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Using a Novel Digital Token Economy Intervention to Improve Adherence to Self-care Behaviors in Hospitalized Pediatric Patients

Hickey, Victoria
http://orcid.org/0000-0002-5631-4418
http://rave.ohiolink.edu/etdc/view?acc_num=xavier1525349538790395

Abstract Details

2018, Doctor of Nursing Practice Degree Program in Population Health Leadership DNP, Xavier University, Nursing.
Adherence to a prescribed plan of care in chronically ill patient populations of all ages is a global challenge. Failure to adhere to prescribed medications, treatments, and recommended self-care behaviors can lead to poor health outcomes and increased health care costs. Pediatric oncology, immunodeficiency, and hematopoietic stem cell transplant (HSCT) patients are at increased risk of developing treatment-related toxicities including infections, oral complications, and deconditioning, especially when they are non-adherent to prescribed self-care behaviors. Evidence indicates the risk for these toxicities can be reduced by participation in key activities of daily living (ADL), including daily bathing with chlorhexidine gluconate (CHG), physical activity and oral hygiene, known as ADL 1-2-3. Despite this evidence, many patients fail to perform these important ADL during their inpatient treatment, when they are most susceptible. Pilot testing of a paper token economy system demonstrated increased engagement in ADL 1-2-3 in a small group of inpatient pediatric HSCT patients who had a history of non-adherence with these self-care behaviors. The results of the pilot study suggested furthering this effort through the design and building of a digital token economy system. The primary DNP scholarly project aim is to improve overall adherence to ADL 1-2-3, as well as compare adherence between one group of patients receiving the current standard of care and a second group of patients receiving a novel digitalized token economy intervention in addition to the current standard of care. The DNP project serves as a feasibility study for a larger scale randomized controlled trial and therefore includes measurement of intervention fidelity in support of this National Institute of Health grant funded research.
Elizabeth Bragg, PhD, RN (Committee Chair)
Susan Allen, PhD, RN-BC (Committee Member)
98 p.
Medicine; Nursing; Psychology
Pediatric adherence; Adherence to self-care behaviors; Adherence to activities of daily living during hospitalization; Digital token economy intervention; Patient and family engagement in care; Improving adherence in pediatric oncology and BMT

Recommended Citations

Citations

  • Hickey, V. (2018). Using a Novel Digital Token Economy Intervention to Improve Adherence to Self-care Behaviors in Hospitalized Pediatric Patients [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1525349538790395

    APA Style (7th edition)

  • Hickey, Victoria. Using a Novel Digital Token Economy Intervention to Improve Adherence to Self-care Behaviors in Hospitalized Pediatric Patients. 2018. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xavier1525349538790395.

    MLA Style (8th edition)

  • Hickey, Victoria. "Using a Novel Digital Token Economy Intervention to Improve Adherence to Self-care Behaviors in Hospitalized Pediatric Patients." Doctoral dissertation, Xavier University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1525349538790395

    Chicago Manual of Style (17th edition)

xavier1525349538790395
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© 2018, all rights reserved.
This open access ETD is published by Xavier University and OhioLINK.