Effect of a Behavioral self-regulation intervention on patient adherence in hemodialysis

被引:54
作者
Christensen, AJ
Moran, PJ
Wiebe, JS
Ehlers, SL
Lawton, WJ
机构
[1] Univ Iowa, Dept Psychol, Iowa City, IA 52242 USA
[2] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA
[3] Univ Texas, Dept Psychol, El Paso, TX 79968 USA
[4] Univ Iowa, Coll Med, Dept Internal Med, Iowa City, IA 52242 USA
关键词
patient adherence; chronic illness; self-regulation; intervention;
D O I
10.1037//0278-6133.21.4.393
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
present study examined the efficacy of a behavioral intervention designed to increase adherence to fluid-intake restrictions among hemodialysis patients. Twenty intervention-group patients were compared with 20 matched control patients on an indicator of fluid-intake adherence at 3 time points. The Group X Time interaction was significant, indicating that patients in the 2 groups exhibited a differential pattern of change in fluid-intake adherence across the follow-up period. The intervention and control groups did not differ significantly in terms of adherence at the initial postintervention period but did differ at the 8-week follow-up. The observed group differences were, in part, due to a trend toward increasingly better adherence in the intervention group and poorer adherence in the control group across the follow-up period.
引用
收藏
页码:393 / 397
页数:5
相关论文
共 25 条
[1]   VARIATION IN HEMODIALYSIS PATIENT COMPLIANCE ACCORDING TO DEMOGRAPHIC CHARACTERISTICS [J].
BAME, SI ;
PETERSEN, N ;
WRAY, NP .
SOCIAL SCIENCE & MEDICINE, 1993, 37 (08) :1035-1043
[2]  
BARNES MR, 1976, J BEHAV THER EXP PSY, V7, P305
[3]   Use of a token economy to increase compliance during hemodialysis [J].
Carton, JS ;
Schweitzer, JB .
JOURNAL OF APPLIED BEHAVIOR ANALYSIS, 1996, 29 (01) :111-113
[4]  
Christensen AJ, 1997, HEALTH PSYCHOL, V16, P256
[5]  
CHRISTENSEN AJ, 1998, COMPREHENSIVE CLIN P, V8, P321
[6]  
Cohen J., 1998, Statistical Power Analysis for the Behavioral Sciences, V2nd
[7]  
CUMMINGS K M, 1981, Journal of Behavioral Medicine, V4, P111
[8]  
Dunbar-Jacob J, 2001, HANDBOOK OF HEALTH PSYCHOLOGY, P571
[9]   A comparison of attributions, health beliefs, and negative emotions as predictors of fluid adherence in renal dialysis patients: A prospective analysis [J].
Friend, R ;
Hatchett, L ;
Schneider, MS ;
Wadhwa, NK .
ANNALS OF BEHAVIORAL MEDICINE, 1997, 19 (04) :344-347
[10]  
HART RR, 1979, J CONSULT CLIN PSYCH, V47, P646