Commentary: adherence matters.

نویسنده

  • Michael A Rapoff
چکیده

In the late 1970s when I was contemplating a topic for my dissertation, I wanted to choose a line of research that could benefit young people with chronic diseases (and their families) and help my medical colleagues succeed in improving the health and quality of life of these young people. I happened upon a now classic volume, Compliance in Health Care (Haynes, Taylor, and Sackett, 1979), which provided the conceptual and methodological inspiration for my now decades of research on the topic of adherence to pediatric medical regimens (Rapoff, 2010). We now have two meta-analyses (Graves, Roberts, Rapoff, & Boyer, 2010; Kahana, Drotar, & Frazier, 2008) showing that our interventions for enhancing adherence produce mean effects sizes ranging from small (d1⁄4 0.34) to medium (d1⁄4 0.58) for group design studies and large (d1⁄4 1.53) for single subject design studies. In addition, one of the meta-analyses reported on 31 intervention studies that produced a mean effect size from small to medium (d1⁄4 0.40) for health outcomes, such as pulmonary function testing (Graves, Roberts, Rapoff, & Boyer, 2010). Simply said, adherence matters and therefore the focus of this special issue is on studies that report on the measurement, prediction, and enhancement of adherence to pediatric medical regimens for chronic diseases. My intention is to review and critique these studies and offer some suggestions for future research on adherence.

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عنوان ژورنال:
  • Journal of pediatric psychology

دوره 38 6  شماره 

صفحات  -

تاریخ انتشار 2013