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Full-Text Articles in Psychology
The Relationship Between Health Adherence Behaviors, Level Of Acculturation, Frequency Of Cognitive Distortions, And Psychological Distress In Filipino Americans, Marisa R. Nuñez
PCOM Psychology Dissertations
Nonadherence to medical recommendations is a prevalent concern within the U.S health care system, including among many ethnic minority groups, such as Filipino Americans. The purpose of this study was to investigate the relationship between health adherence behaviors, acculturation level, frequency of cognitive distortions, and psychological distress in Filipino Americans. Filipino American participants (N = 121) completed the following measures: the Health Adherence Behavior Inventory, A Short Acculturation Scale for Filipino Americans, the Patient Health Questionnaire-9th edition, the Generalized Anxiety Disorder 7-item scale, and the Inventory of Cognitive Distortions. Results indicated a significant negative relationship between anxiety symptoms and health …
An Evaluation Of Integrated Primary Care (Ipc), Ipc Plus Shared Medical Appointments, And Ipc Plus Individual Behavioral Health Care On Diabetes Management, Eric Franco
PCOM Psychology Dissertations
As the health care system continues to evolve, the challenges related to successfully treating chronic conditions persist. To address these challenges, supplemental treatments, such as the shared medical appointment (SMA) and behavioral health care (BHC), have been implemented to provide patients with additional levels of psychoeducation and support in addition to treatment by their physician. The total sample used in this study was 118. The purpose of this study was to evaluate the effectiveness of integrated primary care (IPC), IPC plus SMA, and IPC plus BHC to determine if supplemental treatment combined with IPC produced greater improvement in patients with …
The Relationship Between Self-Efficacy, Optimism, And Sensation Seeking In Predicting Self-Reported Adherence To Health Behaviors, Kristine V. Spano
The Relationship Between Self-Efficacy, Optimism, And Sensation Seeking In Predicting Self-Reported Adherence To Health Behaviors, Kristine V. Spano
PCOM Psychology Dissertations
The relationship between health behaviors and three psychological variables that included optimism, self-efficacy, and sensation seeking was investigated in this study. A demographic form, the Health Adherence Behavior Inventory (HABIT), the General Self-Efficacy Scale (GSE), the Life Orientation Test-Revised (LOT-R), and the Brief Sensation Seeking Scale (BSSS-8) were administered to 258 participants. The data were analyzed for two separate and independent samples based on gender. Results indicated that self-efficacy predicted male health behaviors while optimism predicted female health behaviors. In addition, men scored higher than women on self-reported sensation-seeking behaviors, as predicted. Limitations of this research and directions for further …
Examination Of Adherence, The Quality Of The Physician/Patient Relationship, And Illness-Related Beliefs Among Adults With Long Qt Syndrome, Maggie Monk
PCOM Psychology Dissertations
Long QT Syndrome (LQTS) is a cardiac arrhythmia disorder that affects 1 in 2,000 individuals and is a precursor to various cardiac events, including sudden cardiac arrest (Schwartz et al., 2016). As a precaution, individuals with all types of LQTS have been advised to modify their lifestyles to avoid triggers, including limiting physical activity (PA). Nonadherence to treatment recommendations could result in devastating outcomes. The purpose of the study was to explore characteristics pertaining to adherence and nonadherence to PA recommendations, including the quality of the physician/patient relationship and illness beliefs among adults with LQTS. An Internet survey was completed …
Factors Affecting Athlete Adherence After Disqualificaiton From Competitive Sports, Aaron Myers
Factors Affecting Athlete Adherence After Disqualificaiton From Competitive Sports, Aaron Myers
PCOM Psychology Dissertations
The purpose of the current study is to examine the relationship between athletic identity, social problem-solving ability, cognitive distortions, depression, and locus of control in predicting adherence to medical advice after athletes have been instructed to stop participating in sports for a cardiac condition. The measures included the Athletic Identity Measurement Scale (AIMS), the Social Problem-Solving Inventory, Revised, Short Form (SPSI-R:S), the Inventory of Cognitive Distortions (ICD), the Patient Health Questionnaire (PHQ-9), the Multidimensional Health Locus of Control scale, Form C (MHLC-C), an adherence measure, and demographic questionnaire. Results revealed significant findings. The internal locus of control, social problem-solving ability, …
Impacts Of The Recovery Movement On Treatment Adherence For Individuals With Schizophrenia Spectrum Disorders, Kelly J. Campanile
Impacts Of The Recovery Movement On Treatment Adherence For Individuals With Schizophrenia Spectrum Disorders, Kelly J. Campanile
PCOM Psychology Dissertations
The recovery movement presents a shift in the treatment of severe mental illness to a more person-centered approach. The current researcher hypothesized that the more recovery-oriented a treatment was perceived to be, the more participants would have attended appointments and adhered to their psychiatric medication regimen. The variables of empowerment, recovery assessment, attitudes toward treatment, and participatory decision-making were explored in relation to their possible correlation with increased treatment adherence. An archival data set was used. Participants included 215 adults who met criteria for a schizophrenia spectrum disorder. The participants generally rated their treatment as high on all four of …
Improving Cognitive-Behavioral Therapy Homework Adherence With Change Talk And Commitment Language: A Cognitive Dissonance Perspective Of Behavioral Change, Robert J. Brecher
Improving Cognitive-Behavioral Therapy Homework Adherence With Change Talk And Commitment Language: A Cognitive Dissonance Perspective Of Behavioral Change, Robert J. Brecher
PCOM Psychology Dissertations
Adherence to homework assigned during cognitive-behavioral therapy (CBT) is an important factor contributing to positive outcomes. However, rates of adherence are poor, limited evidence supporting methods to improve adherence is limited. The current study aimed to develop and test an intervention designed to promote CBT homework adherence based on cognitive dissonance theory. Patients participating in outpatient CBT were randomly assigned to either an experimental or a control condition. In the experimental condition, participants engaged in an induced-compliance procedure eliciting change talk targeting the recommended homework activity. The control condition consisted of treatment as usual. Owing to limited sample size (n …
Predicting Initial Mental Health/Substance Abuse Treatment Attendance In Hiv/Aids Patients: An Exploration Of Risk Factors, Rachel D. Amodio
Predicting Initial Mental Health/Substance Abuse Treatment Attendance In Hiv/Aids Patients: An Exploration Of Risk Factors, Rachel D. Amodio
PCOM Psychology Dissertations
This study attempted to predict mental health/substance abuse treatment initial appointment attendance, utilizing specific social, provider, institutional, medical, and psychological risk factors through the use of a logistic regression model. The initial frequency analysis revealed that only 155 individuals were ever scheduled to attend an appointment of the original data set (N=298). The majority of individuals could not be scheduled due to unavailability, disinterest, latency and other reasons. A new data set was created from individuals who were scheduled and variables were collapsed across categories to include: length of wait time to appointment, CD4 count, prescribed medications, reason for referral, …
Youth Treatment Adherence At A Rural Community Mental-Health Clinic, Asma S. Ali
Youth Treatment Adherence At A Rural Community Mental-Health Clinic, Asma S. Ali
PCOM Psychology Dissertations
This study examined the relationships between youth and adult psychopathology, and sociodemographic factors and treatment adherence for youth attending outpatient treatment at a rural community mental-health clinic. “Adherence” was defined as attending more than five sessions, while “non-adherence” was defined as attending fewer than or equal to five sessions. Results revealed no significant differences between youth adhering or not adhering to treatment depending on the relation of caregiver to youth or the mode of transportation taken to the clinic. Furthermore, caregiver and youth psychopathology and caregiver’s estimated travel time to the clinic did not predict treatment adherence. Incidentally, examination of …
The Role Of Cognitive Insight, Hope, Self-Stigma, And Symptomatology In Predicting Treatment Engagement In Individuals Diagnosed With Serious Mental Illnesses, Patrick D. Boyle
The Role Of Cognitive Insight, Hope, Self-Stigma, And Symptomatology In Predicting Treatment Engagement In Individuals Diagnosed With Serious Mental Illnesses, Patrick D. Boyle
PCOM Psychology Dissertations
Adherence to and engagement with treatment is a complex and multifaceted issue encountered throughout many medical and helping professions, particularly in the fields of psychology and psychiatry. Adherence to treatment/service engagement is especially an issue in the treatment of serious mental illnesses; studies have shown that up to 80% of individuals do not adhere to their treatment (Tait et al., 2003). This study investigated if cognitive insight, as measured by the Beck Cognitive Insight Scale ([BCIS] Beck et al., 2004), and clinical insight are related to the recovery concepts of hope and self-stigma as well as symptomatology in predicting treatment …
Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato
Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato
PCOM Psychology Dissertations
Escalating prevalence rates and rising economic costs of chronic illnesses necessitate a better understanding of factors affecting patient adherence in the primary care setting. Despite technological advances and evidenced-based treatments, clinical outcomes are often poor. Data drawn from archival data of the “A Healthier You” wellness program designed to serve a predominately underserved population were examined to assess whether or not positive predictors of adherence could moderate the impact of negative predictors such as depression. Limitations of the study methodology precluded significant interpretations but suggested significant discrepancies between patient and physician perceptions of trust in the relationship and the satisfaction …
Development Of An Internet-Based Disease Management Program For People With Diabetes , Robert L. Mailliard
Development Of An Internet-Based Disease Management Program For People With Diabetes , Robert L. Mailliard
PCOM Psychology Dissertations
Diabetes is a chronic illness that currently has no cure. Quality of life can be improved by the person’s own adherence to treatment and motivation to manage their diabetes. Both of these factors are difficult maintain and access to patient education materials is limited. This study developed an Internet-based disease management program for people with diabetes. This diabetes disease management program followed the PRECEDE health program planning model. Focus groups and key informant interviews people with diabetes were run in order to obtain feedback for this program. Cognitive-behavioral and health behavior change theory were integrated in to the program to …
Development And Validation Of An Instrument To Predict Non-Adherence To Medical Treatment Regimens, Dorothy E. Parke
Development And Validation Of An Instrument To Predict Non-Adherence To Medical Treatment Regimens, Dorothy E. Parke
PCOM Psychology Dissertations
Evaluation of the Health Adherence Behavior Inventory (HABIT) is described with data pertaining to reliability and validity. The instrument was originally developed for use in a primary healthcare setting, to support the early identification of patients who are at risk for poor health outcomes and complications of chronic disease because of non-adherence to their healthcare provider’s instructions. The items were refined from the original HABIT (DiTomasso, 1997) and drawn from various sources, including health risk assessments, health screening questionnaires, and nationally accepted standards for disease treatment and prevention. The questionnaire consists of 50 items, 39 of which appear to load …
Structured Multifaceted Cognitive Behaviorally Oriented Assessment And Treatment Of Nonadherence To Medical Advice : A Case Study, Cheryl A. Patchin
Structured Multifaceted Cognitive Behaviorally Oriented Assessment And Treatment Of Nonadherence To Medical Advice : A Case Study, Cheryl A. Patchin
PCOM Psychology Dissertations
The incidence of nonadherence to medical advice is estimated to be as high as 98%, with a typical range of 30% to 60%. This case study focused on the assessment and treatment of a patient suffering from uncontrolled essential hypertension, who was inconsistent in her adherence to the prescribed medical regimen and who demonstrated a significant health risk as a result. From baseline (pretreatment) to termination (followup), the patient attended a total of 9 sessions over a 12-week period. Assessment involved clinical interviews and an original self-administered instrument, the Health Behavior Profiling Questionnaire (HBPQ). The HBPQ was designed to assess …