Can’t Do or Won’t Do? Adherence in Adolescent and Young Adult Rheumatology

  • Janet E. McDonaghEmail author
  • N. J. Gray
Part of the In Clinical Practice book series (ICP)


Learning to manage treatment and therapies is important to young people with jRMD and core to self-management training and transitional care. Adherence is often considered in the context of medication, but it is also relevant to self-management activities like blood test monitoring, hospital appointments, therapy exercises and healthy lifestyle advice. Adherence also may vary according to the task and is associated with better health outcomes, but it is a challenging area for young person, family and professional alike. This chapter will explore the terminology of adherence, the particular challenges facing young people with rheumatic disease, provide examples of how to assess adherence in the clinical situation and present useful strategies to try with young people to help them optimise adherence.


Adherence Shared management Motivational interviewing Adolescent development 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, University of ManchesterManchesterUK
  2. 2.NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation TrustManchesterUK
  3. 3.Manchester Academic Health Science CentreManchesterUK
  4. 4.Green Line Consulting LimitedManchesterUK

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