The Diabetes Self - Management Scale (DMS), formerly the Diabetes Self - Care Practice Instrument (Frey & Denyes, 1989; Schilling, 2002), is a 25 - item self - report questionnaire measuring self - care behaviors and caregiver support
of adherence behaviors, including dietary compliance, insulin injections, blood glucose monitoring, and exercise.
Johnson (1992) described limitations with child reports
of adherence behaviors including biased responding to appear favorable to the health care provider.
Not exact matches
This gamification
of consumer - driven healthcare could help to increase
adherence to
behaviors that positively affect patient health.
They used to remember thinking but now it's no longer necessary and with the enriched water it is no longer possible after the cataclysmic campaigns
of the last decade when it was decided that facts no longer mattered so therefore truth no longer existed so therefore thinking was no longer necessary but in fact futile so therefore not only sterile but dangerous and therefore
behavior alone was substantial and
adherence to action alone was useful.
Camus»
adherence to this mind - matter dualism, however, leaves his rebel's discovery
of a «living transcendence» that guarantees limits in nature and human
behavior in perilous intellectual limbo.
Sealchan's point is that absent religion you will see the same form
of primate tribal
behavior that the religious engage in over the «true faith» only instead
of the «true faith» it will be «true
adherence to the party».
One
of the arguments advanced in favor
of the existence
of god is that strict
adherence to his commands guarantees good
behavior.
For instance, addressing concerns about infant comfort, choking, and aspiration while the infant is sleeping prone is helpful.348, 349 Similar interventions for improving
behavior of medical and nursing staff and child care providers have shown that these professionals have similar concerns about the supine sleep position.350, — , 353 Primary care providers should be encouraged to develop quality improvement initiatives to improve
adherence with safe sleep recommendations among their patients.
Many religions may have organized
behaviors, clergy, a definition
of what constitutes
adherence or membership, holy places, and scriptures.
«This study provides some good insights into medication - taking
behavior and tackling the
adherence problem, a big problem in the U.S,» said study chair, Eric D. Peterson, executive director
of the DCRI.
In the paper «Having their say: Patients» Perspectives and the Clinical Management
of Diabetes,» Dr. Leonard Jack, Jr., Ph.D., M.Sc., Director
of the Division
of Community Health at the National Center for Chronic Disease and Health Promotion, and his co-authors Dr. Leandris C. Liburd, Ph.D., M.P.H., M.A. and Dr. Pattie Tucker, Dr.P.H., M.P.H. and R.N., propose that healthcare providers can offer more effective diabetes support to their patients by understanding the cultural perspectives that explain their health
behavior, to promote
adherence and improve health outcomes.
Some argue that economically diverse societies need «No Excuse» schools that hold high standards for the completion
of tasks and
adherence to
behavior norms like sitting up straight and tracking teachers with good eye contact.
These letters drafted in Word or PDF certifies the tenant as a reliable one in terms
of payment
of rent, social traits, cleanliness,
behavior with the neighbors and
adherence to the society norms.
Women and Families Center (Meriden, CT) 5/2003 — 7/2004 Sexual Assault Crisis Counselor & Internship • Developed curriculum for autistic pilot program while supervising the implementation
of camp activities and overseeing the proper placement
of children within program activities • Hired, trained, and monitored support staff to ensure proper
adherence to teaching techniques • Managed camp budget, including trip expenditures, to ensure successful cost - benefit relationship • Communicated effectively with parents and other interested parties regarding student
behavior / progress Safe Haven
of Waterbury (Waterbury, CT) 9/2001 — 7/2004 Family Violence Victim Advocate • Utilized a complex variety
of instructional and assessment strategies while effectively implementing
behavior - change interventions at both the individual and student level • Developed and integrated media and other technological aides to improve classroom experience • Facilitated and fostered constructive communication with parents and other interested parties • Created an effective and constructive «curriculum writing project»
Predictors
of adherence among community users
of a cognitive
behavior therapy website.
Individual risk factors for perpetration include alcohol and drug use, delinquency, empathic deficits, general aggressiveness and acceptance
of violence, early sexual initiation, coercive sexual fantasies, preference for impersonal sex and sexual - risk taking, exposure to sexually explicit media, hostility towards women,
adherence to traditional gender role norms, hyper - masculinity, suicidal
behavior, and prior sexual victimization or perpetration.
Behavior therapy is considered probably efficacious for childhood depression, and a number
of other experimental interventions show promise but require further evaluation.12 Currently, only 2 research groups have focused on psychosocial interventions for childhood bipolar disorder.13 - 15 Hence, increased attention to creation and testing
of treatments specifically targeting depression and bipolar disorder in children is needed.16 In particular, studies should focus on children's developmental needs, address comorbidity, involve family members in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition, parental psychopathology may affect treatment
adherence and response.
Rooted in child social, emotional and behavioral development, Touchpoints seeks to improve parent - provider relationships, improve provider relationships with each other, enhance parent - infant relationships, moderate parental stress, normalize parent's perceptions
of their child's
behavior, increase well - child care
adherence, improve infant developmental outcomes, improve maternal mental health indicators, and encourage longer breastfeeding.
Adolescents» behaviour may vary from one context to another, or from one interaction partner to another, and informants» reports may be affected by their own perspectives.13 Because there is no gold standard for psychiatric disorders, and reports from different informants tend to correlate only moderately, using information from multiple informants seems the best strategy to chart mental health.14 Among other things,
adherence to this first principle is expressed in the use
of child (Youth Self - report; YSR), and parent (Child
Behavior Checklist; CBCL) questionnaires on child / adolescent mental health, which are part
of the Achenbach System
of Empirically Based Assessment (ASEBA), 15,16 and the use
of a teacher - report (Teacher Checklist
of Psychopathology), which was developed for TRAILS on the basis
of the Achenbach Teachers Report Form.17 It is also expressed in the use
of peer nominations to assess adolescents» social status at school.
The purpose
of this study was to evaluate the effectiveness
of the Strong African American Families (SAAF) to (a) be delivered with high levels
of program
adherence and (b) deter preadolescent youth's risk
behavior vulnerability by enhancing intervention - targeted youth and family protective processes.
Measures used included the Children's Depression Inventory (CDI)(child & parent report), Diagnostic Interview Schedule for Children (DISC)(child & parent report), Child
Behavior Checklist (CBCL), Expectations
of Therapy Outcome Scale (ETOS), Therapeutic Alliance Scale for Children (TASC)(youth & parent report), Service Assessment for Children and Adolescents (SACA), PASCET Brief
Adherence Scale (PBA), and Therapy Process Observational Coding System for Child Psychotherapy — Strategies Scale (TPOCS - S).
These include depression, disturbed eating
behavior, family conflict, poor health - related quality
of life, low self - efficacy, and difficulty with medical
adherence and metabolic control.
As such, this model posits that lack
of diabetes - specific support
behaviors and attitudes increases parent — child conflict, that in turn decreases children's willingness to comply with their prescribed regimen and decreases the parents» ability to monitor their child's
adherence to regimen.
Raters used a standard
adherence form to record presence or absence
of the four prescribed and the one proscribed (i.e., facilitator acts as a switchboard and / or speaks for long periods) facilitator
behaviors.
Externalizing
behaviors, including hyperactivity, aggression, disruptiveness, defiance, and impulsivity, have been shown to interfere with optimal
adherence, resulting in poorer glycemic control (Duke et al., 2008), and lower levels
of internalizing
behaviors predict better
adherence in young adolescents with diabetes (Korbel, Wiebe, Berg, & Palmer, 2007).
Tov - Katzav A. Factors influencing on treatment
adherence among adolescents with type 1 diabetes: examining the theory
of planned
behavior and the Treatment Difficulties Questionnaire.
Validity and reliability
of an adolescent and parent rating scale
of type 1 diabetes
adherence behaviors: The Self - Care Inventory (SCI)
In contrast, observed positive parenting
behaviors (i.e., parental warmth and support) were associated with better
adherence ratings and improved quality
of life (Botello - Harbaum, Nansel, Haynie, Iannotti, & Simons - Morton, 2008).
Positive family relationships (high family cohesion and low family conflict), with IDDM especially during the first years
of illness, indirectly related to good metabolic control (through positive
adherence behaviors).
Instead
of focusing exclusively on improving specific
adherence behaviors, therapy should address instrumental outcomes, such as improving family communication patterns and reducing factors that promote and maintain conflictual interaction patterns specific to diabetes management (or inhibit warm and caring relationships).
Objectives To examine family factors as predictors
of metabolic control in children with type 1 diabetes and determine whether
adherence behaviors mediate this relationship.
First, although a recent controlled trial
of Behavior Family Systems Therapy (BFST) for families
of children with type 1 diabetes identified improved
adherence at 6 - and 12 - month follow - ups, no improvement in HbA1c was identified (Wysocki, Bubb, Greco, White, & Harris, 2001).
In summary, although boys may appear to be more at risk for
adherence concerns, boys and girls with high levels
of externalizing
behavior are both at risk for poor
adherence and metabolic control.
Taking the insights
of her basic research to the domain
of health care services, Judith Hall also illuminated the verbal and nonverbal
behavior of physicians and patients in medical visits, with a focus on gender differences and correlates
of patient outcomes such as satisfaction and
adherence to medical regimens.
No statistical support for formal mediation
of organizational effects through
adherence was found, though examination
of changes in parameter estimates suggest a possible interplay
of organizational climate with
adherence and youth
behavior change.
Furthermore, measures
of parental monitoring
of behaviors of interest to pediatric psychologists, such as youths» regimen
adherence, are lacking, although items measuring monitoring are often embedded in measures that assess other constructs, such as parental support.
Also, it is likely that the presence
of negative youth
behaviors would contribute to the erosion
of adherence processes.
While findings from research using this structured interview document the importance
of collaboration in promoting
adherence and glycemic control (Wiebe et al., 2005), the measure itself is limited to parent
behavior during stressful events, as opposed to day - to - day events, and the time and interviewer burden
of a structured interview limits the measure's utility in future research and practice.
Prior research has provided tentative evidence indicating that therapists» close
adherence to the treatment protocol is indeed associated with greater improvements in parenting skills and more clear - cut reductions
of externalizing
behavior problems, and this appeared not only true for PMTO (Forgatch and DeGarmo 2011; Forgatch et al. 2005; Hukkelberg and Ogden 2013) but also for other interventions aimed at externalizing
behavior problems in children (e.g., Hogue et al. 2008; Huey et al. 2000).
Conclusions The presence
of youth perceptions
of critical parenting and youth externalizing
behavior problems may interfere with
adherence, leading to increases in HbA1c.
A number
of other interventions have been widely used including play therapy, individual insight therapy, cognitive behavioral therapies, biofeedback, and dietary interventions, but there is little support for their effectiveness in the literature.57 One recent study did inspect
adherence to quality indicators for the outpatient care
of ADHD, conduct disorder and major depression, including the use
of behavior modification, for 813 children seen in 62 mental health clinics in California from August 1, 1998, through May 31, 1999.
We posited that youth externalizing problems [Child
Behavior Checklist Externalizing Subscale (CBCL) externalizing problem scores] would contribute to patterns
of conflict with caregivers, subsequently interfering with
adherence processes, thereby decreasing glycemic control (increased HbA1c).
The amount
of variance accounted for by the CPI was modest; however, parenting
behavior is only one
of many factors that may influence
adherence and quality
of life, and therefore we did not hypothesize that the construct would account for a large proportion
of the variance in these outcomes.
In addition, in areas
of particular interest to pediatric psychologists, such as regimen
adherence behavior in youth with chronic conditions, numerous studies have recommended that parents maintain a high level
of oversight
of youth, in order to ensure optimal regimen
adherence and good health outcomes (Silverstein et al., 2005).
PLWH's interpersonal concerns about how their HIV status may affect the security
of their existing relationships may help explain how internalized stigma affects
adherence behaviors.
ASDs are a heterogeneous group
of lifelong neurodevelopmental disorders characterized by deficits in social relatedness, repetitive
behaviors, restricted interests, and a rigid
adherence to specific routines (American Psychiatric Association, 1994).
The PMDC contains a number
of items that, as is the case for most general population measures
of monitoring developed to date, assess parental knowledge — in this case,
of youth
adherence behaviors (e.g., «When your child misses an insulin dose, how often do you know?»
However, in order for such hypotheses to be evaluated, new measures capturing the various processes by which parents monitor chronically ill youth must first be developed and must include items evaluating domains such as direct supervision, surveillance
of the youth through checking medical device and supply use, checking with the youth and other family members regarding
adherence behavior or health status, gathering information from other adults and so on.