Literally hundreds of behavioral self-help manuals have been marketed to the public aimed at resolving a wide array of problems. The potential savings of therapist time and client dollars is formidable. Noncompliance is, however, a continuing problem. Noncompliance rates from 30 - 50% are typically reported. Application of Marlatt's relapse prevention strategies (described to our patients as the Goal Violation Effect--GVE) presents one possible way of conceptualizing and potentially decreasing noncompliance. / Thirty-nine dental patients were given a self-administered desensitization treatment designed to be completed in 15 half-hour sessions. Half of the patients received treatment manuals which contained an explanation of the GVE model and instructions on how to counter behaviors and thoughts often associated with noncompliance. A verbal presentation of the GVE material was also given. The remainder of the patients received manuals which contained only the fear reduction treatment text and an admonition to completely read the manual. After 15 days the dental patients were recontacted and assessments of compliance (by self-report and unobtrusive measures) and self-efficacy were undertaken. / There were no group differences in overall compliance. Those patients receiving the GVE manipulation completed the text in less time and required fewer days to collect post-treatment data. There was strong agreement between self-report of compliance and an unobtrusive compliance measure. Females were more compliant with the therapy text requiring written responses and had significantly higher self-efficacy ratings at pre-treatment. There were no post-treatment group differences in self-efficacy. The discussion focuses on the cost-effectiveness of the GVE compliance enhancement technique and the fear reduction treatment. / Source: Dissertation Abstracts International, Volume: 47-07, Section: B, page: 3108. / Thesis (Ph.D.)--The Florida State University, 1986.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_75890 |
| Contributors | GODDING, PHILLIP RAY., Florida State University |
| Source Sets | Florida State University |
| Detected Language | English |
| Type | Text |
| Format | 80 p. |
| Rights | On campus use only. |
| Relation | Dissertation Abstracts International |
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