Chapter 47: Adherence to Pediatric Health Care Recommendations
Robin S. Everhart, PhD, Barbara H. Fiese, PhD, 2016. "Adherence to Pediatric Health Care Recommendations", American Academy of Pediatrics Textbook of Pediatric Care, Thomas K. McInerny, MD, FAAP, Henry M. Adam, MD, FAAP, Deborah E. Campbell, MD, FAAP, Thomas G. DeWitt, MD, FAAP, Jane Meschan Foy, MD, FAAP, Deepak M. Kamat, MD, PhD, FAAP, Rebecca Baum, MD, FAAP, Kelly J. Kelleher, MD, MPH, FAAP
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In pediatric chronic illnesses, adherence is defined as the extent to which a child’s health-related behaviors coincide with agreed recommendations from a physician.1 Adherence refers to not only taking medications as prescribed, but also adhering to other aspects of health care recommendations such as exercise, nutrition, and sleep. Because many underlying factors contribute to a family’s ability to effectively manage child conditions, adherence in pediatrics is complex. Behaviors from both the parent and child must be considered. Nonadherence may result from delayed or forgotten doses, child oppositional behaviors, child anxiety, difficulty with pill swallowing, lack of knowledge, and parents...
