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Pediatric adherence as a multidimensional and dynamic construct, involving a triadic partnership

Mirella De Civita1, Patricia L Dobkin

  • 1McGill University Health Center, Division of Clinical Epidemiology, Montréal, Québec, Canada. mirella@epimgh.mcgill.ca

Journal of Pediatric Psychology
|May 8, 2004
PubMed

Insights

This study proposes a new model for pediatric adherence, viewing it as multidimensional, dynamic, and a triadic partnership between child, caregiver, and medical team. Further research is needed to validate this comprehensive adherence framework.

Area of Science:

  • Pediatric adherence research
  • Health psychology
  • Behavioral medicine

Background:

  • Pediatric adherence research has advanced in identifying correlates and interventions.
  • Current work lacks a unifying framework for conceptualizing and measuring adherence.
  • Adherence is crucial for effective pediatric treatment outcomes.

Purpose of the Study:

  • To present a novel conceptualization of pediatric adherence.
  • To integrate research supporting adherence as multidimensional, dynamic, and a triadic partnership.
  • To provide a framework for measuring and understanding pediatric adherence.

Main Methods:

  • Literature review of Medline, PsychLit, and reference lists.
  • Synthesis of existing research findings on pediatric adherence.
  • Development of a conceptual model for adherence.

Main Results:

  • A model is proposed viewing adherence as multidimensional, encompassing complex treatment components.
  • Adherence is conceptualized as a triadic partnership involving child, caregiver, and medical team interactions.
  • The model incorporates dynamic aspects, including developmental capacity, context, and disease course.

Conclusions:

  • The proposed adherence model requires further validation, refinement, and extension.
  • Recommendations are provided for assessing the multidimensional, triadic, and dynamic aspects of adherence.
  • A group-based, longitudinal methodology is suggested for future research.
Abstract

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