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Journal of Pediatric Psychology, Vol. 28, No. 5, 2003, pp. 355-361
© 2003 Society of Pediatric Psychology

The Reliability of Reports of Medical Adherence From Children With HIV and Their Adult Caregivers

Curtis Dolezal, PHD1,2, Claude Mellins, PHD1,2, Elizabeth Brackis-Cott, PHD1,2 and Elaine J. Abrams, MD2

1 New York State Psychiatric Institute, 2 Columbia University

All correspondence should be sent to Curtis Dolezal, New York State Psychiatric Institute, 1051 Riverside Drive, Unit # 15, New York, New York 10032. E-mail: dolezalc{at}childpsych.columbia.edu.

Objective To compare children's reports of their medication adherence to those of their adult caregivers. Method Several indicators of medication adherence were assessed for 48 adult-child dyads. Kappa statistics were calculated as measures of agreement. Results Adherence problems were common, although the level of agreement between the child and the adult was quite low (kappas for adherence variables ranged from .05 to .32). Compared to adult-child dyads that agreed, dyads that disagreed tended to include older children who had more responsibility for managing their own medications. Conclusions Both researchers and clinicians would benefit from acquiring information on children's adherence from multiple sources.

Key words: HIV; medication adherence; pediatric AIDS; adherence reliability.


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