Howren M Bryant, Gonzalez Jeffrey S
VA Iowa City Healthcare System, Iowa City, IA, USA.
Department of Psychology, The University of Iowa, 11 Seashore Hall East, Iowa City, IA, 52242, USA.
J Behav Med. 2016 Dec;39(6):931-934. doi: 10.1007/s10865-016-9804-0. Epub 2016 Oct 20.
The current issue is devoted broadly to research on treatment adherence and chronic illness self-management behavior. As the prevalence of chronic illness increases, the pervasive problem of treatment nonadherence is increasingly viewed as having a major impact on treatment outcomes, public health and healthcare costs, making this issue particularly timely. Sixteen articles spanning an array of topics are presented; articles include empirical studies, statistical simulations, systematic reviews, and theoretical commentaries. Studies conducted with diverse patient populations (e.g., chronic headache, diabetes, end-stage renal disease, HIV, hypertension, severe obesity), samples (e.g., adolescents, ethnic/racial minorities, low-income adults, parents, spousal dyads), and designs (e.g., cross-sectional, longitudinal assessment, randomized controlled trial), are represented. This issue highlights psychosocial factors associated with nonadherence, promising interventions to promote adherence, and state-of-the art methods for the study of illness self-management. We hope these articles engender even more high quality, methodologically rigorous research in this important subfield of behavioral medicine.
本期主要致力于治疗依从性和慢性病自我管理行为的研究。随着慢性病患病率的上升，治疗不依从这一普遍问题越来越被视为对治疗结果、公共卫生和医疗成本有重大影响，这使得本期尤为及时。本期发表了16篇涵盖一系列主题的文章；文章包括实证研究、统计模拟、系统评价和理论评论。研究对象包括不同的患者群体（如慢性头痛、糖尿病、终末期肾病、艾滋病毒、高血压、重度肥胖症患者）、样本（如青少年、少数族裔/种族群体、低收入成年人、父母、配偶二元组）以及设计类型（如横断面研究、纵向评估、随机对照试验）。本期重点介绍了与不依从相关的心理社会因素、促进依从性的有前景的干预措施以及疾病自我管理研究的最新方法。我们希望这些文章能在行为医学这一重要子领域引发更多高质量、方法严谨的研究。
