Promoting Adherence to Medical Treatment in Chronic Childhood Illness: Concepts, Methods, and Interventions

By Dennis Drotar | Go to book overview

CHAPTER TWENTY
Treatment Adherence in Childhood
Chronic Illness: Issues
and Recommendations to Enhance
Practice, Research, and Training

Dennis Drotar
Kristin A. Riekert
Erika Burgess
Rachel Levi
Chantelle Nobile
Astrida Seja Kaugars
Natalie Walders
Case Western Reserve University, Cleveland, OH

Conference participants were asked to engage in a series of small-group discussions that focused on the following major themes of the conference: (a) definitions and conceptual models of treatment adherence in chronic childhood illness, (b) understanding the impact of adherence or noncompliance on children and families, (c) measurement of adherence, and (d) development and evaluation of interventions to promote treatment adherence. The conference participants' discussions involved a great deal of interchange and, at times, debate. The purpose of this chapter is to summarize key points in the discussions that are relevant for recommendations to enhance research, practice, and training concerning treatment adherence in childhood chronic illness. Although inclusive of the various points of view that were raised in the discussions, this summary does not reflect a consensus of the conference participants.


DEFINITIONS AND CONCEPTUAL MODELS
OF TREATMENT ADHERENCE

Conference participants considered the implications of the definitions of compliance versus adherence to treatment in childhood chronic illness. Considerable discussion ensued regarding the various implications of the

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