Cognitive Behavioral Therapy in Primary Care

Parrish, Carisa; Eck, Kathryn Van

doi:10.1007/978-3-030-21683-2_12

Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions

2019

DOI: 10.1007/978-3-030-21683-2_12

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Cognitive Behavioral Therapy in Primary Care

Carisa Parrish

Kathryn Van Eck

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Cited by 2 publications

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“…Consistent with best practice recommendations for integrated health care models that emphasize the need for collaboration between mental health providers and pediatrics (Parrish & Van Eck, 2019), hemophilia care in the United States is coordinated through a network of approximately 140 federally funded, team-based comprehensive care clinics (also known as hemophilia treatment centers, or HTCs) that address patients' medical, nursing, physical, educational, and psychosocial needs, see Figure 1 (Barry & Hibner, 2015;CDC, 2020b;National Hemophilia Foundation, 2002). However, day-to-day treatment is administered at home, managed by families, supported by home health nurses, with self-management the eventual goal.…”

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Supporting the development of adherence and self-management in pediatric severe hemophilia.

Cartwright¹

2022

Clinical Practice in Pediatric Psychology

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Hemophilia is a complex medical condition in which home-based selfmanagement by children, adolescents, and their families is the standard of care. However, research on hemophilia self-management is limited. Because of its complexity and self-management standard, understanding the development of adherence and selfmanagement in hemophilia may provide insights into supporting pediatric patients and their families in managing complex health care needs that can be generalized and adapted for other conditions. Methods: A topical review and retrospective case report are provided to illustrate issues in the development of adherence and self-management, and to highlight clinical applications, for pediatric patients with severe hemophilia. Results: Individual, social, and contextual factors influence adherence in pediatric severe hemophilia. Interventions that support individual autonomy and competence, such as medical play and education, and social-contextual supports, such as communitybuilding and technological supports, have been shown to improve adherence and selfmanagement in pediatric severe hemophilia, particularly when tailored to patients' individual needs. Conclusions: Though the literature on adherence and self-management in pediatric severe hemophilia is limited, evidence of positive effects of adherence and self-management interventions is promising and could be applied to management of other complex conditions. Future work should examine emerging adults, and roles of health literacy, executive functioning, and pediatric psychologists in adherence and selfmanagement in pediatric severe hemophilia. Implications for Impact StatementPediatric severe hemophilia is a complex condition that is managed at home by children and families. Studying what works to promote the development of adherence and selfmanagement in such a complex condition can help families and providers understand how to manage and foster the development of adherence and self-management in patients with pediatric severe hemophilia and other complex health conditions.

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Supporting the development of adherence and self-management in pediatric severe hemophilia.

Cartwright¹

2022

Clinical Practice in Pediatric Psychology

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Pediatric medical psychology

Parrish

Bartolini

Song

et al. 2020

International Review of Psychiatry

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Cognitive Behavioral Therapy in Primary Care

Cited by 2 publications

References 41 publications

Supporting the development of adherence and self-management in pediatric severe hemophilia.

Supporting the development of adherence and self-management in pediatric severe hemophilia.

Pediatric medical psychology

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