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The Interrelated Predictors of Treatment Compliance among Participants within Chronic Pain Management and Vocational Rehabilitation Services.

机译:慢性疼痛管理和职业康复服务中参与者之间治疗依从性的相互关联的预测因素。

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摘要

Chronic pain conditions may seriously impair the quality of life of individuals with disabilities (Bishop, Chapin, & Miller, 2008). Consistent pain worsens daily functioning, and may manifest in the consumer's ability to meet employment obligations (van Hal, Meershoek, Nijhuis, & Hortsman, 2013). Most individuals with disabilities receive medical treatment and vocational rehabilitation services simultaneously (Falvo, 2014). Issues of compliance are critical concerns for both of these providers. For these reasons, medical and vocational rehabilitation professionals share an interest in addressing non-compliance issues in collaborative care for individuals with disabilities (Bishop et al., 2008). Given the annual ;The purpose of this study was to identify the predictors of treatment compliance in individuals who are participating in chronic pain treatment and vocational rehabilitation services. The study investigated the interrelationship of compliance factors as they impact consumer outcomes. Process factors represent relational factors such as provider and family supports and include demographic variables (e.g. gender, education, ethnicity and social, economic status). Person factors represent variables such as depression, motivation, and pain level. Context factors of interest are health disparities such as access to resources, transportation, and the cost of treatment. Lastly, for the purpose of this study, age is the time factor measure (Rayner, 2009). The two dependent variables of this research, pain management compliance and vocational rehabilitation services compliance, were measured via the Consumer Medical and Vocational Compliance Survey (CMVCS). Participants were recruited from the North Carolina Department of Health and Human Services (DHHS), Division of Vocational Rehabilitation Services. Pearson R and regression analyses were conducted on the data using an alpha of .05 and an 80% confidence level. Findings of the study indicate select independent variables are predictors of medical and vocational rehabilitation compliance. Implications for future research, rehabilitation counselor education, and rehabilitation practice are discussed.
机译:慢性疼痛状况可能会严重损害残疾人的生活质量(Bishop,Chapin和Miller,2008年)。持续的疼痛会使日常功能恶化,并可能表现为消费者履行雇佣义务的能力(van Hal,Meershoek,Nijhuis和Hortsman,2013年)。大多数残疾人同时获得医疗和职业康复服务(Falvo,2014年)。对于这两家提供商而言,合规性问题都是至关重要的问题。由于这些原因,医学和职业康复专业人员对解决残疾人协作护理中的违规问题抱有共同的兴趣(Bishop等,2008)。给定年度;本研究的目的是确定参与慢性疼痛治疗和职业康复服务的个体中治疗依从性的预测因子。这项研究调查了依从性因素影响消费者结果的相互关系。过程因素代表关系因素,例如提供者和家庭的支持,并包括人口统计学变量(例如性别,教育程度,种族和社会,经济地位)。人为因素代表诸如抑郁,动机和疼痛程度等变量。感兴趣的背景因素是健康差异,例如获取资源,交通和治疗费用。最后,对于本研究而言,年龄是时间因素的量度(Rayner,2009)。本研究的两个因变量,即疼痛管理的依从性和职业康复服务的依从性,是通过《消费者医疗和职业依从性调查》(CMVCS)进行衡量的。参与者是从北卡罗来纳州卫生与公共服务部(DHHS)职业康复服务部招募的。使用0.05的alpha和80%的置信度对数据进行Pearson R和回归分析。研究结果表明,选择的独立变量是医学和职业康复依从性的预测指标。讨论了对未来研究,康复顾问教育和康复实践的影响。

著录项

  • 作者

    Washington, Janique Tynez.;

  • 作者单位

    North Carolina Agricultural and Technical State University.;

  • 授予单位 North Carolina Agricultural and Technical State University.;
  • 学科 Behavioral sciences.;Counseling Psychology.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 200 p.
  • 总页数 200
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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