Donald Meichenbaum

Facilitating Treatment Adherence: A Practitioner's Guidebook Donald Meichenbaum Softcover reprint of the original 1st ed. 1987 edition

Jacket Description/Back: This book provides practical clinical guidelines and describes adherence enhancement techniques for health care professionals dealing with noncompliant patients. Table of Contents: Prologue.- 1 The Nature of Adherence.- 1 Treatment Adherence: Terminology, Incidence, and Conceptualization.- Incidence of Nonadherence.- Assessment of Adherence.- Self-Report.- Behavioral Measures.- Biochemical Measures.- Clinical Outcome.- A Cautionary Note for Health Care Providers.- 2 Factors Affecting Adherence.- Patient Variables.- Role of the Patient s Beliefs.- Treatment Variables.- Complexity of the Therapeutic Regimen.- Intrusiveness.- Duration of Treatment.- Knowledge of Illness.- Illness and Symptom Variables.- Relationship Variables.- Organizational-Structural Variables.- II Adherence Enhancement Procedures.- 3 Enhancing the Relationship between the Patient and the Health Care Provider.- The Changing Relationship.- Behavior That Interferes with Communication and the Development of Relationship.- Facilitating the Communication Process.- Cultivating Communication Skills.- Patients Explanatory Model of Their Illness.- Patients Worries and Concerns about Illness.- Patient Expectations about Treatment.- 4 Patient Education: Organizing and Structuring.- Providing Patients with Information.- Treating an Acute Disorder by Means of Medication.- Treating a Chronic Disorder by Means of Medication.- Simplifying and Customizing the Treatment Regimen.- Reducing Patient Forgetfulness.- Discussing Possible Side Effects.- 5 Behavior Modification Approaches.- Some Basic Concepts.- Self-Monitoring.- Soliciting Patients Suggestions and Preferences.- Goal Setting.- Corrective Feedback.- Behavioral Contracting.- Commitment Enhancement Procedures.- Reinforcement Procedures.- 6 Teaching Self-Regulatory Skills.- Establishing a Collaborative Relationship.- Skills Training.- Problem-Solving Skills.- Intrapersonal and Interpersonal Skills.- Coping and Benefiting from Lapses.- Attribution Retraining.- 7 Additional Interventions.- Emotional Inducements.- Emotional Role Playing.- Social Support.- Adherence Counseling.- Psychotherapeutic Interventions.- Paradoxical Interventions.- Another Level of Intervention.- III Integration of Adherence Procedures and Impediments to Their Use.- 8 The Integrated Application of Adherence Enhancement Interventions.- Examples of Integrative Adherence Programs.- Guideline 1: Anticipate Nonadherence.- Guideline 2: Consider the Prescribed Self-Care Regimen from the Patient s Perspective.- Guideline 3: Foster a Collaborative Relationship Based on Negotiation.- Guideline 4: Be Patient-Oriented.- Guideline 5: Customize Treatment.- Guideline 6: Enlist Family Support.- Guideline 7: Provide a System of Continuity and Accessibility.- Guideline 8: Make Use of Other Health Care Providers and Personnel as Well as Community Resources.- Guideline 9: Repeat Everything.- Guideline 10: Don t Give Up!.- 9 Why Health Care Providers Will Not Adhere to the Recommendations Outlined in This Volume (or Perhaps They Will).- Impediments to HCP Adherence.- The Beliefs of HCPs.- Low Expectation That Adherence Procedures Will Work.- Memory.- Inertia.- Epilogue.- References.- Author Index."

Contributor Bio:  Meichenbaum, Donald Donald Meichenbaum, PhD, has put his 40 years of experience working with trauma victims into this guidebook. He is one of the founders of Cognitive Behavior Therapy and in a survey of clinicians, he was voted "one of the 10 most influential psychotherapists of the 20th century." He is currently research director of the Melissa Institute for Violence Prevention and Treatment of Victims of Violence in Miami (www.melissainstitute.org)