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Treatment Adherence Within Consultation-Liaison Services

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Clinical Handbook of Psychological Consultation in Pediatric Medical Settings

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

Abstract

Treatment nonadherence, the extent to which a person’s behavior matches medical advice, is critical for the maintenance of optimal health outcomes and is a major public health concern; half of pediatric patients are nonadherent to their prescribed medications. A hospital admission or outpatient medical clinic visit provides the CL psychologist with the opportunity to identify difficulties with adherence, reinforce the importance of treatment adherence, and implement tailored strategies for improving adherence. This chapter examines the use of the pediatric self-management model (Modi, A. C., Pai, A. L., Hommel, K. A., Hood, K. K., Cortina, S., Hilliard, M. E., … Drotar, D., Pediatrics 129:e473–485, 2012) as a guide for (1) conceptualizing adherence within a contextual framework, (2) assessing treatment adherence and related barriers, (3) providing evidence-based adherence interventions and recommendations within the context of CL service, and (4) communicating adherence-related issues with the physicians, nurses, and other health-care providers. Specifically, components of a comprehensive adherence assessment, including medical chart review, interviews with the patient and family, and input from the medical team as well as effective adherence interventions utilizing educational, behavioral, organizational, and combined approaches are discussed.

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Author information

Authors and Affiliations

  1. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Rachelle R. Ramsey

  2. Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Rachelle R. Ramsey

  3. Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Christina E. Holbein

  4. Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Christina E. Holbein

Authors
  1. Rachelle R. Ramsey
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  2. Christina E. Holbein
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Corresponding author

Correspondence to Rachelle R. Ramsey .

Editor information

Editors and Affiliations

  1. Pediatric Consultation-Liaison Service, Norton Children’s Hospital, Louisville, KY, USA

    Bryan D. Carter

  2. Department of Pediatrics, University of Louisville, School of Medicine, Louisville, KY, USA

    Bryan D. Carter

  3. Department of Pediatrics, C.S. Mott Children’s Hospital Michigan Medicine, Ann Arbor, MI, USA

    Kristin A. Kullgren

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Ramsey, R.R., Holbein, C.E. (2020). Treatment Adherence Within Consultation-Liaison Services. In: Carter, B.D., Kullgren, K.A. (eds) Clinical Handbook of Psychological Consultation in Pediatric Medical Settings. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-030-35598-2_32

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