The Effect of a Token Economy on Dietary Compliance for Children on Hemodialysis

Magrab, Phyllis R.; Papadopoulou, Zoe L.

doi:10.1901/jaba.1977.10-573

Cited by 72 publications

(24 citation statements)

References 6 publications

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“…The pediatric population is grossly underrepresented and understudied in the interventional hemodialysis research. No RCTs have been performed in pediatric hemodialysis patients, and only 2 pediatric/adolescent hemodialysis quasiexperimental studies have been performed 39,40 . Therefore, generalizability to pediatric populations is limited.…”

Section: Discussionmentioning

confidence: 99%

Interventions to improve hemodialysis adherence: A systematic review of randomized‐controlled trials

Matteson

Russell

2010

Hemodialysis International

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Over 485,000 people in the United States have chronic kidney disease, a progressive kidney disease that may lead to hemodialysis. Hemodialysis involves a complex regimen of treatment, medication, fluid, and diet management. In 2005, over 312,000 patients were undergoing hemodialysis in the United States. Dialysis nonadherence rates range from 8.5% to 86%. Dialysis therapy treatment nonadherence, including treatment, medication, fluid, and diet nonadherence, significantly increases the risk of morbidity and mortality. The purpose of this paper is to systematically review randomized-controlled trial intervention studies designed to increase treatment, medication, fluid, and diet adherence in adult hemodialysis patients. A search of Cumulative Index of Nursing and Allied Health Literature (CINAHL) (1982 to May 2008), MEDLINE (1950 to May 2008), PsycINFO (1806 to May 2008), and all Evidence-Based Medicine (EBM) Reviews (Cochran DSR, ACP Journal Club, DARE, and CCTR) was conducted to identify randomized-controlled studies that tested the efficacy of interventions to improve adherence in adult hemodialysis patients. Eight randomized-controlled trials met criteria for inclusion. Six of the 8 studies found statistically significant improvement in adherence with the intervention. Of these 6 intervention studies, all studies had a cognitive component, with 3 studies utilizing cognitive/behavioral intervention strategies. Based on this systematic review, interventions utilizing a cognitive or cognitive/behavioral component appear to show the most promise for future study.

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Section: Discussionmentioning

confidence: 99%

Interventions to improve hemodialysis adherence: A systematic review of randomized‐controlled trials

Matteson

Russell

2010

Hemodialysis International

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“…These behavioral techniques have been reported to successfully increase the compliance of small groups of dialysis patients. Target behaviors of these intervention studies have included compliance with diet and fluid restrictions [34][35][36][37], decreased time to complete self-dialysis training [38], elimination of a phobic response to dialysis [39], and monitoring of blood clotting times on self-dialysis [40], Cummings et al [4] reported the largest and most methodologically sophisticated intervention study to date in HD patients using a pretest-posttest control group design. They measured mean serum K and IWG prior to intervention (Tl).…”

Section: Esrd Compliance Intervention Studiesmentioning

confidence: 99%

Treatment Compliance in End-Stage Renal Disease Patients on Dialysis

et al. 1986

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This paper reviews the current knowledge concerning treatment compliance in patients with end-stage renal disease (ESRD). Adult hemodialysis patient noncompliance with the treatment regimen is very common. Objective and subjective measures of compliance, however, are often weakly correlated. In addition, the patients may be compliant with some aspects of the treatment regimen, but noncompliant with others. Unfortunately, no current model of predicting the degree of hemodialysis patient compliance is very accurate. In spite of this, behavioral approaches to increase regimen compliance do have at least short-term efficacy. There is a paucity of published data on compliance in adult peritoneal dialysis patients and an almost complete absence of systematic studies of compliance in children and adolescent dialysis patients. A multidimensional nosology of compliance behavior in ESRD patients is, therefore, proposed, as well as an approach to the diagnosis of noncompliance in ESRD patients and to possible interventions.

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“…Improved dietary choices by the elderly (Stock & Milan, 1993), nutritional quality of food purchases , and dietary compliance of children on dialysis machines (Magrab & Papadopoulou, 1977) have been achieved through various combinations of prompts, feedback, and social reinforcement, although experimental difficulties limited some of the findings (Winett, Kramer, Walker, Malone, & Lane, 1988). Adherence to medical regimens and protocols is a major problem in behavior change programs.…”

Section: Healthmentioning

confidence: 99%

Applied Behavior Analysis: Understanding and Changing Behavior in the Community—A Representative Review

Luyben

2009

Journal of Prevention & Intervention in the Community

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Applied behavior analysis, a psychological discipline, has been characterized as the science of behavior change (Chance, 2006). Research in applied behavior analysis has been published for approximately 40 years since the initial publication of the Journal of Applied Behavior Analysis in 1968. The field now encompasses a wide range of human behavior. Although much of the published research centers on problem behaviors that occur in schools and among people with disabilities, a substantial body of knowledge has emerged in community settings. This article provides a review of the behavioral community research published in the Journal of Applied Behavior Analysis as representative of this work, including research in the areas of home and family, health, safety, community involvement and the environment, recreation and sports, crime and delinquency, and organizations. In the interest of space, research in schools and with people with disabilities has been excluded from this review.

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The Effect of a Token Economy on Dietary Compliance for Children on Hemodialysis

Cited by 72 publications

References 6 publications

Interventions to improve hemodialysis adherence: A systematic review of randomized‐controlled trials

Interventions to improve hemodialysis adherence: A systematic review of randomized‐controlled trials

Treatment Compliance in End-Stage Renal Disease Patients on Dialysis

Applied Behavior Analysis: Understanding and Changing Behavior in the Community—A Representative Review

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