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Journal of Pediatric Psychology, Vol. 26, No. 5, 2001, pp. 279-282
© 2001 Society of Pediatric Psychology

Commentary

If "An Apple a Day Keeps the Doctor Away," Why Is Adherence So Darn Hard?

Annette M. La Greca, PhD and Karen J. Bearman, MS

University of Miami

All correspondence should be sent to Annette La Greca, Department of Psychology, 5665 Ponce de Leon Blvd., 2nd Floor, Coral Gables, Florida 33146. E-mail: alagreca@miami.edu .

As pediatric psychologists know well, adhering to complicated medical regimens for chronic pediatric conditions—such as diabetes, asthma, and arthritis—is a challenge for children, adolescents, and their families (La Greca & Schuman, 1995; Rapoff, 1999Go). And it is no wonder. Children and families need to fit a complex disease and its management into everyday life, which often has competing demands. In fact, most children and families are "on their own" in terms of handling the day-to-day management of their disease, with only occasional guidance from health care professionals.

Accordingly, efforts to improve treatment management have been an important goal for promoting the health and well-being of youths with chronic disease. However, as the review by Lemanek, Kamps, and Chung (this issue) demonstrates, much work still needs to be done in this area. Lemanek et al. found no empirically supported interventions for the management of asthma, diabetes, or juvenile rheumatoid arthritis, . . . [Full Text of this Article]

Conceptualization and Measurement Issues

Future Directions

Conclusions

References


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