1. It is incumbent on medical providers that they are asking patients to - here to regimens with demonstrated eficacy, Providers need to remind themselves of the Hippocratic oath: "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit ofmy patients, and abstain from whatever is deleterious and mischievous" (as cited in Cassell, 199 1, p. 145). 2. Providers need to abandon the "blame and shame" approach to dealing with medical adherence problems. It is tempting to blame patients for adherence failures and shame them into changing their behavior. Providers need to share the blame (or better yet omit blame) and look at their own attitudes and behaviors that impact adherence. For example, failing to simplify regimens or minimize negative side effects can adversely impact patient adherence. 3. Patients and their families are no longer (or maybe were never) satisfied with apassive role in their health care. In fact, the tern compliance lost favor in the literature because it implied for some an authoritarian approach to health care that required unquestioned obedience by patients to provider recommendations (DiMatteo & DiNicola, 1982). Comprehensive and effective health care requires a cooperative relationship between providers and patients and their families. It also acknowledges the following realities, particularly for treating persons with chronic illness: "Doctors do not treat chronic illnesses. The chronically ill treat themselves with the help of their physicians; the physician is part of the treatment.

Autorentext

Michael Rapoff, Ph.D., is well known for his research on pediatric medical adherence. For 38 years, he was a Professor in the Department of Pediatrics at the University of Kansas Medical Center, where he did research, taught psychology to medical students and pediatric residents, and saw patients in both outpatient and inpatient clinical settings. The first and second editions of his book, Adherence to Pediatric Medical Regimens, have been quoted frequently in the literature and have been used as a textbook by professors in the United States and other countries. In 2003, Dr. Rapoff received the Distinguished Scholar Award from the Association of Rheumatology Health Professionals, a division of the American College of Rheumatology. Also in 2003, Dr. Rapoff was elected as a Fellow in the Society of Pediatric Psychology. During 2018, he served as President of the Society of Pediatric Psychology (Division 54 of the American Psychological Association). He became board certified in Clinical Child and Adolescent Psychology by the American Board of Professional Psychology in 2015. Christina Duncan, Ph.D., is a Professor in the Department of Psychology and an Adjunct Clinical Professor in the Department of Pediatrics at West Virginia University. For more than 20 years, she has had a consistent record of publishing and garnering extramural funding to support her program of research on adherence in pulmonary disorders. Dr. Duncan is active in the Cystic Fibrosis Foundation, having been appointed to the Clinical Research Committee (grant review panel), Data Safety and Monitoring Board, and conference program planning committee. She served two consecutive terms as secretary for the Society of Pediatric Psychology. Dr. Duncan has received awards for her scholarly productivity as well as her clinical and professional service. Cynthia Karlson, Ph.D., is an Associate Professor of Pediatric Hematology/Oncology and Psychiatry and Human Behavior at the University of Mississippi Medical Center. Dr. Karlson's clinical interests focus on psychosocial adjustment to pediatric chronic medical conditions. Her research program focuses on chronic pain and sleep disturbance in children with cancer and sickle cell disease. She has published on developmental and biopsychosocial models of pediatric chronic pain and long-term pain in survivors of childhood cancer. Dr. Karlson is active as a Behavioral Science Member on Children's Oncology Group clinical trial protocols as well as in local and national clinical trials in pediatric sickle cell disease.

Klappentext

The first comprehensive overview of this topic that balances clinical and research considerations, Adherence to Pediatric Medical Regimens reviews the prevalence and potentially serious consequences of poor adherence to medical regimens for children and adolescents. This original text examines in detail the nature of adherence problems, reasons for nonadherence, strategies for assessing and improving adherence to both acute and chronic disease regimens, and published research. The author provides protocols for adherenceenhancement and applies adherence theories to specific clinical cases.

Zusammenfassung
Reviews the prevalence and serious consequences of poor adherence to medical regimens for children and adolescents. This text examines the nature of adherence problems, reasons for non-adherence, strategies for assessing and improving adherence to both acute and chronic disease regimens, and published research.

Inhalt
Medical Nonadherence Prevalence, Consequences, and Correlates.- Adherence Theories: Review, Critique, and Clinical Implications.- Assessing Adherence.- Assessing Disease and Health Status.- Strategies for Improving Adherence to Pediatric Medical Regimens.- Review of Adherence Intervention Studies and Recommendations for Research and Clinical Practice.