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Rating 4.1 stars (1,314) CONCLUSIONS We have integrated the literature on interventions in child health psychology developing four assumptions and within the framework of levels of intervention, universal, selective, and indicated. Although a number of well-established interventions have been identi ed, systematic intervention research to establish the effectiveness of interventions for the broad range of child health issues is in its beginning stages. Re ecting on the surprising lack of published intervention studies in pediatric psychology, Drotar (1997) discusses several barriers that have limited this literature. The inherent dif culties in conducting intervention trials, combined with increasing pressures for pediatric psychologists to focus on provision of direct services to patients and families, can be signi cant impediments. At the same time, as Drotar notes, there are several avenues by which research on child health interventions can partner with, and enhance, the overall quality of care provided to children and families. For example, there is increased acknowledgment of the importance of psychosocial well-being and function as an outcome of pediatric treatments. While research and clinical practice have often been viewed as separate activities by child health psychologists, more attention to the acceptability (social validity) of psychological interventions, to patients, families, and staff, may lead to increased interest and support for our efforts to provide treatments with empirically supported outcomes. Future directions for intervention research in child health psychology have been delineated throughout this chapter. We focus on three goals here. First is the integration of psychological and pediatric interventions and outcomes. In procedural pain, for example, evaluation of approaches combining pharmacological and psychological interventions (e.g., sedative, anxiolytic, or pain medication plus CBT) has proven helpful. Work related to treatment adherence must consider medical variables to maximize resolution of these problems. pdf to excel converter free online: PDF to Excel Converter ONLINE : Easily convert PDF to XLS ! convert pdf to excel mac free online PDF to Excel Free Online | 100% Secure, Anonymous PDF Converter
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