5. Encourage adherence
Medication adherence is more challenging in adolescents compared to children or adults.(17) Potential barriers to medication adherence include stigma from peers, parental conflict, lack of healthcare provider support, a desire to be “normal,” the need for freedom or control, adverse effects, stress, forgetfulness, medication regimen complexity or cost.(17) Educational interventions alone are unlikely to improve adherence in children and adolescents.(18) Behavioural interventions, such as goal setting, rewards, contracting, and linking medication administration to routines, either alone or in combination with education, may improve adherence.(18) A comprehensive approach with regular follow-up, establishing a therapeutic partnership with the family, identifying barriers, and teaching self-management can improve adherence in children and adolescents with chronic illnesses.(19) Choosing once- or twice-daily medication regimens may also help improve adherence.(12)
Jennifer Kendrick (email@example.com) is a clinical pharmacist at the Children’s and Women’s Health Centre of BC in Vancouver, and a clinical instructor at the Faculty of Pharmaceutical Sciences, University of British Columbia.
This article originally appeared in Pharmacy Practice+Business.
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