Abstract
Behavior change through psychotherapy is frequently accomplished through the use of homework assignments conducted by patients between treatment sessions. There has been little attention directed at adherence to such behavioral prescriptions. This study compares the effects of Verbal versus Written behavioral prescriptions on recall of self-reported adherence to therapeutic homework assignments. Thirty subjects were randomly assigned to the Verbal and Written conditions in a counterbalanced, within-subjects, crossover design. Written prescriptions led to significantly better recall of and adherence to homework assignments.
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Baile, W. F., and Engel, B. T. (1978). A behavioral strategy for promoting treatment compliance following myocardial infarction.Psychosom. Med. 40: 413–419.
DiMatteo, M. R., and DiNicola, D. D. (1982).Achieving Patient Compliance: The Psychology of Medical Practitioner's Role. Pergamon, New York.
Epstein, L. H., and Cluss, P. A. (1982). A behavioral medicine perspective on adherence to long-term medical regimens.J. Consult. Clin. Psycholo. 50: 950–971.
Haynes, R. G. (1982). Improving patient compliance: An empirical view. In Stewart, R. B. (ed.),Adherence, Compliance and Generalization in Behavioral Medicine, Brunner/Mazel, New York.
Ley, P. (1977). Psychological studies of doctor-patient communications. In Rachman, S. (ed.),Contributions to Medical Psychology, Vol. 1, Pergamon, New York.
Lindewich, J. A., Catalano, R., and Flack, H. L. (1974). The effect of packaging and instruction on outpatient compliance with medication regimes.Drug Intell. Clin. Pharm. 8: 10–15.
Sackett, D. L., Haynes, R. B., Gibson, E. S., Hackett, B. C., Taylor, D. W., Roberts, R. S., and Johnson, A. L. (1975). Randomized clinical trial of strategies for improving medication compliance in primary hypertension.Lancet 1: 1205–1207.
Sharpe, T. R., and Mikeal, R. L. (1974). Patient compliance with antibiotic regimens.Am. J. Hosp. Pharm. 31: 479–484.
Shelton, J. L., and Ackerman, J. M. (1974).Homework in Counseling and Psychotherapy. Thomas, Springfield, Ill.
Shelton, D. S., and Moseley, T. A., III (1976). Mailed versus telephone appointment reminders to reduce broken appointments in a hospital outpatient department.Med. Care 14: 273.
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This research was supported in part by NIH Grant AM 282880 and a grant from the Wellcome Foundation
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Cox, D.J., Tisdelle, D.A. & Culbert, J.P. Increasing adherence to behavioral homework assignments. J Behav Med 11, 519–522 (1988). https://doi.org/10.1007/BF00844844
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DOI: https://doi.org/10.1007/BF00844844