scholarly journals THE EFFECTS OF COGNITIVE BEHAVIORAL INTERVENTIONS ON REMOVING BARRIERS TO TREATMENT ADHERENCE IN HEMODIALYSIS PATIENTS

Author(s):  
Mitra Zolfaghari ◽  
Fatemeh Sookhak ◽  
Seyyed Hannan Kashfi ◽  
Eghbalx Sekavati ◽  
Reza Tabrizi

ABSTRACTObjective: Treatment adherence in chronic patients results in favorable treatment outcomes. Today, one of the main causes of mortality in hemodialysispatients is that of lack of treatment adherence. Identifying barriers to adherence to treatment is the first step to help these patients. The purpose ofthis study is to determine the effects of cognitive behavioral interventions on removing barriers to treatment adherence in hemodialysis patients.Methods: This clinical study was carried out in the hemodialysis wards of Imam Reza Hospital of Larand Vali-e-Asr Hospital of Lamerd. The sampleincluded 70 patients who were randomly assigned into two groups of intervention (n=35 for even days)and control (n=35 for odd days). Theintervention group received a six-step cognitive behavioral treatment. The level of barriers to treatment adherence was assessed using a self-reportquestionnaire in two stages (pre-intervention and post-intervention). Data were analyzed using SPSS via independent t-test.Results: Before the intervention, the two groups were not significantly different in terms of barriers to treatment adherence (p=0.68). However, afterthe treatment regimen, the barriers significantly decreased for the intervention group. There was a significant difference between the two groups interms of barriers to treatment adherence (p<0.001).Conclusion: Given the efficacy of cognitive behavioral intervention, it can be used to identify barriers to adherence and design individualizededucation programs based on barriers to adherence in hemodialysis patients to increase their treatment adherence.Keywords: Cognitive behavioral, Barriers to treatment adherence, Hemodialysis patients.

2010 ◽  
Vol 24 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Stacey L. Hart ◽  
Trevor A. Hart

There is a growing body of evidence supporting the use of cognitive behavioral treatment within behavioral medicine. There are several limitations to the current body of literature, including external validity of findings from randomized controlled trials, dissemination of findings, and the use of CBT when patients are unmotivated to make behavior change. The current paper proposes several future directions to address these limitations. Solutions to be explored in future research include practical behavioral trials, stepped care approaches, remote technology approaches such as telephone and Internet-based treatments, and the integration of motivational interviewing into cognitive behavioral treatment.


1994 ◽  
Vol 8 (3) ◽  
pp. 243-253 ◽  
Author(s):  
David W. Coon

Studies of the outcome of cognitive-behavioral treatment of clients diagnosed with personality disorders are few and need further replication. This case study examines how Beck’s (Beck, Freeman, & Associates, 1990) and Young’s (Young, 1990; Young & Lindemann, 1992) schema-focused approach offers a helpful framework to use with an Avoidant Personality Disorder (APD) client. The findings point to the value of cognitive/behavioral strategies in restructuring Early Maladaptive Schema (Young, 1990) historically associated with APD, and in modifying many of the behavior patterns characteristic of APD.


Author(s):  
Georgia Zara

This chapter discusses evidence-based treatments that include cognitive-behavioral interventions to target offending. It briefly describes the theoretical principles of cognitive-behavioral treatment (CBT) and then presents an overview of some of the most effective programs in criminological settings. Next, the chapter considers how the recognition of criminal behavior as multidetermined by a multiplicity of factors and criminogenic needs requires multi-modal types of treatment to respond to the complexity of aspects involved in its onset and its persistence. A critical analysis of research findings is presented by looking first at some of the variations in CBT interventions and then by exploring the X factor of their effectiveness. Finally, this chapter refers to the risk-need-responsivity (RNR) model, which integrates scientific accuracy with integrity.


2021 ◽  
Vol 13 (3) ◽  
pp. 1338
Author(s):  
Kyonghwa Kang ◽  
Sungjae Kim

This study aimed to investigate the efficacy of motivational interviewing (MI) with cognitive behavioral treatment (CBT) on behavioral changes of heavy drinkers. This study used embedded mixed methods that integrate sequential qualitative interviews with quantitative evaluation. Of a total of 47 participants, 24 belonged to an intervention group, which participated in the MI with CBT on behavioral changes once a week, 25–30 min on average, for 8 weeks. A total of 23 participants were assigned to a control group, which received a 7-page booklet containing information about alcohol. A t-test, generalized linear model, and qualitative analysis were used to evaluate the effects of MI with CBT. The interview data (n = 13) were analyzed using qualitative content analysis. There was a statistically significant change in participants’ beliefs concerning the immediate effects of drinking (F = 3.827, p = 0.025). Additionally, the intervention group had a significantly higher drinking refusal self-efficacy than the control group (F = 4.426, p = 0.015). Four themes emerged from the analysis of qualitative data: reduction of benefits of drinking, changes in thoughts about costs of drinking, changes in drinking behavior, and achieving self-efficacy. The MI with CBT significantly promoted awareness of problem-drinking behaviors among heavy drinkers and increased their self-efficacy, improving their ability to make positive behavioral changes for themselves. Since this intervention is simple and easy to apply, it will be useful for problem drinking-prevention strategies in the public health sector. Therefore, efforts to disseminate these strategies will be worthwhile from sustainable perspectives.


1998 ◽  
Vol 12 (1) ◽  
pp. 13-25 ◽  
Author(s):  
William Bradshaw

Cognitive-behavioral treatment (CBT) has rarely been applied as the primary treatment for the multiple, severe and persistent problems that characterize schizophrenia. This case study describes the process of CBT in the long-term outpatient care of a young woman with schizophrenia. The study highlights the adaptation of cognitive-behavioral strategies to the unique needs of schizophrenia and presents data regarding clinical outcomes in this case. Measures of psychosocial functioning, severity of symptoms, attainment of treatment goals and hospitalization data were used to assess change over the 3- year treatment period and at 1-year follow-up. Results indicate considerable improvement in all outcome variables and maintenance of treatment gains. These findings suggest the potential usefulness of cognitive-behavioral interventions in the treatment of schizophrenia.


2002 ◽  
Vol 48 (3) ◽  
pp. 476-496 ◽  
Author(s):  
Frank S. Pearson ◽  
Douglas S. Lipton ◽  
Charles M. Cleland ◽  
Dorline S. Yee

The CDATE project coded studies of treatment/intervention programs in prison, jail, probation, or parole settings reported from 1968 through 1996. Meta-analyses were conducted on the 69 primary research studies on the effectiveness of behavioral and cognitive-behavioral treatment in reducing recidivism for offenders. Results on this heterogeneous collection of studies show that this treatment is associated with reduced recidivism rates. However, this effect is mainly due to cognitive-behavioral interventions rather than to standard behavior modification approaches. The specific types of programs shown to be effective include cognitive-behavioral social skills development programs and cognitive skills (Reasoning and Rehabilitation) programs.


2000 ◽  
Vol 3 ◽  
pp. np
Author(s):  
Keith S. Dobson ◽  
Paula A. Truax ◽  
Michael E. Addis ◽  
Kelly Koerner ◽  
Jackie K. Gollan ◽  
...  

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