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illness or illness symptoms, perceived severity of symptoms, and costs (perceived barriers) versus bene ts of engaging in treatment interact to predict adherence (Janz & Becker, 1984) Bond, Aiken, and Somerville (1992) illustrate the complexity and inconsistency of ndings regarding the health belief model They applied the model to adolescents with IDDM, adding perceived cues (onset or change in illness symptoms) to engage in adherence behaviors They reported that perceived cues were most associated with adherence such that when symptoms were experienced, adolescents with IDDM were more likely to seek medical help Bene ts-costs were also associated with adherence For threat (perceived susceptibility and severity), adherence was highest in the case of low threat and high bene ts-costs but metabolic control was highest in the case of high threat and high cues.



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Research examining the effectiveness of interventions to improve treatment adherence is complicated by a proliferation of indirect and direct approaches to measuring adherence and related questions regarding the reliability and validity of the measures used (La Greca & Schuman, 1995) Indirect measures are patient and parent reports of adherence behaviors or patient, parent, and physician ratings of adherence These measures tend to overestimate adherence Direct or objective measures of adherence such as observation of patient engagement in procedures, drug assays, and pill counts have been subjected to criticism due to observer bias and individual differences in metabolism.

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An additional complication is the lack of one-to-one correspondence between following prescribed treatment and positive medical outcome; that is, as the health beliefs model suggests, why engage in complicated, time-consuming, and sometimes painful treatments when the payoff in terms of illness symptoms is unclear This not only contributes to a lack of adherence but also makes physical health an unreliable outcome measure for interventions targeting adherence It has been suggested that multiple measures of adherence, direct and indirect, be employed and that patients speci c adherence behaviors be compared to treatment prescribed speci cally to them (not a general treatment regimen for the condition under study; La Greca & Schuman, 1995) Research with pediatric samples supports the effectiveness of education for parents and children, that is, improving knowledge and skills in carrying out treatment for chronic pediatric illnesses (Delamater et al, 1990).

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As explained later in this chapter, the Measuring tools offer you options for annotating measurements. For some commenting issues, you may want to open the Comment & Markup toolbar. However, you won t need to use the Comment & Measurement tools to follow along in this chapter. Another option you may find helpful is a grid. To set up the grid, you might want to determine the distances for major and minor grid lines. These settings are available in the Preferences dialog box. Select Units and Guides in the left pane in the Preferences dialog box and define the grid height and width values as well as the offset and subdivisions. After opening the toolbars, your work environment should look like Figure 24.1. FIGURE 24.1

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Coping skills training or training in approaches to problem solving has also been effective in work with children with chronic illness because it allows the patient to address his or her unique barriers to adherence (Delamater et al, 1990; Satin, La Greca, Zigo, & Skyler, 1989) Satin et al (1989) studied adolescents.

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