Emergency contracts can benefit both parties by creating value and motivating performance, but there are some situations where emergency contracts are not the best solution. Here are some limitations: Given the clinical importance of adenarization in patients with ESRD, it is not surprising that a series of studies have investigated the effects of intervention techniques to improve addation. A large majority of studies have assessed the influence of behavioural intervention on the outcomes of adhanance. There is modest evidence that behavioural strategies (e.g.B. self-monitoring, behavioural contraction and positive reinforcement) are associated with increased addriade in patients with haemodialysis (Barnes, 1976); Brantley, Mosley, Bruce, McKnight & Jones, 1990; Hart, 1979; Hegel, Ayllon, Thiel &Oulton, 1992; Keane, Prue & Collins, 1981; Cerise, Sherman, &Penrod, 1987). However, most of these studies are limited to individual or group designs. A notable exception was a study in which several behavioural techniques were evaluated to encourage compliance in 87 hemodialysis patients (Cummings et al., 1981). These authors reported that behavioral contraction and the use of different types of positive amplification (e.g.B. lottery tickets or verbal amplification) were all linked to a significant improvement in both fluid absorption and drug adhrenity immediately after a six-week intervention period.
However, these improvements were not followed up during a three-month follow-up. The final part of the compliance contract consists of plans to avoid or overcome the obstacles listed in the previous section. For each obstacle, the patient and the health care provider develop a plan that reduces the likelihood that the problem will occur or to deal with the obstacle if it occurs. Patients will likely have strategies that they have tried in the past with different successes. The plan to overcome any impediances to compliance is set out in Part Three of the Compliance Contract. An example is provided in Table 17.10. Single-party contracts are ideal for transition sets where a client moves from a school to a professional environment that requires considerable independence and self-assessment. In such a state of mind, the following order would be appropriate. To be most effective, contingency contracts should have some of the following features: In a review of marijuana-focused clinical trials, McRae, Budney, and Brady (2003) found that cognitive behavioral therapy/recidivism prevention, increased motivation, and emergency management therapies have been effective in treating marijuana addiction and related problems. .