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A Diathesis-Stress Approach To Post-Traumatic Stress Disorder Symptoms Associated With An Hiv Diagnosis: Implications For Medication Non-Adherence., John Andrew Sauceda

Open Access Theses & Dissertations

Introduction. We fit a diathesis-stress model with childhood trauma and neuroticism as predictors of depressive and HIV-related PTSD symptomatology in a sample of HIV+ Latino men who have sex with men (MSM). We then examined the impact of depressive and HIV-related PTSD symptomatology on medication adherence. We hypothesized the primary stressor from the diathesis-stress model to be symptoms of dissociation at the time of being diagnosed with HIV.

Method. We sampled 149 Latino adult MSM living with HIV at a local HIV treatment clinic in El Paso, Texas. We administered all surveys in paper-and-pencil form, with viral loads and CD4 …

Identifying Barriers To Adherence For Hiv+ Patients Placed On Renal Dosing, Richard S. Colon Jr

Master's Theses

No abstract provided.

The Relative Influences Of Knowledge, Beliefs And Preferences On Adherence To Asthma Medication, Naomi J. Gryfe Saperia

Electronic Thesis and Dissertation Repository

Purpose: Patients’ decisions about whether or not to adhere to their prescribed regimens are shaped not only by their knowledge and beliefs about their condition and its treatment options, but also by what they value in these domains. This study represents an integration of theory and methods from nursing/public health, psychology and economics to explore the additive effects of knowledge, beliefs and preferences on adherence to preventer medication in a sample of patients with asthma. It was hypothesized that knowledge, beliefs and preferences pertaining to long term outcomes would independently predict improved adherence. Method: 140 patients with asthma were asked …

Neuropsychological Functioning, Parenting Behaviors, And Healthcare Behaviors Among Youth With Spina Bifida, Lauren Kelly O'Hara

Dissertations

Objective This study was designed to examine whether neurocognitive functioning (attention and executive functions) and parenting behaviors (acceptance, behavioral control and psychological control) are associated with medical adherence and autonomy among preadolescents and adolescents with spina bifida. Methods Questionnaire and observational data were collected from a sample of 8 to 15 year olds with spina bifida (n = 139) and their mothers, fathers, and teachers. Youth also completed neuropsychological testing. Results Youth with spina bifida demonstrated impairment on measures of attention and executive function, based on questionnaire and test data. Attention, executive function, and parenting behaviors were associated with medical …

Agreement And Disagreement In Parent And Child Perceptions Of Spina Bifida Medical Responsibilities During The Transition To Adolescence, Alexandra Psihogios

Master's Theses

The purpose of this study was to examine the validity of informant discrepancies by evaluating levels of parent-child agreement and disagreement over who takes responsibility for SB medical tasks in relation to family conflict and medical adherence. Participants were 140 preadolescents with SB. Data used in this study are taken from the first wave of data collection (when adolescents were between the ages of 8-15) in a larger longitudinal study. Although disagreement levels predicting family conflict and medical adherence were non-significant (p > .05), a significant main effect of agreement and two significant Agreement x Conflict interactions predicting medical adherence were …

Assessment Of Diabetes Regimen Disease Care In Youth With Type 1 Diabetes Via The Diabetes Behavior Rating Scale And The 24-Hour Diabetes Interview, Kathryn Maher

Theses and Dissertations

The psychometric properties of two measures of diabetes disease care, the Diabetes Behavior Rating Scale (DBRS) and the 24-hr Diabetes Interview (24-hr) were evaluated. The 24-hr is a widely used, structured interview while the DBRS is a self-administered, fixed-choice questionnaire. Both measures were administered to 250 youth with Type 1 Diabetes (aged 11–14 years) and their parents. Overall, both measures demonstrate adequate psychometric properties. The DBRS and the 24-hr demonstrated good incremental validity and low convergent validity with each adding significant additive value. Both measures demonstrated good concurrent validity with HbA1c. As expected, scores on the 24-hr demonstrated less than …

Parent Adherence To Psychologist Recommendations: The Role Of Expressed Emotion About Child And Reaction To Diagnosis, Lesley Ann Hetterscheidt

Wayne State University Dissertations

For the majority of children with significant behavioral or academic problems at school, the first course of action is to participate in a psychological evaluation. Upon completion of the evaluation parents receive an integrative report containing numerous recommendations for how to improve the well-being of their child. 51 child clients who

were referred and completed a comprehensive assessment for behavioral or academic problems were recruited for this study. A year or more after the evaluations were completed, parents of the children were asked about each written report recommendation, whether or not it was followed, and reasons for non-adherence. Expressed Emotion …

Adherence To Psychotherapy For Post-Traumatic Stress In Veterans Of Military Combat In Afghanistan (Operation Enduring Freedom) And Iraq (Operation Iraqi Freedom), Nicolle C. Angeli

Psychology Dissertations

Elucidating factors associated with adherence to treatment for physical and mental health conditions is important, given well-documented associations between non-adherence and poor treatment outcomes. Researchers have worked to identify such factors; however, most studies focus on adherence to medical, rather than, psychological treatments. Clarifying variables that predict adherence to psychotherapy is particularly important for individuals with post-traumatic stress disorder (PTSD), for whom treatment, which typically involves exposure to trauma-related stimuli and imagery, can be aversive. It may consequently be associated with high nonadherence rates, even though studies indicate that greater adherence to PTSD treatment relates to better treatment outcomes. Research …

Water Intake And Adherence To Clear Fluid Goals In Children Receiving Treatment For Encopresis, Elizabeth Shannon Kuhl

Master's Theses and Doctoral Dissertations

A six-session group intervention for treatment of retentive encopresis designed by Stark and colleagues yields high adherence for fiber (Stark et al., 1990a; Stark et al., 1997), but not fluid (Kuhl et al., 2009), recommendations. Children may also rely heavily on drinking juice to meet their clear fluid targets (Kuhl et al., 2009). This study examined the effectiveness of an enhanced intervention (EI) in improving children’s fluid goal adherence and modifying their daily fluid intake to include more water and less juice.

Data for 19 children who completed treatment previously served as the Non-Enhanced Intervention (NEI), and 18 children completed …

Environmental Influences On Adherence To Self-Management Behaviors And Glycemic Control In African American Patients With Type 2 Diabetes Mellitus, Brooke L. Barbera

LSU Master's Theses

Diabetes mellitus is a chronic illness effecting approximately 20.8 million individuals in the United States. Minorities are adversely affected, with age-adjusted prevalence 1.7 times higher in African Americans than Caucasians. Type 2 diabetes is significantly affected by behavioral and environmental risk factors, including the presence of co-occurring diseases (i.e., hypertension, hyperlipidemia), obesity, age, and lack of physical activity, and each of these risk factors is more prevalent among African Americans. The treatment of diabetes is largely self-managed, with patients and their families handling 95% of their own care. Adherence to the multi-component diabetic treatment regimen requires daily care, often occurring …

Cognitive Adaptation's Implication On Diabetic Adherence, Martin Ancona

LSU Master's Theses

Diabetes, affecting more than 18 million people in the United States, is an epidemic problem. The illness is usually progressive, leading to neuropathy, blindness, and limb amputation. The most common type of the illness, Type 2 diabetes, is usually controllable through a strict combination of diet, exercise, and medication. However, non-compliance, rather than compliance, to prescribed diabetes regimens is the norm. Although past research has uncovered many of the reason that diabetics may fail to adhere to their regimen, the whole puzzle has not yet been solved. This study looked at the Cognitive Adaptation Theory in relation to diabetic adherence. …

The Impact Of Brief Intervention On Adherence To Medication Regimen Of Low-Income Adults With Type 2 Diabetes, Kathleen E. Kendra

LSU Master's Theses

Patient nonadherence with medication regimen is a common problem facing health care providers treating adult patients with Type 2 diabetes. Poor glycemic control, diabetes related complications, and increased utilization and health care costs are among the outcomes of poor compliance with medical regimen. Prior research indicates moderate success with several techniques to improve medication adherence when used alone. However, the literature suggests a need for an intervention providing a multi-component technique, implementing self-motivating skills and follow-up prompts. Using a 15- minute single exposure intervention, the current study attempted to combine these two procedures (brief intervention including motivational interviewing with follow-up …

Adherence To Medical Regimens In Low-Income Adults With Type 2 Diabetes: The Influence Of Perceived Control Constructs, Erin L. O'Hea

LSU Doctoral Dissertations

Individuals with Type 2 diabetes often do not adhere to their treatment regimens (e.g., exercise, diet, medication, glucose monitoring). Non-adherence results in poor metabolic control, further morbidity and mortality, and increased health care utilization and costs. One common thread among many health-behavior-theories that attempt to explain non-adherence behaviors is the importance of perceived control. This psychosocial variable has most often been conceptualized as ‘health locus of control,’ which refers to the belief that one has the ability to influence or change one’s health outcomes. Inconsistent findings have been reported regarding the relationship of health locus of control and medical regimen …

The Role Of Initial Coping Strategies On Subsequent Appointment Attendance In Individuals With Hiv: A Longitudinal Analysis, Deann Morris Johnson

LSU Doctoral Dissertations

With advances in HIV treatment regimens, HIV has become a treatable chronic illness that requires extensive clinical management (Kelly, Otto-Salaj, Sikkema, Pinkerton, & Bloom, 1998). Nonadherence to HIV medical regimens is a primary reason for treatment failure. HIV medication regimens are complicated and require extensive time and effort from the patient (Friedland & Williams, 1999). Since the effectiveness of HIV medication regimens can be severely limited by poor adherence, much research has been conducted regarding the influence of psychosocial factors in adherence. However, this research has primarily focused on medication adherence and has not investigated psychosocial aspects associated with other …