By J. Timothy Bricker
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Additional resources for Adults with Childhood Illnesses: Considerations for Practice (Health, Medicine and Human Development)
Unfortunately, most of these treatments involve nebulized medications and can be very time-consuming, taking increasing amounts of time out of the patient’s lives and impacting significantly on QoL. A recent study of adults with CF showed that the median number of nebulizer and airway clearance therapies per day was 7 and the mean time spent per day was 108 min (6). It is not surprising that the prevalence of treatment adherence for many CF patients is not as high as we would hope, and the overall prevalence of adherence was < 50% among CF patients (7).
Furthermore, medication does not alter the parenting styles that may also be contributing to the difficulties of the young patient (6). Therefore, adjunctive psychosocial treatments for ADHD are often necessary. Behavioral parent training is an empirically supported treatment for ADHD (6). , the provision of attention after the child displays desirable behavior) (6). The evidence supporting behavioral parent training is stronger for younger than for older children (6). In addition, behavioral interventions in classroom settings have empirical support (6).
The data gathered include the number of correct responses, omission errors, and commission errors. A CPT appears to assess impulsivity and inattention (25), and is a reliable psychological test that can discriminate children with ADHD from children without ADHD (26). However, if a child performs well on a CPT it does not suggest that the child does not have ADHD (25). Comprehensive neuropsychological assessment batteries which include multiple subtests have also been used in the assessment process, but there appears to be no basis for their routine use (25).