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In the last 20-30 years, research on affective determinants of health behavior has proliferated. Affective Determinants of Health Behavior brings together this burgeoning area of research into a single volume and features contributions from leading experts in their respective areas. Editors David M. Williams, Ryan E. Rhodes, and Mark T. Conner and their contributing authors focus on a fascinating range of affective concepts, including (but not limited to) hedonic response, incidental affect, perceived satisfaction, anticipated affect, affective attitudes, and affective associations. In the first part of the book, the role of affective concepts in multiple theories of health behavior is highlighted and expanded, including theories of action control, dual-processing, temporal self-regulation, self-determination, and planned behavior, along with a new theory of hedonic motivation. The second part of the book focuses on the role of affective concepts in specific health behavior domains, including physical activity, eating, smoking, substance use, sex, tanning, blood donation, the performance of health professionals, cancer screenings, and cancer control. Affective Determinants of Health Behavior offers readers an important window into existing research and serves as a showcase for important insights on possible new directions and implications for intervention.

Als'Compliance'oder „Adhärenz“ wird die Bereitschaft und Fähigkeit des Patienten bezeichnet, in Kooperation mit dem behandelnden Arzt gute Therapie- und Gesundheitsergebnisse zu erzielen. Die vielfach nachgewiesene unzureichende Therapietreue ist Ursache verzögerter Heilungsprozesse, einer Vielzahl von Folgeerkrankungen und somit auch vermeidbarer Behandlungskosten. Die vorliegende Untersuchung ist für den deutschsprachigen Raum die bislang umfassendste verhaltenswissenschaftliche Analyse der wesentlichen Erfolgsfaktoren des Therapietreueverhaltens. Es werden vier klar unterscheidbare Patiententypen identifiziert. Darauf aufbauend werden umsetzbare, am individuellen Patientenbedarf orientierte Adhärenz-Management-Konzepte für Ärzteschaft, Apotheker, Arztnetze, Kliniken, Krankenversicherungen, Arzneimittelhersteller und Gesundheitspolitik vorgestellt. Die zweite Auflage wurde umfassend aktualisiert und um einige wichtige Kapitel ergänzt.'Nach verschiedenen Schätzungen belaufen sich die direkten medizinischen Kosten unzureichender Compliance auf bis zu zehn Milliarden Euro. Doch wie gelingt es im digitalen Zeitalter, Patienten zur Therapietreue zu motivieren? Christian Schäfer liefert mit seiner bundesweiten Real World Studie interessante Antworten und neue Lösungsansätze. Absolut lesenswert!'Dr. Jens Baas, Vorsitzender des Vorstands der Techniker Krankenkasse

Effective strategies for identifying people living with HIV and helping them receive ongoing medical care.The availability of combination antiretroviral therapy has changed the lives of millions of people living with HIV (PLWH), for whom a once fatal infection can now be a manageable chronic disease. Yet only 30 percent of PLWH in the United States are virally suppressed, and significant gaps in access to care persist. While programs to boost linkage to and retention in HIV care are critical to improving the health of PLWH, efforts to evaluate these programs are surprisingly scarce. Using cutting-edge implementation science, this book tackles the issue of how to better link and retain PLWH in ongoing primary medical care. A multipart case study examines successful strategies and provides detailed profiles of the organizations involved and their processes for reaching, linking, and retaining PLWH. Barriers to and facilitators of implementation are explored qualitatively, network analysis is used to assess changes in interagency collaboration among organizations serving PLWH, and evidence-based recommendations are offered for improving linkage to HIV care in the U.S.

How adults can help children cope with routine and traumatic medical care.Keith J. Slifer, a pediatric psychologist at the Kennedy Krieger Institute and the Johns Hopkins University School of Medicine, explores how adults can help children cope with routine and traumatic medical care. He draws on practice and research to help health care practitioners provide better care for children with chronic conditions and children undergoing rehabilitation after traumatic injury or surgery. By better understanding the behavior, emotions, and developmental challenges of children, health care professionals in practice and in training can solve a range of problems, from getting a distressed child to cooperate with a physical examination or diagnostic test, to teaching a child to adhere to medical self-care.More than 9 million children in the United States regularly visit health care professionals for treatment of chronic or recurrent health conditions. These children experience multiple doctors'visits, trips to the emergency department, hospital admissions, anesthesia, surgery, medications, needle sticks, wound cleaning, seizures, nausea, vomiting, pain, and fear. While most of these children are developing typically in terms of their intellectual and cognitive functioning, many children with intellectual, developmental, and physical disabilities also require frequent medical care, and as chronic health conditions increase, so do the chances of having developmental, learning, emotional, and behavioral problems.A Clinician's Guide to Helping Children Cope and Cooperate with Medical Care will benefit health care professionals and children as practitioners aim both to improve medical care and to prevent the children's behavior from disrupting clinics and distressing and frustrating health care workers and family caregivers. This book is for pediatric psychologists, pediatricians, family medicine practitioners, physician's assistants, nurse specialists, pediatric subspecialists, and students in these fields—and for family members dedicated to helping their children cope with medical procedures and to getting the best possible medical care.

Choice Outstanding Academic Title! 4 Stars - Doody's!Praise for the Third Edition:'This work will be one that students and clinicians keep on their shelves as the gold-standard reference for health behavior change. Summing up: Essential'--ChoiceSubstantially revised to reflect current trends in the field of health behavior change, this new edition of the highly acclaimed'gold standard'text continues to provide a comprehensive overview of behavior change as it relates to public health. It has been extensively reorganized to eliminate redundancies in the earlier edition, and takes a broader, more pragmatic approach in its coverage of health behavior change. New content includes chapters on lifestyle change and prevention and chronic disease management, with an intensive focus on specific behaviors (i.e. diet and nutrition, tobacco use) and chronic illness (i.e diabetes, heart disease). A new section on Community, System, and Provider Interventions to Support Health Behavior Change focuses on the efficacy of interventions implemented within various systems such as schools, workplaces, and health care systems. The fourth edition also provides learning objectives and discussion questions to facilitate use by course instructors in health psychology, behavioral medicine, and public health.This multidisciplinary text has been authored and edited by highly esteemed practitioners, educators, and researchers who are experts in their specific areas of study. The majority of the text continues to be organized around the specific behaviors and chronic illnesses with the most significant public health impacts in terms of morbidity and mortality. Each chapter explains the significance of a particular problem and reviews the empirical evidence for the various intervention approaches.New to the Fourth Edition:Extensively reorganized to eliminate redundanciesUpdated to encompass the most current research in health behavior changeIncludes new chapters on Alcohol, Stress and Mood Management, Diabetes, Obesity, The Workplace, Built Environment, and Behavior DataFocuses intensively on specific behaviors and chronic illnesses that significantly affect public healthIncludes a new section on Community, System, and Provider Interventions to Support Health Behavior ChangeApplicable to a wide variety of courses including public health, behavior change, preventive medicine, and health psychologyAuthored by leading researchers, educators, and practitioners with a multidisciplinary focusIncludes learning objectives and discussion questions

The Health Care Dilemma should be of interest to local and international health care constituencies, including leaders of health care delivery networks, academic professionals, students, and government and ministerial authorities globally with interest in health care systems and policy development.The patient case studies collected in this book provide first-hand accounts of health care delivery in multiple settings in a variety of national and local systems. These accounts, focusing on real experiences and real patients, transcend the rhetoric of political debate about health care delivery. The cases offer lessons for how we might draw on the virtues of other health care systems, understand strengths and shortcomings in our current system, and work toward potential improvements.All royalties derived from the sale of this book are contributed to the Harvard Macy Institute in support of the worldwide community of health care professionals innovating through education.

It used to be called noncompliance, and the patients themselves referred to as difficult. But regardless of the terminology, children's reluctance or failure to commit to prescribed regimens reduces the effectiveness of treatment, often leading to additional care, higher costs, and serious, even deadly, complications. Reflecting a single, authoritative voice, the Second Edition of Adherence to Pediatric Medical Regimens analyzes in comprehensive clinical detail the factors that affect children's and teens'commitment to treatment – from developmental issues to the influence of parents, peers, and others in their orbit – and offers empirically sound guidelines for encouraging adherence. It cautions against viewing young clients as miniature grownups or scaling down adult data, advocating instead for a more nuanced understanding of the population and a collaborative relationship between practitioner and client. Critical areas of interest to clinicians and researchers in pediatrics are brought into clear focus as the book: Provides an overview of adherence rates to chronic and acute disease regimens and examines common adherence problems in children and adolescents. Details consequences of nonadherence and correlates of adherence. Critiques major adherence theories and their clinical implications. Discusses the range of adherence assessment measures. Reviews educational, behavioral and other strategies for improving adherence. Offers ways to translate research into pediatric medical adherence. This updated edition of Adherence to Pediatric Medical Regimens is an essential reference for anyone concerned with improving health outcomes in young people, especially clinicians, researchers, and graduate students in psychiatry as well as pediatric, clinical child, and health psychology.

'This work will be the one that students and clinicans keep on their shelves as the gold-standard reference for health behavior change. Summing Up: Essential'--Choice'The third edition of this handbook provides students and practitioners with the most complete and up-to-date resource on contemporary topics in the field of health behavior change.'Score: 95, 4 stars--Doody'sPraise for the second edition:'This handbook sets a standard for conceptually based, empirically validated health behavior change interventions for the prevention and treatment of major diseases. It is an invaluable resource for the field of behavioral medicine as we work toward greater integration of proven health behavior change interventions into evidence-based medical practice.'--Susan J. Curry, PhD, Director, Center for Health Studies, Group Health Cooperative of Puget Sound; Fellow, Society of Behavioral MedicineNumerous acute and chronic diseases can be prevented simply by maintaining healthy behavioral patterns. This handbook provides practical and authoritative health management information for both health psychologists and primary care physicians whose clients and patients suffer from health-related issues and risks. The text also serves as a useful resource for policy makers and graduate students studying public health or health psychology.This new edition of The Handbook of Health Behavior Change provides an updated and expanded view of the factors that influence the adoption of healthy behaviors. The contributors also examine the individual, social, and cultural factors that can inhibit or promote health behavior change. Key Features:Reviews of past and current models of health behavior change, disease prevention, disease management, and relapse preventionComprehensive coverage of health-related issues, including dietary needs, tobacco and drug use, safer sexual practices, and stress managementAnalysis of behavior change within specific populations (young, elderly, cognitively impaired, etc.)Factors that predict or serve as obstacles to lifestyle change and adherence

The International Caries Detection and Assessment System (ICDAS) offers clinical criteria and codes, together with a framework to support and enable personalized comprehensive caries management for improved long-term health outcome. Based on the ICDAS, this publication provides an up-to-date synthesis of the fields of detection, assessment, diagnosis and monitoring of caries. The available evidence is reviewed, and a summary is given of the current international views on best practice of how the information collected can be collated and synthesized to inform the planning, delivery and clinical evaluation of patient-centred, comprehensive caries management. The book includes a unique glossary of key terms developed with a number of international groups and establishes new links between cariology in clinical practice, caries research, dental education and epidemiology, and dental public health. The book presents valuable information for practitioners and other dental health professionals with an interest in dental caries and its modern, evidence-based, clinical management as well as for all involved in the domains of dental public health, caries research or education.

Vast global resources are ploughed into the delivery of treatment interventions ranging from diet and lifestyle advice to complex surgery. In all cases, whatever the intervention, unless the recipient is engaged with the process and understands why the intervention has been offered and the part they play in its success, compliance is an issue. Even where the individual does engage and understand, he or she may choose not to comply. Non-compliance is estimated to cost the pharma industry US$70 billion per year. No figures exist for the cost to healthcare insurers and public health but non-compliance is undoubtedly one of the top five issues facing both drug developers and healthcare providers. During clinical trials, non-compliance undermines the accuracy of the data generated from the whole trial as well as particular aspects such as the efficacy of different dosages. This book explores the key factors which drive compliance and the part that healthcare professionals can play in improving this, with the key underlying goal of improving public health in its broadest sense.

“AIDS is kind of like life, just speeded up. ” JavonP.,heroinaddictwithAIDS, Bronx,NewYork, 1988 “Now I'm not so much scared of dying as scared of living. ” Mike D., heroin addict with AIDS, New Haven, Connecticut, 1998 Within little more than a decade, AIDS has been tranformed from an untreatable, rapidly fatal illness, into a manageable, chronic disease. Most of this tranformation has occurred in the past five years, accelerated by the advent of protease inhibitors and the proven benefits of combination antiretroviral therapy and prophylaxis against opportunistic infections. For people living with HIV/AIDS, these developments have offered unprecedented hope, and also new challenges. As reflected in the quotes above, some of the anxieties and anticipation of premature dying have been replaced by the uncertainties involved in living with a long-term, unpredictable illness. The role of caregivers for people with HIV/AIDS has also changed radically over this time. Earlier in the epidemic, we learned to accompany patients through illness, to bear witness, to advocate, to address issues of death, dying, and - reavement. The arrival of more effective therapy has brought with it new capabi- ties, but also new complexities, raising difficult problems concerning access to care, adherence, and toxicity.

1. It is incumbent on medical providers that they are asking patients to - here to regimens with demonstrated eficacy, Providers need to remind themselves of the Hippocratic oath:'I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit ofmy patients, and abstain from whatever is deleterious and mischievous'(as cited in Cassell, 199 1, p. 145). 2. Providers need to abandon the'blame and shame'approach to dealing with medical adherence problems. It is tempting to blame patients for adherence failures and shame them into changing their behavior. Providers need to share the blame (or better yet omit blame) and look at their own attitudes and behaviors that impact adherence. For example, failing to simplify regimens or minimize negative side effects can adversely impact patient adherence. 3. Patients and their families are no longer (or maybe were never) satisfied with apassive role in their health care. In fact, the tern compliance lost favor in the literature because it implied for some an authoritarian approach to health care that required unquestioned obedience by patients to provider recommendations (DiMatteo & DiNicola, 1982). Comprehensive and effective health care requires a cooperative relationship between providers and patients and their families. It also acknowledges the following realities, particularly for treating persons with chronic illness:'Doctors do not treat chronic illnesses. The chronically ill treat themselves with the help of their physicians; the physician is part of the treatment.