The Many Faces of Nonadherence in Adolescents

  • Michael R. GionfriddoEmail author


Allergic diseases affect millions of adolescents and cause significant morbidity. Effective treatments for these diseases exist; however adolescents sometimes have trouble integrating these treatments into their daily lives. Nonadherence puts the adolescent at risk of poor outcomes ranging from poorly controlled chronic symptoms to life-threatening reactions, or, in rare instances, death. Adolescents’ decisions to adhere to treatment are complex and are often not dependent on any specific factor, but are the result of the interplay of many different variables. Contributing factors include denial of the disease, comorbidities such as anxiety and depression, the perceived severity of the disease and the effectiveness of treatment, knowledge and skills related to disease and treatment, family and peer support, side effects and other treatment-related factors such as cost, and how the treatment can be practically implemented into the daily life of the adolescent through routines and integration to schedules and school policies. Understanding which factors contribute to an adolescent’s adherence can help to individualize management solutions so the adolescent is motivated to adhere and is able to integrate treatment into their daily life.


Adherence Asthma Allergies Allergic diseases Adolescent Nonadherence Medication Treatment 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Center for Pharmacy Innovation and OutcomeGeisingerDanvilleUSA

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