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The use of a psychological intervention to increase adherence during factor administration in a child with

S Penica1, K E Williams

  • 1Penn State Harrisburg, USA. smp306@psu.edu

Haemophilia : the Official Journal of the World Federation of Hemophilia
|June 11, 2008
PubMed

Insights

Psychological interventions like distraction and positive reinforcement improve treatment adherence in children with haemophilia. These methods help manage uncooperative behavior during factor replacement therapy, ensuring consistent care.

Area of Science:

  • Pediatric Hematology
  • Behavioral Psychology

Background:

  • Factor replacement therapy is crucial for children with hemophilia, enabling near-normal lives.
  • Intravenous infusions for hemophilia treatment can be painful, leading to child non-adherence.
  • Parent-reported uncooperative behavior during prophylaxis is a major barrier to treatment adherence.

Observation:

  • This study illustrates psychological interventions to enhance adherence during factor administration.
  • Single-case methodology was employed to assess intervention effectiveness.
  • Interventions included counterconditioning, distraction, and positive differential reinforcement.

Findings:

  • Psychological interventions significantly increased treatment adherence over several months.
  • The methods effectively managed uncooperative behaviors during factor infusions.
  • Caregivers and providers can successfully implement these techniques.

Implications:

  • Psychological interventions offer a viable strategy to improve hemophilia treatment adherence in children.
  • These methods can reduce the burden of treatment on children and families.
  • Enhanced adherence supports better long-term health outcomes for pediatric hemophilia patients.

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