Skip to main content
SpringerLink
Log in

Patient Compliance

Pediatric and Adolescent Populations

  • Chapter
Book cover Handbook of Clinical Behavioral Pediatrics

Part of the book series: Applied Clinical Psychology ((NSSB))

Abstract

Adherence to treatment regimen in the pediatric and adolescent populations is equally problematic as it is among adult patients. In studies published before 1982, adherence rates ranging from 20% to 80% have been reported (Dunbar, 1983; Litt Cuskey, 1980). An examination of more recent studies indicates that adherence continues to be problematic, although we know more about the factors that contribute to nonadherence and about methods to improve adherence rates. In addition, adherence rates continue to be quite variable across studies and regimen. For example, adherence rates among control groups or during baseline conditions in 15 adherence intervention studies published between 1982 and 1986 showed adherence levels ranging from 0% to 80%. Six of those studies reported the proportion of children judged to have acceptable adherence, although the criteria for being categorized as such varied between studies. The proportions ranged from 26% to 83% of children (see Table 1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Baum, D., & Greer, T. L. (1986). Medication compliance in children with asthma. Journal of Asthma, 23(2), 49–59.

    Article  PubMed  Google Scholar 

  • Becker, M. H., Drachman, R. H., & Kirscht, J. P. (1974). A new approach to explaining sick-role behavior in low-income populations. American Journal of Public Health, 64, 205–216.

    Article  PubMed  Google Scholar 

  • Becker, M. H., Maiman, L. A., Kirscht, J. P., Haefner, D. P., & Drachman, R. H. (1977a). The health belief model and prediction of dietary compliance: A field experiment. Journal of Health and Social Behavior, 18, 348–366.

    Article  Google Scholar 

  • Becker, M. H., Nathanson, C. A., Drachman, R. H., & Kirscht, J. P. (1977b). Mother’s health beliefs and children’s clinic visits: A prospective study. Journal of Community Health, 3, 125–135.

    Article  Google Scholar 

  • Blotcky, A. D., Cohen, D. G., Conatser, C., & Klopovich, P. (1985). Psychosocial characteristics of adolescents who refuse cancer treatment. Journal of Consulting and Clinical Psychology, 53, 729–731.

    Article  PubMed  Google Scholar 

  • Brown, R. T., Borden, K. A., & Clingerman, S. R. (1985). Adherence to methylphenidate therapy in a pediatric population: A preliminary investigation. Psychopharmacology Bulletin, 21, 28–36.

    PubMed  Google Scholar 

  • Carney, R. M., Shechter, K., & Davis, T. (1983). Improving adherence to blood glucose testing in insulin-dependent diabetic children. Behavior Therapy, 14, 247–254.

    Article  Google Scholar 

  • Cipes, M. H. (1985). Self-management versus parental involvement to increase children’s compliance with home fluoride mouthrinsing. Pediatric Dentistry, 7, 111–118.

    PubMed  Google Scholar 

  • Cipes, M. H., & Miraglia, M. (1985). Monitoring versus contingency contracting to increase children’s compliance with home fluoride mouthrinsing. Pediatric Dentistry, 7, 198–204.

    PubMed  Google Scholar 

  • Cluss, P. A., Epstein, L. H., Galvis, S. A., Fireman, P., & Friday, G. (1984). Effect of compliance for chronic asthmatic children. Journal of Consulting and Clinical Psychology, 52, 909–910.

    Article  PubMed  Google Scholar 

  • Daneman, D., Epstein, L. H., Siminerio, L., Beck, S., Farkas, G., Figueroa, J., Becker, D. J., & Drash, A. L. (1982). Effects of enhanced conventional therapy on metabolic control in children with insulin-dependent diabetes mellitus. Diabetes Care, 5, 472–478.

    Article  PubMed  Google Scholar 

  • Deaton, A. V. (1985). Adaptive noncompliance in pediatric asthma: The parent as expert. Journal of Pediatric Psychology, 10, 1–14.

    Article  PubMed  Google Scholar 

  • Dolgin, M. J., Katz, E. R., Doctors, S. R., & Siegel, S. E. (1986). Caregivers’ perceptions of medical compliance in adolescents with cancer. Journal of Adolescent Health, 7, 22–27.

    Article  Google Scholar 

  • Dunbar, J. (1983). Compliance in pediatric populations: A review. In P. J. McGrath & P. Firestone (Eds.), Pediatric and adolescent behavioral medicine. New York: Springer.

    Google Scholar 

  • Durant, R. H., Jay, M. S., Linder, C. W., Shoffitt, T., & Litt, I. (1984). Influence of psychosocial factors on adolescent compliance with oral contraceptives. Journal of Adolescent Health Care, 5, 1–6.

    Article  PubMed  Google Scholar 

  • Finkelstein, S. M., Budd, J. R., Warwick, W. J., Kujawa, S. J., Wielinski, C. L., & Ewing, L. B. (1986). Feasibility and compliance studies of a home measurement monitoring program for cystic fibrosis. Journal of Chronic Disease, 39, 195–205.

    Article  Google Scholar 

  • Finney, J. W., Friman, P. C., Rapoff, M. A., & Christophersen, E. R. (1985). Improving compliance with antibiotic regimens for otitis media: Randomized clinical trial in a pediatric clinic. American Journal of Diseases of Children, 139, 89–95.

    PubMed  Google Scholar 

  • Friedman, I. M., Litt, I. F., King, D. R., Henson, R., Holtzmann, D., Halverson, D., & Kraemer, H. C. (1986). Compliance with anticonvulsant therapy by epileptic youth: Relationships to psychosocial aspects of adolescent development. Journal of Adolescent Health Care, 7, 12–17.

    Article  PubMed  Google Scholar 

  • Gross, A. M. (1982). Self-management training and medication compliance in children with diabetes. Child and Family Behavior Therapy, 42, 47–55.

    Google Scholar 

  • Gross, A. M., Delcher, H. K., Snitzer, J., Bianchi, B., & Epstein, S. (1984). Personality variables and metabolic control in children with diabetes. The Journal of Genetic Psychology, 146, 19–26.

    Article  Google Scholar 

  • Gross, A. M., Magalnick, L. J., & Richardson, P. (1985). Self-management training with families of insulin-dependent diabetic children: A controlled long-term investigation. Child and Family Behavior Therapy, 7, 35–50.

    Article  Google Scholar 

  • Hamburg, B. A., & Inoff, G. E. (1982). Relationships between behavioral factors and diabetic control in children and adolescents: A camp study. Psychosomatic Medicine, 44, 321–339.

    PubMed  Google Scholar 

  • Jamison, R. N., Lewis, S., & Burish, T. G. (1986). Cooperation with treatment in adolescent cancer patients. Journal of Adolescent Health Care, 7, 162–167.

    Article  PubMed  Google Scholar 

  • Korsch, B. M., Fine, R. N., & Negrete, V. F. (1978). Noncompliance in children with renal transplants. Pediatrics, 61, 872–876.

    PubMed  Google Scholar 

  • Kruger, S., & Rawlins, P. (1984). Pediatric dismissal protocol to aid the transition from hospital care to home care. Image: The Journal of Nursing Scholarship, 16, 120–125.

    Article  Google Scholar 

  • Lisk, D. R., & Greene, S. H. (1985). Drug compliance and seizure control in epileptic children. Postgraduate Medical Journal, 61, 401–405.

    Article  PubMed  Google Scholar 

  • Litt, I. F., & Cuskey, W. R. (1980). Compliance with medical regimens during adolescence. Pediatric Clinics of North America, 96, 742–745.

    Google Scholar 

  • Litt, I. F., & Cuskey, W. R. (1981). Compliance with salicylate therapy in adolescents with juvenile rheumatoid arthritis. American Journal of Diseases of Child, 135, 434–436.

    Google Scholar 

  • Litt, I. F., & Cuskey, W. R. (1984). Satisfaction with health care: A predictor of adolescents’ appointment keeping. Journal of Adolescent Health Care, 135, 434–436.

    Google Scholar 

  • Lund, A. K., & Kegeles, S. S. (1982). Increasing adolescents’ acceptance of long-term personal health behavior. Health Psychology, 1, 27–43.

    Article  Google Scholar 

  • Magrab, P. R., & Papadopoulou, Z. L. (1977). The effect of a token economy on dietary compliance for children on hemodialysis. Journal of Applied Behavior Analysis, 10, 573–578.

    Article  PubMed  Google Scholar 

  • Mattar, M. E., Markello, J., & Yaffe, S. J. (1975). Pharmaceutic factors affecting pediatric compliance. Pediatrics, 55, 101–107.

    PubMed  Google Scholar 

  • Neel, E. U., Jay, S., & Litt, I. F. (1985). The relationship of self-concept and autonomy to oral contraceptive compliance among adolescent females. Journal of Adolescent Health Care, 6, 445–447.

    Article  PubMed  Google Scholar 

  • Neinstein, L. S. (1982). Lowering broken appointment rates at a teenage health center. Journal of Adolescent Health Care, 3, 110–113.

    Article  PubMed  Google Scholar 

  • Parrish, J. M., Charlop, M. H., & Fenton, L. R. (1986). Use of a stated waiting list contingency and reward opportunity to increase appointment keeping in an outpatient pediatric psychology clinic. Journal of Pediatric Psychology, 11, 81–89.

    Article  PubMed  Google Scholar 

  • Radius, S. M., Becker, M. H., Rosenstock, I. M., Drachman, R. H., Schuberth, K. C., & Teets, K. C. (1978). Factors influencing mothers’ compliance with a medication regimen for asthmatic children. The Journal of Asthma Research, 15, 133–149.

    Article  PubMed  Google Scholar 

  • Rapoff, M. A., Lindsley, C. B., & Christophersen, E. R. (1984). Improving compliance with medical regimens: Case study with juvenile rheumatoid arthritis. Archives of Physical Medicine and Rehabilitation, 65, 267–269.

    PubMed  Google Scholar 

  • Schafer, L. C., Glasgow, R. E., & McCaul, K. D. (1982). Increasing the adherence of diabetic adolescents. Journal of Behavioral Medicine, 5, 353–362.

    Article  PubMed  Google Scholar 

  • Sergis-Deavenport, E., & Varni, J. W. (1983). Behavioral assessment and management of adherence to factor replacement therapy in hemophilia. Journal of Pediatric Psychology, 8 (4), 367–377.

    Article  PubMed  Google Scholar 

  • Shenkel, R. J., Rogers, J. P., Perfetto, G., & Levin, R. A. (1985). Importance of “significant others” in predicting cooperation with diabetic regimen. International Journal of Psychiatry in Medicine, 15 (2), 149–155.

    Article  PubMed  Google Scholar 

  • Smith, N. A., Seake, J. P., Ley, P., Shaw, J., & Bracs, P. U. (1986). Effects of intervention on medication compliance in children with asthma. The Medical Journal of Australia, 144, 119–122.

    PubMed  Google Scholar 

  • Summey, P. S. (1978). Compliance of schoolchildren in getting and wearing glasses. The Sightsaving Review, 48 (2), 59–69.

    Google Scholar 

  • Tinkelman, D. G., Vanderpool, G. E., Carroll, M. S., Page, E. G., & Spangler, D. L. (1980). Compliance differences following administration of theophylline at six-and twelve-hour intervals. Annals of Allergy, 44, 283–286.

    PubMed  Google Scholar 

  • Waszak, L. (1987). The effects of parent education on adherence and metabolic control of children with insulin dependent diabetes mellitus. Dissertation Abstracts. Ann Arbor, MI.

    Google Scholar 

  • Weinstein, A. G. (1985). Correspondence: Behavioral strategies and theophylline compliance in asthmatic children. Annals of Allergy, 55, 16–21.

    PubMed  Google Scholar 

  • Weinstein, A. G., & Cuskey, W. (1985). Theophylline compliance in asthmatic children. Annals of Allergy, 54, 19–24.

    PubMed  Google Scholar 

  • Williams, R. L., Maiman, L. A., Broadbent, D. N., Kotok, D., Lawrence, R. A., Longfield, L. A., Mangold, A. H., Mayer, S. J., Powell, K. R., Sayre, J. W., & Webb, S. (1986). Educational strategies to improve compliance with an antibiotic regimen. American Journal of Diseases of Children, 140, 216–220.

    PubMed  Google Scholar 

  • Yokley, J. M., & Glenwick, D. S. (1984). Increasing the immunization of preschool children: An evaluation of applied community interventions. Journal of Applied Behavior Analysis, 17, 313–325.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, 15261, USA

    Jacqueline Dunbar

  2. Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, 15213, USA

    Louise Waszak

Authors
  1. Jacqueline Dunbar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Louise Waszak
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University of Mississippi, University, Mississippi, USA

    Alan M. Gross

  2. University of Mississippi Medical Center, Jackson, Mississippi, USA

    Ronald S. Drabman

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Plenum Press, New York

About this chapter

Cite this chapter

Dunbar, J., Waszak, L. (1990). Patient Compliance. In: Gross, A.M., Drabman, R.S. (eds) Handbook of Clinical Behavioral Pediatrics. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0505-7_23

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-0505-7_23

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-7840-5

  • Online ISBN: 978-1-4613-0505-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation