![]() ![]() There is little controversy about the definition of adherence. ![]() Measuring Adherence Behaviors: Definition and Importance The purpose of this article is to provide an evidence-based review of measures that assess adherence to medical regimens for children and adolescents with chronic conditions, with an emphasis on their utility in research and clinical contexts. Thus, this Special Series logically extends prior reviews on evidence-based treatment to critical evaluations of assessment measures (Mash & Hunsley, 2005 Nelson-Gray, 2003). In fact, instrument development and assessment is one of psychology's greatest strengths. Historically, the field of psychology has made significant and lasting contributions to the development of reliable and valid measures, with recent efforts focused on measures that are directly linked to interventions and treatment outcomes (Quittner, 2000 Sechrest, McKnight, & McKnight, 1996). 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.Īdherence, diary methods, electronic monitors, empirically-supported, measurement 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. Conclusions Several recommendations for improving adherence assessment were made. Results Ten measures met the “well-established” evidence-based (EBA) criteria. ![]() 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. 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. 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. ![]()
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