Skip Navigation


Journal of Pediatric Psychology Advance Access originally published online on September 10, 2007
Journal of Pediatric Psychology 2008 33(9):916-936; doi:10.1093/jpepsy/jsm064
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
33/9/916    most recent
jsm064v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Quittner, A. L.
Right arrow Articles by Rapoff, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Quittner, A. L.
Right arrow Articles by Rapoff, M. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

This article appears in the following Journal of Pediatric Psychology issue: Special Issue: Evidence-based Assessment in Pediatric Psychology [View the issue table of contents]

Evidence-based Assessment of Adherence to Medical Treatments in Pediatric Psychology

Alexandra L. Quittner, PhD1, Avani C. Modi, PhD2, Kathleen L. Lemanek, PhD3, Carolyn E. Ievers-Landis, PhD4 and Michael A. Rapoff, PhD5

1Department of Psychology, University of Miami, 2Department of Pediatrics, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, University of Cincinnati School of Medicine, 3Department of Clinical Pediatrics, Columbus Children's Hospital, Ohio State University College of Medicine, 4Division of Behavioral Pediatrics and Psychology, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine and 5Division of Behavioral Pediatrics, University of Kansas School of Medicine

All correspondence concerning this article should be addressed to Alexandra L. Quittner, PhD, Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd. Coral Gables, FL 33146. E-mail: aquittner{at}miami.edu


  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 diary 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.

Key words: adherence; diary methods; electronic monitors; empirically-supported; measurement.

Received November 15, 2006; revision received July 12, 2007; accepted July 12, 2007


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J Pediatr PsycholHome page
E. S. Kuhl, B. T. Felt, and S. R. Patton
Brief Report: Adherence to Fluid Recommendations in Children Receiving Treatment for Retentive Encopresis
J. Pediatr. Psychol., November 1, 2009; 34(10): 1165 - 1169.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
O. Hsin, A. M. La Greca, J. Valenzuela, C. Taylor Moine, and A. Delamater
Adherence and Glycemic Control among Hispanic Youth with Type 1 Diabetes: Role of Family Involvement and Acculturation
J. Pediatr. Psychol., October 26, 2009; (2009) jsp045v2.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
A. B. Lewin, A. M. LaGreca, G. R. Geffken, L. B. Williams, D. C. Duke, E. A. Storch, and J. H. Silverstein
Validity and Reliability of an Adolescent and Parent Rating Scale of Type 1 Diabetes Adherence Behaviors: The Self-Care Inventory (SCI)
J. Pediatr. Psychol., October 1, 2009; 34(9): 999 - 1007.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
M. Celano, M. D Klinnert, C. N. Holsey, and E. L McQuaid
Validity of the Family Asthma Management System Scale with an Urban African-American Sample
J. Pediatr. Psychol., September 23, 2009; (2009) jsp083v1.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
A. L. Pai and D. Drotar
Treatment Adherence Impact: The Systematic Assessment and Quantification of the Impact of Treatment Adherence on Pediatric Medical and Psychological Outcomes
J. Pediatr. Psychol., August 26, 2009; (2009) jsp073v1.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
A. B. Lewin, E. A. Storch, L. B. Williams, D. C. Duke, J. H. Silverstein, and G. R. Geffken
Brief Report: Normative Data on a Structured Interview for Diabetes Adherence in Childhood
J. Pediatr. Psychol., July 9, 2009; (2009) jsp055v1.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.