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Full-Text Articles in Clinical 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 …
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 …
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 …