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Journal of Pediatric Psychology 20(3) pp. 291-297, 1995
© 1995 Society of Pediatric Psychology

brief-report

Adherence-Facilitating Behaviors of a Multidisciplinary Pediatric Rheumatology Staff 1

Suzanne M. Thompson, Lynnda M. Dahlquist2,, Gaye M. Koenning and L. Kay Bartholomew

University of Houston, Baylor College of Medicine, Texas Children's Hospital

2All correspondence should be sent to Lynnda M. Dahlquist, Psychiatry (MC3-3301), Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030

Investigated the behaviors of pediatric rheumatology health care providers that were expected to be related to patient or parent adherence. Medical charts of 108 patients ages 1 to 20 years diagnosed with Juvenile Rheumatoid Arthritis were examined. The 473 outpatient visits over 15 months yielded a total of 2,578 treatment recommendations, but only 1,390 adherence-facilitating behaviors by medical staff were documented. Providing information about how often to perform the recommendation was the most common staff behavior. In contrast, care providers rarely indicated that they addressed their patients' concerns and barriers to implementing the recommendations, or employed behavior modification strategies to increase adherence. Implications of these findings for development of programs designed to increase treatment adherence in children with chronic diseases requiring time-consuming, intrusive medical regimens are discussed.

Key words: adherence; children; arthritis; health care providers; chronic illness.


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