Format

Send to

Choose Destination
J Pediatr Psychol. 2001 Jul-Aug;26(5):253-75.

Empirically supported treatments in pediatric psychology: regimen adherence.

Author information

1
Ohio State University College of Medicine, USA. lemanekk@chi.osu.edu

Abstract

OBJECTIVE:

To review empirical studies of psychological interventions for nonadherence to medical regimens for three chronic illnesses: asthma, juvenile rheumatoid arthritis (JRA), and type 1 diabetes.

METHODS:

The Chambless criteria for "promising," "probably efficacious," or "well-established" were applied to 8 intervention studies on asthma, 4 on JRA, and 11 on type 1 diabetes.

RESULTS:

For asthma, organizational strategies appear probably efficacious in promoting adherence, whereas educational and behavioral strategies appear promising. For JRA, behavioral strategies appear probably efficacious in improving adherence. For type 1 diabetes, multicomponent packages and operant learning procedures appear probably efficacious, whereas cognitive-behavioral strategies appear promising. No interventions were identified as "well-established."

CONCLUSIONS:

Future studies will need to develop adequate definitions of adherence, accurate methods of assessing adherence, and appropriate designs to evaluate multicomponent treatment programs to advance interventions to the "well-established" category.

PMID:
11390568
DOI:
10.1093/jpepsy/26.5.253
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center