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Journal of Pediatric Psychology, Vol. 26, No. 5, 2001, pp. 277-278
© 2001 Society of Pediatric Psychology

Commentary

Pushing the Envelope: Furthering Research on Improving Adherence to Chronic Pediatric Disease Regimens

Michael A. Rapoff, PhD

University of Kansas Medical Center

All correspondence should be sent to Michael A. Rapoff, Department of Pediatrics, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, Kansas 66160-7330. E-mail: mrapoff@kumc.edu .

Nonadherence to medical regimens can adversely affect the health and well-being of pediatric patients, the cost-effectiveness of health care, clinical decision making by physicians, and the results of clinical trials. However, despite nearly three decades of research on the prevalence, correlates, and consequences of medical nonadherence, relatively few studies have investigated strategies for improving adherence. This is particularly true for regimens to treat chronic pediatric diseases.

A recent review of the literature found 27 studies that examined the efficacy of strategies for improving adherence to chronic disease regimens in pediatrics (see Rapoff, 1999Go, Table 6.2, pp. 133-140). . . . [Full Text of this Article]

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