RESUMO
This study addressed the issue of social support for patients' adherence to medical regimens. Social support of wives was assessed by structured interview of 150 male participants in the Coronary Primary Prevention Trial, their wives, and medical staff. In addition, wives were interviewed about their beliefs related to their husbands' health and participation in the trial. Unobtrusive packet counts were used as the measure of adherence. The participants were classified as having high spouse support if wife support scores were in the top one third of the distribution and as having low spouse support if scores were in the bottom one third as measured from inquiry of the participant, the spouse, and the staff. The adherence of men having low support averaged 70 percent, significantly lower than the high-support group, which averaged 96 percent. The correlations between spouses' health beliefs and their level of support were significant for three of four health belief variables. In particular, highly adhering men had wives who believed more strongly in the benefits of the Coronary Primary Prevention Trial.
Assuntos
Atitude Frente a Saúde , Cooperação do Paciente , Meio Social , Apoio Social , Adulto , Idoso , Ensaios Clínicos como Assunto , Doença das Coronárias/prevenção & controle , Método Duplo-Cego , Feminino , Humanos , Masculino , Casamento , Pessoa de Meia-IdadeRESUMO
The advanced counseling skill of confrontation is described. Possession of this skill allows the practicing dietitian to point out clients' discrepant behaviors or thought patterns which obstruct progression toward goals. Confrontation is a positive and constructive act, not a negative, punitive one. When conducted properly, it enhances the working relationship between client and dietitian.
Assuntos
Aconselhamento/métodos , Fenômenos Fisiológicos da Nutrição , Dietética/educação , Educação Continuada , HumanosRESUMO
The purpose of the workshop on nutrition counseling was twofold: (a) to enhance nutritionists' and dietitians' knowledge of counseling and basic interviewing skills, behavioral weight control counseling skills, and adherence counseling skills and (b) to quantitatively evaluate improvement and maintenance of the newly acquired skills. Changes in these areas indicated that it is possible to improve certain skills and to maintain those improvements over time.
