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- Title
Evidence-based Assessment of Adherence to Medical Treatments in Pediatric Psychology.
- Authors
Quittner, Alexandra L.; Modi, Avani C.; Lemanek, Kathleen L.; levers-Landis, Carolyn E.; Rapoff, Michael A.
- Abstract
Objectives Adherence to medical regimens for children and adolescents with chronic conditions is generally below 50% and is considered the single, greatest cause of treatment failure. As the prevalence of chronic illnesses in pediatric populations increases and awareness of the negative consequences of poor adherence become clearer, the need for reliable and valid measures of adherence has grown. Methods This review evaluated empirical evidence for 18 measures utilizing three assessment methods: (a) self-report or structured interviews, (b) daily dialy methods, and (c) electronic monitors. Results Ten measures met the "well-established" evidence-based (EBA) criteria. Conclusions Several recommendations for improving adherence assessment were made. In particular, consideration should be given to the use of innovative technologies that provide a window into the "real time" behaviors of patients and families. Providing written treatment plans, identifying barriers to good adherence, and examining racial and ethnic differences in attitudes, beliefs and behaviors affecting adherence were strongly recommended.
- Subjects
CHILD psychiatry; THERAPEUTIC complications; PATIENT compliance; TECHNOLOGICAL innovations; MEDICAL care of the chronically ill
- Publication
Journal of Pediatric Psychology, 2008, Vol 33, Issue 9, p916
- ISSN
0146-8693
- Publication type
Article
- DOI
10.1093/jpepsy/jsm064