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    The Efficacy of Adherence Interventions for Chronically Ill Children: A Meta-analytic Review

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    Issue Date
    2008-08-15
    Author
    Graves, Montserrat
    Publisher
    University of Kansas
    Format
    92 pages
    Type
    Dissertation
    Degree Level
    PH.D.
    Discipline
    Psychology
    Rights
    This item is protected by copyright and unless otherwise specified the copyright of this thesis/dissertation is held by the author.
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    Abstract
    Children with chronic illness, on average, have low rates of adherence to their medical regimens despite the possible medical and psychological consequences. Many different interventions have been developed to increase adherence in this population, and the results are mixed. Some studies show strong results, while others only slightly increase adherence. The purpose of this meta-analysis was provide quantitative information about the overall effectiveness of adherence interventions for children with a chronic illness, as well as statistically evaluate potential moderators of the effectiveness of interventions (e.g., behavioral vs. educational interventions, age of child). Overall, adherence interventions for children with chronic illnesses appear to effectively increase adherence and maintain benefits at follow-up. Additionally, these adherence interventions overall appear to have some positive health benefits. Some intervention and methodological variables, such as study design and assessment method, had a significant effect on effect sizes. However, most of the data included in this meta-analysis should be interpreted with caution because of high levels of heterogeneity within the data. This suggests that more targeted summaries of the research (i.e., adolescents with asthma) would provide more useful information about the effectiveness of adherence interventions.
    URI
    http://hdl.handle.net/1808/4190
    Collections
    • Dissertations [4321]
    • Psychology Dissertations and Theses [466]

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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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