Chest physiotherapy (CPT) is the least complied with aspect of cystic fibrosis (CF) treatment and 90% to 95% of CF patients die as a result of chronic pulmonary disease. Behavioral contracting was introduced to increase the compliance of an 11-year-old CF girl to her CPT treatment. Positive changes were reported in her compliance, physiological measures, and family functioning during contracting and follow-up.
Get full access to this article
View all access options for this article.
References
1.
Bellisari, A. (March, 1985). Beating CF: Patient compliance with chest physiotherapy in cysticfibrosis. Paper presented at the Meeting of the Society of Behavioral Medicine, New Orleans.
2.
Blythe, S. A. , & Farrell, P. M. (1984). Advances in the diagnosis and management of cystic fibrosis. Clinical Biochemistry, 17, 277-283.
3.
Bowman, B. H. , & Mangos, J. A. (1976). Current concepts in genetics: Cystic fibrosis. New England Journal of Medicine, 294, 937-938.
4.
Brasfield, D. , Hicks, G., Soong, S., & Tiller, R. E. (1979). The chest roentgenogram in cystic fibrosis: A new scoring system. Pediatrics, 63, 24-29.
Desmond, K. J. , Schwenk, W. K., Thomas. E., Beaudry, P. H., & Coates, A. L. (1983). Immediate and long-term effects of chest physiotherapy in patients with cystic fibrosis. Journal of Pediatrics, 103, 538-542.
7.
di Sant'Agnese, P. A. (1956). Fibrocystic disease of the pancreas, a generalized disease of exocrine glands. Journal of the American Medical Association, 160, 846-853.
8.
Dunbar, J. M. , Marshall, G. D., & Howell, M. F. (1979). Behavioral strategies for improving compliance. In R. B. Haynes, D. W. Taylor, & D. L. Sackett (Eds.), Compliance in Health Care. Baltimore: Johns Hopkins University Press.
9.
Dushenko, T. W. (1981). Cystic fibrosis: A medical overview and critique of the psychological literature. Social Science and Medicine, 15, 43-56.
10.
Flower, K. A. , Eden, R. I., Lomax, L., Mann, N. M., & Burgess, J. (1979). New mechanical aid to physiotherapy in cystic fibrosis. British Medical Journal, 2, 630-631.
11.
Gaskell, D. (1975). Physiotherapy for adolescents and adults. Physiotherapy, 61, 248-248.
12.
Hobbs, S. A. , Geiss, S. K., Hammersly, G. S., Kramer, J. C., & Henley, M. (March, 1985). Compliance with cystic fibrosis treatment: Patient, parent, and physician reports. Paper presented at the Meeting of the Society of Behavioral Medicine, New Orleans.
13.
Holsclaw, D. J. (1980). Cystic fibrosis: Overview and pulmonary aspects in young adults. Clinics in Chest Medicine, 1, 407-421.
14.
Kelly, H.W. , & Lovato, C. (1984). Antibiotic use in cystic fibrosis. Drug Intelligence and Clinical Pharmacy, 18, 772-783.
15.
Keppel, G. (1973). Design and analysis: A researcher's handbook. Englewood Cliffs, NJ: Prentice-Hall.
16.
Kucia, C. , Drotar, D., Doershuk, C. F., Stern, R. C., Boat, T. F., & Matthews, L. (1979). Home observations of family interactions and childhood adjustment to cystic fibrosis. Journal of Pediatric Psychology, 4, 189-195.
17.
Liebman, R. , Minuchin, S., & Baker, L. (1974). Use of structured family therapy in the treatment of intractable asthma. American Journal of Psychiatry, 131, 535-539.
18.
Lowe, K. , & Lutzker, J. R. (1979). Increasing compliance to a medical regimen with a juvenile diabetic. Behavior Therapy, 10, 57-64.
19.
Matthews, L. W. , & Doershuk, C. F. (1967). Inhalation therapy and postural drainage for the treatment of cystic fibrosis. Modern Problems of Pediatrics, 10, 297-314.
20.
Matthews, L. W. , & Drotar, D. (1984). Cystic fibrosis-a challenging long-term chronic disease. Pediatric Clinics of North America, 31, 133-152.
21.
Passero, M. A. , Remor, B., & Salomon, J. (1981). Patient-reported compliance with cystic fibrosis therapy. Clinical Pediatrics, 20, 264-268.
22.
Sproul, A. , & Huang, N. (1964). Growth patterns in children with cystic fibrosis. Journal of Pediatrics, 65, 664-676.
23.
Tecklin, J. S. , & Holsclaw, D. S. (1975). Evaluation of bronchial drainage in patients with cystic fibrosis. Physical Therapy, 55, 1081-1084.
24.
Wood, R. E. , Boat, T. F., & Doershuk, C. F. (1976). Cystic fibrosis. American Review of Respiratory Disorders, 113, 833-877.
25.
Zapletal, A. , Stefanova, J., Horak, J., Vovrova, V., & Samanek, M. (1983). Chest physiotherapy and airway obstruction in patients with cystic fibrosis-a negative report. European Journal of Respiratory Disease, 64, 426-433.
