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Temas em Psicologia

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ALMEIDA, Flávia Pinho; FERREIRA, Eleonora Arnaud Pereira  and  MORAES, Ana Julia Pantoja de. Effects of instruction and self-monitoring on adherence to treatment of juvenile systemic lupus erythematosus. Temas psicol. [online]. 2019, vol.27, n.1, pp. 173-187. ISSN 1413-389X.

This research evaluated the combined effects of instructions (through health education manual) and self-monitoring (using record forms) in occurrence of adherence to treatment by adolescents diagnosed with Juvenile Systemic Lupus Erythematosus. Four adolescents participated in the research, which had four stages: 1. Initial assessment; 2. Intervention, including Condition 1, with exposure to the manual followed by the self-monitoring record forms, and Condition 2, with a reversal order of these instruments; 3. Feedback; and 4. Follow-up. The data obtained with 24h recall and self-monitoring record forms were quantified, allowing the calculation of the Treatment Adherence Index. Three participants showed an increase in this index after the use of self-monitoring records, regardless the exposition order of the instruments. The results of this research suggest that self-monitoring can assist in the installation of adherence behaviors, while manuals with instructions can help to maintain those behaviors, which would justify the combined use of these instruments.

Keywords : Lupus; adherence of treatment; manual; instruction; self-monitoring.

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