibilities in helping people to cope with and grow from the challenges of everyday life.' Michael J. Mahoney, University of North Texas and Saybrook Graduate Research Center

It used to be called noncompliance, and the patients themselves referred to as difficult. But regardless of the terminology, children’s reluctance or failure to commit to prescribed regimens reduces the effectiveness of treatment, often leading to additional care, higher costs, and serious, even deadly, complications. Reflecting a single, authoritative voice, the Second Edition of Adherence to Pediatric Medical Regimens analyzes in comprehensive clinical detail the factors that affect children’s and teens’ commitment to treatment – from developmental issues to the influence of parents, peers, and others in their orbit – and offers empirically sound guidelines for encouraging adherence. It cautions against viewing young clients as miniature grownups or scaling down adult data, advocating instead for a more nuanced understanding of the population and a collaborative relationship between practitioner and client.Critical areas of interest to clinicians and researchers in pediatrics are brought into clear focus as the book:Provides an overview of adherence rates to chronic and acute disease regimens and examines common adherence problems in children and adolescents. Details consequences of nonadherence and correlates of adherence.Critiques major adherence theories and their clinical implications.Discusses the range of adherence assessment measures.Reviews educational, behavioral and other strategies for improving adherence.Offers ways to translate research into pediatric medical adherence.This updated edition of Adherence to Pediatric Medical Regimens is an essential reference for anyone concerned with improving health outcomes in young people, especially clinicians, researchers, and graduate students in psychiatry as well as pediatric, clinical child, and health psychology.

It used to be called noncompliance, and the patients themselves referred to as difficult. But regardless of the terminology, children’s reluctance or failure to commit to prescribed regimens reduces the effectiveness of treatment, often leading to additional care, higher costs, and serious, even deadly, complications.

Reflecting a single, authoritative voice, the Second Edition of Adherence to Pediatric Medical Regimens analyzes in comprehensive clinical detail the factors that affect children’s and teens’ commitment to treatment – from developmental issues to the influence of parents, peers, and others in their orbit – and offers empirically sound guidelines for encouraging adherence. It cautions against viewing young clients as miniature grownups or scaling down adult data, advocating instead for a more nuanced understanding of the population and a collaborative relationship between practitioner and client.

Critical areas of interest to clinicians and researchers in pediatrics are brought into clear focus as the book:

Provides an overview of adherence rates to chronic and acute disease regimens and examines common adherence problems in children and adolescents. Details consequences of nonadherence and correlates of adherence.Critiques major adherence theories and their clinical implications.Discusses the range of adherence assessment measures.Reviews educational, behavioral and other strategies for improving adherence.Offers ways to translate research into pediatric medical adherence.

This updated edition of Adherence to Pediatric Medical Regimens is an essential reference for anyone concerned with improving health outcomes in young people, especially clinicians, researchers, and graduate students in psychiatry as well as pediatric, clinical child, and health psychology.

The third edition of this book provides comprehensive coverage of pediatric medical adherence, including such important topics as the extent of nonadherence and medical consequences, predictors of adherence, theories about adherence and clinical applications, and assessment strategies for adherence and health outcomes. In addition, chapters describe strategies for improving adherence, review research studies on improving adherence, and address ways to improve research on adherence for children and adolescents with chronic diseases. The new edition also examines the developmental aspects of adherence assessment and intervention as well as cultural, ethical, and legal issues in adherence research and practice.Key areas of coverage include:Consequences of nonadherence and correlates of adherence.Developmental aspects related to assessing and improving pediatric medical adherence.Assessing pediatric disease and health status.Cultural, ethical, and legal issues related to pediatric medical adherence.Adherence to Pediatric Medical Regimens, Third Edition, is an essential reference for researchers, professors, and graduate students as well as clinicians, therapists, and other practitioners in developmental, clinical child and school psychology, child and adolescent psychiatry, pediatrics and pediatric psychology, social work, public health, health psychology, and all interrelated fields.

The third edition of this book provides comprehensive coverage of pediatric medical adherence, including such important topics as the extent of nonadherence and medical consequences, predictors of adherence, theories about adherence and clinical applications, and assessment strategies for adherence and health outcomes. In addition, chapters describe strategies for improving adherence, review research studies on improving adherence, and address ways to improve research on adherence for children and adolescents with chronic diseases. The new edition also examines the developmental aspects of adherence assessment and intervention as well as cultural, ethical, and legal issues in adherence research and practice.

Key areas of coverage include: Consequences of nonadherence and correlates of adherence. Developmental aspects related to assessing and improving pediatric medical adherence. Assessing pediatric disease and health status.Cultural, ethical, and legal issues related to pediatric medical adherence.

Adherence to Pediatric Medical Regimens, Third Edition, is an essential reference for researchers, professors, and graduate students as well as clinicians, therapists, and other practitioners in developmental, clinical child and school psychology, child and adolescent psychiatry, pediatrics and pediatric psychology, social work, public health, health psychology, and all interrelated fields.

The third edition of this book provides comprehensive coverage of pediatric medical adherence, including such important topics as the extent of nonadherence and medical consequences, predictors of adherence, theories about adherence and clinical applications, and assessment strategies for adherence and health outcomes. In addition, chapters describe strategies for improving adherence, review research studies on improving adherence, and address ways to improve research on adherence for children and adolescents with chronic diseases. The new edition also examines the developmental aspects of adherence assessment and intervention as well as cultural, ethical, and legal issues in adherence research and practice.Key areas of coverage include:Consequences of nonadherence and correlates of adherence.Developmental aspects related to assessing and improving pediatric medical adherence.Assessing pediatric disease and health status.Cultural, ethical, and legal issues related to pediatric medical adherence.Adherence to Pediatric Medical Regimens, Third Edition, is an essential reference for researchers, professors, and graduate students as well as clinicians, therapists, and other practitioners in developmental, clinical child and school psychology, child and adolescent psychiatry, pediatrics and pediatric psychology, social work, public health, health psychology, and all interrelated fields.

Dieses Buches bietet eine umfassende Abdeckung der pädiatrischen medizinischen Einhaltung, einschließlich wichtiger Themen wie das Ausmaß der Nichteinhaltung und deren medizinische Konsequenzen, Prädiktoren der Einhaltung, Theorien zur Einhaltung und klinische Anwendungen sowie Bewertungsstrategien für Einhaltung und Gesundheitsergebnisse. Darüber hinaus beschreiben die Kapitel Strategien zur Verbesserung der Einhaltung, überprüfen Forschungsstudien zur Verbesserung der Einhaltung und behandeln Möglichkeiten zur Verbesserung der Forschung zur Einhaltung bei Kindern und Jugendlichen mit chronischen Krankheiten. Die neue Auflage untersucht auch die Entwicklungsaspekte der Bewertung und Intervention zur Einhaltung sowie kulturelle, ethische und rechtliche Fragen in der Forschung und Praxis zur Einhaltung.Wichtige Themen sind:Konsequenzen der Nichteinhaltung und Korrelate der Einhaltung.Entwicklungsaspekte im Zusammenhang mit der Bewertung und Verbesserung der pädiatrischen medizinischen Einhaltung.Bewertung von pädiatrischen Erkrankungen und Gesundheitszuständen.Kulturelle, ethische und rechtliche Fragen im Zusammenhang mit der pädiatrischen medizinischen Einhaltung.Einhaltung pädiatrischer medizinischer Regime ist ein unverzichtbares Nachschlagewerk für Forscher, Professoren und Doktoranden sowie für Kliniker, Therapeuten und andere Fachkräfte in der Entwicklungs-, klinischen Kinder- und Schulpsychologie, Kinder- und Jugendpsychiatrie, Pädiatrie und pädiatrischer Psychologie, Sozialarbeit, Public Health, Gesundheitspsychologie und allen verwandten Bereichen.