The Role of Behavior Therapy in Cystic Fibrosis

Stark, Lori J.; Spirito, Anthony; Hobbs, Steven A.

doi:10.1007/978-1-4613-0505-7_15

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…(See Dushenko, 1981, for a review.) A second, psychologically relevant topic presented in the CF literature involves compliance with the treatment regimen for CF (Bronheim, 1978;Mathews & Drotar, 1984;Stark, Spirito, & Hobbs, 1990). Despite widespread concerns with regard to patient compliance among medical patients in general (Haynes, Taylor, & Sackett, 1979), this issue rarely has been addressed in relation to prescribed treatment regimens for CF.…”

mentioning

confidence: 99%

Psychosocial factors related to perceived compliance with cystic fibrosis treatment

Geiss¹,

Hobbs

Hammersley-Maercklein³

et al. 1992

J. Clin. Psychol.

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The present research was designed to investigate the adjustment of patients with cystic fibrosis (CF) and their families as well as the relationship between adjustment and physician perceptions of compliance with CF treatment. Patient and family adjustment was assessed by means of the Personality Inventory for Children as well as measures of marital adjustment, depression, and social isolation completed by mothers of CF patients. Results indicated no characteristic pattern of psychopathology or adjustment problems. However, higher levels of perceived compliance with CF treatment were found to be associated with less satisfactory marital relationships and with less frequent maternal social contacts. These findings are discussed in terms of achieving a balance between compliance and psychological adjustment.

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mentioning

confidence: 99%

Psychosocial factors related to perceived compliance with cystic fibrosis treatment

Geiss¹,

Hobbs

Hammersley-Maercklein³

et al. 1992

J. Clin. Psychol.

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“…Alternatively, support of a behavioral protocol may be enhanced by training parents in group sessions like those effectively conducted during similarly designed nutrition programs for children with CF (41,42). Such sessions would provide social reinforcement for following the protocol and an opportunity to discuss effective means of integrating new behaviors with current lifestyles.…”

Section: Discussionmentioning

confidence: 99%

“…Behavioral procedures have been used for children with CF to increase caloric intake and weight (41,42). Also, there have been home-based exercise programs for CF patients, which did not have behavioral components and either dictated the exercise regimen (3,6,10) or suffered from poor compliance (17).…”

mentioning

confidence: 99%

Increasing Physical Activity of Children with Cystic Fibrosis: A Home-Based Family Intervention

Tuzin¹,

Mulvihill²,

Kilbourn³

et al. 1998

Pediatric Exercise Science

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This study evaluated a home-based, parent-managed, behavioral program to increase routine physical activity of ten 7-to 14-year-old children with cystic fibrosis. In each of 3 replications of a multiple baseline design, physical activity increased only after the intervention was initiated. Eight children increased total activity 42.5% to 321 %, and 2 children exercised more consistently. Study II recorded further activity increases at 6-week follow-up. Study III validated reported activity with increases of 7% to 27% in VO2max, 8% and 31.6% in VEmax, and 14.2% and 20% in Wmax. Results suggest that a home-based contingency management program can increase physical activity among chronically ill children with cystic fibrosis. Future studies are needed to assess maintenance and possible health benefits.

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“…Some researchers have utilized self-monitoring as a cue for the child to use a coping technique, and this has resulted in improvement. For example, Stark, Spirito, and Hobbs (1990) used self-monitoring in cystic fibrosis patients as a therapeutic endeavor by suggesting that when children note a high level of anxiety, they should respond with relaxation exercises they had learned.…”

Section: Monitoring For Treatmentmentioning

confidence: 99%

Self-monitoring in behavioral medicine: Children.

Peterson¹,

Tremblay²

1999

Psychological Assessment

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Self-monitoring in children is a valuable method for collecting data, some of which may be obtained in no other way. Self-monitoring has been particularly prevalent in behavioral medicine. This article discusses children's monitoring of their own behavior and parental monitoring when the child is too young to self-monitor (e.g., an infant) and the parent is monitoring as a proxy for the child's own monitoring. Factors that influence the choice of who will perform the monitoring and the accuracy of the monitoring are considered. Monitoring may occur for assessment purposes only or may be an active part of treatment; both of these uses of self-monitoring are described. Barriers to accurate self-monitoring, as well as strategies to increase accuracy, are discussed. Self-monitoring is an integral part of disease assessment and management for many children, and the research described provides suggestions for improvements in the use of self-monitoring in children's behavioral medicine in the future.

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The Role of Behavior Therapy in Cystic Fibrosis

Cited by 5 publications

References 21 publications

Psychosocial factors related to perceived compliance with cystic fibrosis treatment

Psychosocial factors related to perceived compliance with cystic fibrosis treatment

Increasing Physical Activity of Children with Cystic Fibrosis: A Home-Based Family Intervention

Self-monitoring in behavioral medicine: Children.

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