Designing Dynamic Interventions to Improve Adherence in Pediatric Long-term Treatment - The Role of Perceived Value of the Physician by Primary Caregivers
TL;DR: A theoretical model is proposed that incorporates intervention as an integral component of care through the caregiver-physician bridge and defines communication and consultation as the functional, whereas relationship as the emotional component of the primary caregiver’s perception of the physician.
Abstract: Primary Caregivers are the fulcrum in the physician-caregiver-child triad. Existing literature discusses static multi-component interventions in detail. In long-term treatments, dynamic interventio...
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TL;DR: I am moved by Professor Allan's elegy to bygone NHS virtues of ‘calm caring and gentle pace of clinical life… and all the time in the world to deliver compassionate care'.
Abstract: Editor – I am moved by Professor Allan's elegy to bygone NHS virtues of ‘calm caring and gentle pace of clinical life… and all the time in the world to deliver compassionate care' ( Clin Med October 2009 p 407). One's immediate instinct would be to say ‘Ah, but times have changed' – only
564 citations
Posted Content•
TL;DR: An adaptation of the Vanderbilt Therapeutic Alliance Scale (VTAS) for rating parent-provider interactions in pediatric primary care appears possible to use therapeutic alliance to rate interactions in primary care.
Abstract: This article found it is possible to use a variation of the Vanderbilt Therapeutic Alliance Scale (VTAS) to rate parent-provider interactions in pediatric primary care. Measuring therapeutic alliance may be a useful tool in evaluating interventions to improve the delivery of mental health services in primary care because of its potential specificity as a marker of mental health-related outcomes.
27 citations
Journal Article•
19 citations
30 Apr 2017
TL;DR: Higher levels of parent-professional alliance were significantly associated with improved clinical outcomes and stronger treatment engagement, and a need for future studies to investigate factors influencing the quality of the parent- professional alliance and alliance-outcome association in child, parent, and family treatment is emphasized.
Abstract: This review systematically explored research examining the relation between parent-professional alliance and outcomes of psychosocial treatments provided to children, and their parents and families. Study findings and methodological characteristics were reviewed to investigate the evidence linking the alliance between parents and professionals to outcomes of child, parent, and family treatment as well as to identify factors that may influence the alliance-outcome association. A systematic review of the literature was conducted that included a search of three electronic databases using specified search terms, followed by a hand search to identify relevant studies. A total of 46 studies (37 published articles and 9 unpublished dissertations) met inclusion criteria. Overall, the findings indicated that higher levels of parent-professional alliance were significantly associated with improved clinical outcomes and stronger treatment engagement. However, some studies found that the parent-professional alliance was not significantly related to clinical outcomes or treatment engagement, and a few studies showed that higher levels of alliance were related to less positive clinical outcomes and lower levels of treatment engagement. Several theoretical (problem type, child age, parent sex) and methodological (source and timing of alliance measurement, alliance-outcome informants, outcome domain, timing of outcome measurement) factors were identified that could influence the alliance-outcome association. Together, our findings emphasize the importance of alliance awareness when working with parents as well as a need for future studies to investigate factors influencing the quality of the parent-professional alliance and alliance-outcome association in child, parent, and family treatment.
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TL;DR: A structured summary is provided including, as applicable, background, objectives, data sources, study eligibility criteria, participants, interventions, study appraisal and synthesis methods, results, limitations, conclusions and implications of key findings.
31,379 citations
"Designing Dynamic Interventions to ..." refers background in this paper
...At the broad service level, research works have established the role of the perceived value of healthcare services on behavioral interventions like loyalty and repeat visit (Amin & Zahora Nasharuddin, 2013; Chahal & Kumari, 2012; Choi et al., 2004; Moliner, 2009; Teke et al., 2012)....
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TL;DR: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) is introduced, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses.
Abstract: Moher and colleagues introduce PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses. Us...
23,203 citations
"Designing Dynamic Interventions to ..." refers methods in this paper
...Selection and screening of existing literature This study followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) guidelines for performing the literature review (Moher, 2009)....
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TL;DR: A framework for conducting a scoping study is outlined based on recent experiences of reviewing the literature on services for carers for people with mental health problems and it is suggested that a wider debate is called for about the role of the scoped study in relation to other types of literature reviews.
Abstract: This paper focuses on scoping studies, an approach to reviewing the literature which to date has received little attention in the research methods literature. We distinguish between different types of scoping studies and indicate where these stand in relation to full systematic reviews. We outline a framework for conducting a scoping study based on our recent experiences of reviewing the literature on services for carers for people with mental health problems. Where appropriate, our approach to scoping the field is contrasted with the procedures followed in systematic reviews. We emphasize how including a consultation exercise in this sort of study may enhance the results, making them more useful to policy makers, practitioners and service users. Finally, we consider the advantages and limitations of the approach and suggest that a wider debate is called for about the role of the scoping study in relation to other types of literature reviews.
16,728 citations
TL;DR: In this article, the authors developed a 19-item measure, PERVAL, that can be used to assess customers' perceptions of the value of a consumer durable good at a brand level.
4,906 citations
TL;DR: This report highlights the need for a multi-disciplinary approach to adherence, emphasizes system factors that need to be addressed in successfully implementing adherence-enhancing strategies, and provides illustrative examples of the ways in which professionals have contributed in their own fields of expertise including cardiovascular care among other fields.
4,899 citations
"Designing Dynamic Interventions to ..." refers background in this paper
...Improving adherence, an important health system modifier is very crucial for saving lives (De Geest & Sabaté, 2003)....
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...The research from early 2000 opened the discussion about non-patient factors such as caregivers, health systems, and several country-level aspects’ impact on adherence to longterm therapies (De Geest & Sabaté, 2003)....
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