As every health care provider knows only too well, poor patient adherence to treatment is an enormous barrier to effective health care delivery. Promoting Treatment Adherence provides health care providers with a comprehensive set of information and strategies for understanding and promoting treatment adherence across a wide range of treatment types and clinical populations. The information is presented in a practical how-to manner, and is intended as a resource that practitioners can draw from to improve skills in promoting treatment adherence. To facilitate ease of use for the practitioner, the volume is divided into five targeted sections. In the first section, the reader is provided with a general overview of the primary issues in treatment adherence relevant to practitioners. The second presents specific guidelines for assessing rates of patient adherence, as well as for assessing patient readiness to adhere to treatment and for identifying and understanding specific barriers to adherence in individual patients. In the third section, detailed guidelines for the implementation of each of effective strategies and techniques for facilitating patient adherence to treatment are presented, including motivational interviewing, patient education, skills training, increasing resources and support, problems solving, and relapse prevention. The fourth and fifth sections provide guidelines for the application of the information and strategies discussed in the previous sections to promoting adherence to a variety of specific treatments and with a variety of specific patient populations, with an emphasis is discussing considerations and issues specific to each treatment and patient population. Where applicable, each of the chapters presents a case-example as well as suggestions for further reading.
William T. O'Donohue is a licensed clinical psychologist, professor of psychology and adjunct professor in the Department of Philosophy at University of Nevada, Reno, and a faculty member of the National Judicial College. He is widely recognized in the field for his proposed innovations in mental health service delivery, in treatment design and evaluation, and in knowledge of empirically supported cognitive behavioral therapies. He is a member of the Association for the Advancement for Behavior Therapy and served on the Board of Directors of this organization. Dr. O'Donohue has published over 50 books and 150 articles in scholarly journals and book chapters. For the past 14 years, he has been director of a free clinic that treats children who have been sexually abused and adults who have been sexually assaulted. Eric Ross Levensky recently completed his PhD in Clinical Psychology at the University of Nevada, Reno, and is currently serving as coordinator of the Southwest Node of the Clinical Trials Network (CTN), a NIDA-funded multisite project evaluating the effectiveness of known efficacious behavioral, pharmacological, and integrated interventions across a broad range of community-based treatment settings and diverse patient populations. A secondary goal of the CTN is to disseminate effective interventions to physicians, providers, and their patients to improve the quality of treatment throughout the country. Dr. Levensky's primary area of research interest is inthe development, evaluation, and dissemination of treatment adherence interventions for patients with chronic illness, as well as examining psychosocial aspects of chronic illness management. Dr. Levensky's current work centers primarily on understanding and promoting treatment adherence in HIV patients, and he recently received a grant from the National Institutes of Health to conduct research in this area. Dr. Levensky has clinical interest in forensic psychology, as well as the practice, application, and supervision ofMotivational Interviewing and Dialectical Behavior Therapy. He has co-edited one book and authored 11 papers and book chapters on these topics.
PART I: INTRODUCTION Ch 1: Patient Adherence and Nonadherence to Treatments: An Overview for Health Care Providers - Eric R. Levensky and William T. O'Donohue PART II: ASSESSMENT STRATEGIES IN PROMOTING ADHERENCE Ch 2. Integrating Regimen Adherence Assessment Into Clinical Practice - Kristin A. Riekert Ch 3: Assessing Readiness for Adherence to Treatment - Janice M. Prochaska, James O. Prochaska, and Sara S. Johnson Ch 4: Identifying and Addressing Barriers to Treatment Adherence Using Behavioral Analysis and Modification Techniques - Elaine M. Heiby and Carrie Lukens PART III: SPECIFIC STRATEGIES AND TECHNIQUES FOR PROMOTING TREATMENT ADHERENCE Ch 5: Promoting Treatment Adherence Through Motivational Interviewing - Ana M. Bisono, Jennifer Knapp Manuel, and Alyssa A. Forchehimes Ch 6: Patient Education to Promote Adherence to Treatments - Megan L. Oser Ch 7: Skills Training to Promote Patient Adherence to Treatments - Kyle E.Ferguson and Heather Scarlett-Ferguson Ch 8: Increasing Resources and Supports to Improve Adherence to Treatments - Robin Shapiro and Marcia Herival Ch 9: Problem Solving to Promote Treatment Adherence - Arthur M. Nezu, Christine Maguth Nezu, and Michael G. Perri Ch 10: Relapse Prevention to Promote Treatment Adherence - Arthur W. Blume and G. Alan Marlatt Ch 11: Promoting Treatment Adherence Through Collaborative Teams (PACT): A Practice Model - Brian Giddens and Lana Sue I. Ka'opua PART IV: PROMOTING ADHERENCE TO SPECIFIC TREATMENTS Ch 12: Adherence to Medications - Paul F. Cook Ch 13: An Ecological Approach to Adherence in Diabetes Management: Perspectives From the Robert Wood Johnson Foundation Diabetes Initiative - Edwin B. Fisher, Carol A. Brownson, Mary L. O'Toole, Victoria Anwuri, Gowri Shetty, and Richard R. Rubin Ch 14: Adherence Challenges in Asthma Treatment - Susan D. Schaffer Ch 15: Adherence to Smoking Cessation Treatments - Whitney M. Waldroup, Elizabeth V. Gifford, and Preety Kalra Ch 16: Adherence to Hypertension Treatments - Barry L. Carter Ch 17: Cancer-Related Adherence: Background, Clinical Issues, and Promotion Strategies - David Victorson and Amy H. Peterman Ch 18: Adherence to HIV/AIDS Treatments - Eric R. Levensky Ch 19: Adherence to Treatment of Substance Use Disorders - Steven J. Lash and Jennifer L. Burden Ch 20: Adherence to Exercise Regimes - Jessica A. Whiteley, David M. Williams, and Bess H. Marcus Ch 21: Adherence to Dietary Recommendations - Barbara S. McCann Ch 22: Adherence to Dialysis Treatment for End-Stage Renal Disease - Jamie A. Cvengros and Alan J. Christensen PART V: PROMOTING ADHERENCE WITH SPECIFIC POPULATIONS Ch 23: Treatment Adherence in Children and Adolescents - Tonya S. Watson, Nancy Foster, and Patrick C. Friman Ch 24: Strategies for Enhancing Medication Adherence in the Elderly - Hillary LeRoux and Jane E. Fisher Ch 25: Treatment Adherence in Pregnancy - Neger Nicole Jacobs and Scott Evan Jacobs Ch 26: Treatment Adherence in People With Psychiatric Disabilities - Patrick W. Corrigan and Amy Watson Ch 27: Treatment Adherence in Ethnic Minorities: Particularities and Alternatives - Jose R. Rodriguez-Gomez and Carmen S. Salas-Serrano Ch 28: Treatment Difficult (Personality Disordered) Patients - Kendra Beitz and Mandra L. Rasmussen-Hall Ch 29: Treatment Adherence in Developmental Disabilities/Cognitively Impaired Patients - Michele D. Wallace, Edwin J. Dyer, and Becky Penrod About the Contributors Appendix References Index
"Health professionals can use this book to identify the best available evidence for improving adherence and apply it to their clinical practice." -- S. P. Kalantri "...establishes its place in a broadly used medical school reference library where it can be accessed by a variety of health care providers, including students in medicine, physical therapy, nutrition, and nursing." -- Mary Ann Cook
