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By Michael A. Rapoff

The 1st complete review of this subject that balances medical and examine issues, Adherence to Pediatric clinical Regimens reports the superiority and in all probability critical results of terrible adherence to clinical regimens for childrens and young people. This unique textual content examines intimately the nature of adherence difficulties, purposes for nonadherence, techniques for assessing and bettering adherence to either acute and persistent disorder regimens, and released study. the writer presents protocols for adherenceenhancement and applies adherence theories to particular medical circumstances.

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Self-efficacy has also been an important predictor of a variety of health-related behaviors in adults, including breast cancer screening, smoking, physical exercise, weight control, pain management, and risky sexual behaviors (Bandura, 1997; O'Leary, 1985,1992; Schwarzer & Fuchs, 1995; Strecher, DeVellis, Becker, & Rosenstock, 1986). The success of self-efficacy as a predictor of health-related behaviors is evident from its more recent inclusion in well-established theories such as the HBM. Although the vast majority of this work has been done with adults, there have been some attempts to develop and validate illness-specific self-efficacy scales for children and adolescents with asthma (Schlosser & Havermans, 1992) and diabetes (Grossman, Brink, & Hauser, 1987).

37 1). One reason why clinicians might be tempted to skip over this chapter is that discussions of theories often seem pedantic, argumentative, and devoid of practical applications. So, why should clinicians be concerned about theories that speculate about why children and adolescents do or do not adhere to medical regimens? There are two major reasons why clinicians might consider theories. First, theorizing is ubiquitous and must serve some useful purpose. ). In a very real way, we are driven to make sense of our world, ourselves, and others around us.

2) The degree of specificity of attitudinal and behavioral measures needs to match or be contextually relevant. Mismatches have resulted in low correspondence between attitudinal and behavioral measures. , 1997). This apparent redundancy needs to be evaluated, both conceptually and empirically. (4) Like all "attitudinal" theories, the burden is on proponents of the TRA/PB to show that experimental manipulations designed to change attitudinal variables actually result in behavior change. Clinical Implications of the TRA/PB Consider a 15-year-old girl with systemic lupus erythematosus (SLE), which is a rheumatic disease that affects multiple organ systems, most notably the musculoskeletal system.

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