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Author:
Publisher:
ISBN: 9781876122041
Category : Asthma
Languages : en
Pages : 24
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Book Description
Author:
Publisher:
ISBN: 9781876122041
Category : Asthma
Languages : en
Pages : 24
Get Book Here
Book Description
Author: Avani C. Modi
Publisher: Academic Press
ISBN: 0128160012
Category : Education
Languages : en
Pages : 456
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Book Description
Adherence and Self-Management in Pediatric Populations addresses the contemporary theories, evidence-based assessments, and intervention approaches for common pediatric chronic illnesses. An introductory chapter summarizes the state of the field and provides a general foundation in adherence and self-management. Subsequent chapters focus on specific diseases, ensuring that the scope of knowledge contained therein is current and thorough, especially as the assessments and interventions can be specific to each disease. Case examples are included within each chapter to illustrate the application of these approaches. The book ends with an emerging areas chapter to illuminate the future of adherence science and clinical work. This book will be extremely helpful to professionals beginning to treat youth with suboptimal adherence or for those who conduct adherence research. Experts in the field will benefit from the synthesized literature to aid in clinical decision-making and advancing adherence science. Organized by disease for quick reference Provides case examples to illustrate concepts Incorporates technology-focused measurement and intervention approaches (mobile and electronic health) throughout
Author: Maria Emilsson
Publisher: Linköping University Electronic Press
ISBN: 9176854167
Category :
Languages : en
Pages : 94
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Book Description
Adherence to medication in asthma and attention deficit hyperactivity disorder (ADHD) is important because medication may prevent serious consequences, possibly with lifelong effects. Several factors have been identified that influence adherence to medication in these disorders, but the importance of personality traits, beliefs about medication and illness perception has been insufficiently explored. The overall aim of this thesis was to study adherence to medication in asthma and ADHD, and in particular factors associated with adherence. The participants (n=268) in Study I were recruited epidemiologically and consisted of young adults with asthma, aged 22 years (±1 year). Impulsivity and, in men Antagonism and Alexithymia were associated with low adherence among respondents with regular asthma medication (n=109). The participants (n=35) in Study II were recruited from primary care clinics and consisted of adults (mean age 53 years). In men, Neuroticism was associated with low adherence, but Conscientiousness with high adherence. Beliefs about the necessity of medication were positively associated with adherence behaviour in women. In the total sample, a positive necessity-concern differential of beliefs predicted higher adherence. The participants in Study III, IV (n=101) and V (n=99) were recruited from Child and Adolescent Psychiatric clinics and consisted of adolescents with ADHD on long-term ADHD medication. Study IV assessed the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Exploratory Principal Component Analysis (PCA) loadings of the BMQ-Specific items confirmed the original components, the specific-necessity and specific-concerns. The exploratory PCA for B-IPQ revealed two components; the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the ability to manage the ADHD disorder (items 3, 4 and 7). Adherence correlated positively with BMQ-necessity-concern differential but negatively with beliefs about medication regarding concerns and side effects as well as Antagonism. Adolescents with more beliefs in the necessity, but with less concerns and side effects were less intentionally non-adherent. Adolescents with more perceptions that ADHD affected life showed less unintentional non-adherence. Negative Affectivity was associated with beliefs in the necessity of medication, but also with concern about medication and side effects. Negative Affectivity was positively associated with perceived consequences in life caused by ADHD and less control over ADHD. Hedonic Capacity was associated with less concerns about medication. In conclusion: In asthma and ADHD, adherence was associated with personality and beliefs about medications treatment. The personality traits showed numerous associations with perception about ADHD and beliefs about asthma and ADHD medication. This thesis increases our understanding of these person-related underlying factors of non-adherence, which may enable targeted actions intended to turn non-adherence into adherence as well as to identify individuals at risk for non-adherence. The Swedish translation of BMQ-Specific and B-IPQ proved to be valid and reliable, suggesting that the scales are useful in clinical work to identify risks of low adherence and to increase knowledge about how adolescents perceive ADHD. Följsamhet till läkemedelsbehandling vid astma och ADHD (attention deficit hyperactivity disorder) är viktigt eftersom optimal behandling kan förebygga allvarliga och livslånga konsekvenser. Flera faktorer som påverkar följsamhetsbeteendet har tidigare identifierats exempelvis ekonomiska faktorer, men vikten av personlighetsdrag, uppfattning om läkemedel och sjukdomsuppfattning har tidigare inte undersökts tillräckligt. Det övergripande syftet för avhandlingen var att studera följsamhet till läkemedel hos personer med astma och ADHD och i synnerhet påverkande faktorer. Avhandlingen utgörs av fem delstudier. Personlighet kan beskrivas som grundläggande egenskaper som kännetecknar likheter och skillnader mellan individer, den så kallade egenskapsteorin. Personlighet kan beskrivas utifrån fem grundläggande personlighetsdrag: känslomässig instabilitet, utåtriktning, öppenhet, vänlighet och målmedvetenhet, den så kallade fem-faktor modellen. När det gäller uppfattning om läkemedel så vägs uppfattningen om nödvändigheten av läkemedelsbehandlingen för att kontrollera sjukdomen mot oron för läkemedlens negativa effekter-biverkningar. Följsamhetsbeteendet beror på vilken uppfattning som dominerar. Uppfattning om sjukdom påverkas bland annat av personens uppfattning om hur mycket sjukdomen påverkar personens liv och sjukdomens varaktighet. Resultaten av denna avhandling visar att följsamheten var högre hos tonåringar med ADHD än hos vuxna med astma. Följsamheten till astma- och ADHD-medicinering var signifikant associerad med uppfattning att läkemedel var nödvändigt såväl som personlighetsdragen, särskilt antagonism. Följsamheten var inte associerad med ålder eller kön. Med anledning av att kön är relaterad till andra faktorer bör det beaktas i utredning av följsamhet till läkemedel. Personlighetsdraget känslomässig instabilitet, var relaterat till många uppfattningar om läkemedlen och sjukdomsuppfattningar. Avhandlingen visar på sambandet mellan vissa personrelaterade faktorer och följsamhet till läkemedel, hos personer med astma och ADHD. Den svenska översättningen av frågeformulären: Uppfattning om läkemedel (BMQ-Specific) och Uppfattning om ADHD (B-IPQ) visade sig ha god kvalitet för användning i kliniska utvärderingar och forskning som involverar ungdomar med ADHD.
Author: Ye Sun
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages :
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Book Description
Objective - Non-adherence to asthma medication is a common problem in patients with asthma, especially in children, leading to more frequent asthma exacerbations, ED visits and hospital admissions. Current methods of assessing adherence are unreliable. Electronic monitoring devices (EMDs) are more accurate means of assessing for adherence, but little is known about whether EMDs have a sustained effect on adherence in children. The objective of this study is to determine whether a mobile-based reminder system paired with EMD scan result in sustained improvement in adherence to asthma therapy over six months. Methods - Children (8-17 years) with physician-confirmed persistent asthma, managed through the pulmonary division of Connecticut Children's Medical Center, treated with a compatible daily inhaled corticosteroid, and with access to a smartphone were enrolled and randomized 2:1 to the intervention (EMD) or control (standard care) groups. Participants were followed at 3 and 6-months after enrollment. The intervention consists of the BreatheSmartTM EMD (one for controller and one for rescue inhaler) synced with a mobile application that sends reminders and captures adherence data in real time. The primary outcome was adherence assessed as proportion of days covered (PDC) based on pharmacy refill among children in the intervention group compared to control after 6 months. Secondary outcome was adherence based on EMD data. Results - 41 patients (29 in intervention, 12 in control) were enrolled. Adherence rates based on pharmacy refill at 6 months did not show any statistical significance between the intervention group compared to the control group (41% vs 31%, respectively; p=0.21). Average adherence rate at 6 months based on EMDs for the intervention group (n=26) was 27.4%. While there was an initial high rate of adherence immediately after enrollment, adherence rates dropped significantly over the span of the 6 months. Conclusion- Preliminary data suggest that adherence to controller therapy is no different among children utilizing an EMD with daily reminders when compared to a similar group of children receiving standard care. Despite an initial high rate of adherence with implementation of the intervention, such rates of adherence were not sustainable after 6 months.
Author: Lynn Myers
Publisher: CRC Press
ISBN: 1000153894
Category : Medical
Languages : en
Pages : 287
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Book Description
Poor adherence or compliance to treatment has major medical, psychological and economic consequences. This monographs provides comprehensive coverage of issues and research in the area of adherence and treatment in medical conditions. It covers all aspects within this field and includes chapters on the role of doctor-patient communications; memory; adherence in specific groups, such as children and the elderly; adherence to different treatments, such as diet and exercise; and reviews of adherence in specific conditions, such as diabetes and asthma.
Author: Kian Fan Chung
Publisher: European Respiratory Society
ISBN: 1849841047
Category : Medical
Languages : en
Pages : 360
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Book Description
Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma.
Author: William T. O'Donohue
Publisher: SAGE
ISBN: 9781412944823
Category : Education
Languages : en
Pages : 476
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Book Description
In Nazi Germany, the cult of celebrity was the embodiment of Hitler s style of cultural governance. Hitler s rise to power owed much to the creation of his own celebrity, and the country s greatest stars, whether they were actors, writers, or musicians, could be one of only two things. If they were compliant, they were lauded and awarded status symbols for the regime; but if they resisted or were simply Jewish they were traitors to be interned and murdered. This fascinating analysis offers a shocking portrait of a Hitler shaped by aspirations to Hollywood-style fame, of the correlation between art and ambition, of films used as weapons, and of sexual predilections. The Fuhrer believed he was an artist, not a politician, and in his Germany politics and culture became one. His celebrity was cultivated and nurtured by Joseph Goebbels, Germany s supreme head of culture. Hitler and Goebbels enjoyed the company of beautiful female film stars, and Goebbels had his own casting couch. In Germany s version of Hollywood there were scandals, starlets, secret agents, premieres, and party politics. The Third Reich would launch filmmaker and actress Leni Riefenstahl to prominence by making her its own glorifying documentarian, most famously in The Triumph of the Will, the innovative propaganda film starring Hitler and widely considered to be one of the greatest movies ever made. It is no coincidence that Eva Braun, Hitler s longtime partner and wife for the two days leading up to their joint suicide, was a photographer, and in fact shot most of the surviving photographs and film footage of her lover. This book reveals previously unpublished information about the Hitler film, which Goebbels envisaged as the greatest story ever told, although it was ultimately trumped by the dictator s own, real-life Wagnerian finale.
Author: Sherif Hanafy Mahmoud
Publisher: Springer
ISBN: 3030117758
Category : Medical
Languages : en
Pages : 432
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Book Description
This comprehensive, first-of-its kind title is an indispensable resource for pharmacists looking to learn or improve crucial patient assessment skills relevant to all pharmacy practice settings. Pharmacists’ role as health care practitioners is evolving as they are taking a more active part in primary patient care -- helping patients manage their medications and diseases, providing patient education, and, in some jurisdictions, prescribing and adapting medications. To perform their day-to-day duties, pharmacists are best-served using a framework called the patient care process. This framework involves three steps: patient assessment; care plan development and implementation; and monitoring and follow up. Organized in four parts, this practical book begins with introductory chapters regarding the basics of patient assessment and the patient care process. Part II includes a detailed assessment of common symptoms encountered by pharmacists. Part III discusses assessment of patients with various chronic illnesses. Part IV addresses select specialized topics and assessment considerations. An invaluable contribution to the literature, Patient Assessment in Clinical Pharmacy: A Comprehensive Guide will be of great benefit to pharmacists, regardless of their practice setting, and to pharmacy students as well.
Author: Heidi L. Hillman
Publisher:
ISBN:
Category : Asthma
Languages : en
Pages : 142
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Book Description
"The effects of an asthma education and self-management skills training program were investigated across adults with asthma. The first objective was to evaluate the effects of an asthma education and self-management skills training program on asthma medication adherence. The second objective was to see if peak flow would increase as medication adherence increased. Five participants who were non-adherent to their medication regimen were exposed to the education and self-management skills training components using a multiple baseline design across participants. During asthma education participants were taught about asthma, how to manage it using medication as well as the effects of medication adherence. During the self-management skills training participants were taught how to take an active role in managing their asthma as well as how to utilize a peak flow meter to determine lung capacity. The results indicated that the asthma education and self-management skills training have the potential to increase medication adherence. Although, the results do not indicate a strong correlation between increased medication adherence and increased peak flow measures"--Document.
Author: Chin H. Oh-Ciernick
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
"The effect of non-adherence to inhalers has a significant impact on morbidity and mortality in patients with COPD and/or asthma, as well as an increase in healthcare cost. Non-adherence to inhaler treatment is a complex multifactorial problem. The patients with asthma and chronic obstructive pulmonary disease (COPD) have a non-adherence rate up to 50 to 70% with their medication regimen. The purpose of this EBP change project was to improve inhaler adherence in patients with COPD and/or asthma by conducting follow-up calls after a face-to-face visit. A total of seven individuals voluntarily participated in the project. During the initial face-to-face visit, the participants completed a pre-test (Morisky, Green, Levine Questionnaire). The first follow-up calls were placed one week after the face-to-face visit. The second follow-up calls were placed two weeks after the first follow-up calls. During the follow-up calls, the project manager addressed any barriers that were preventing the participants from adhering to inhaler regimen such as changing the inhaler to one with a lower copay. The post-test was completed by the participants during the face-to-face follow-up visit. The post-test demonstrated an improvement in inhaler adherence of 58% among all participants, which exceeded the benchmark of 30%. Consequently, follow-up calls after the face-to-face visit improved medication adherence by providing an opportunity for healthcare providers to address barriers that may hinder patients from adhering to the medication regimen. Key words: COPD, asthma, medication, inhaler, non-adherence, follow-up calls " -- Abstract
