Prompt

You are the paediatric registrar in an adolescent clinic. The examiner moves from the principles of self-management to objective adherence assessment, a motivational-interviewing encounter, an acute non-adherence crisis, and the transition transfer cliff.

Stem

The examiner will test whether you can assess and support a young person's self-management under pressure. [2] [1]

Paediatrics Fellowship Pro

You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References7Show ledger

[1]Campbell F, Biggs K, Aldiss SK, et al. Transition of care for adolescents from paediatric services to adult health services. Cochrane Database Syst Rev, 2016.PMID 27128768
[2]Osterberg L, Blaschke T. Adherence to medication. N Engl J Med, 2005.PMID 16079372
[3]Wood DL, Sawicki GS, Miller MD, et al. The Transition Readiness Assessment Questionnaire (TRAQ): its factor structure, reliability, and validity. Acad Pediatr, 2014.PMID 24976354
[4]Schaefer MR, Kavookjian J. The impact of motivational interviewing on adherence and symptom severity in adolescents and young adults with chronic illness: A systematic review. Patient Educ Couns, 2017.PMID 28619271
[5]Pruette CS, Coburn SS, Eaton CK, et al. Does a multimethod approach improve identification of medication nonadherence in adolescents with chronic kidney disease? Pediatr Nephrol, 2019.PMID 30116892
[6]Li Z, Lu F, Wu J, et al. Usability and Effectiveness of eHealth and mHealth Interventions That Support Self-Management and Health Care Transition in Adolescents and Young Adults With Chronic Disease: Systematic Review. J Med Internet Res, 2024.PMID 39589770
[7]Eaton CK, Duraccio KM, Eakin MN, et al. Executive functioning, caregiver monitoring, and medication adherence over time in adolescents with chronic kidney disease. Health Psychol, 2020.PMID 32202823

Stem

The examiner will test whether you can assess and support a young person's self-management under pressure. [2] [1]

Paediatrics Fellowship Pro

You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References7Show ledger

[1]Campbell F, Biggs K, Aldiss SK, et al. Transition of care for adolescents from paediatric services to adult health services. Cochrane Database Syst Rev, 2016.PMID 27128768
[2]Osterberg L, Blaschke T. Adherence to medication. N Engl J Med, 2005.PMID 16079372
[3]Wood DL, Sawicki GS, Miller MD, et al. The Transition Readiness Assessment Questionnaire (TRAQ): its factor structure, reliability, and validity. Acad Pediatr, 2014.PMID 24976354
[4]Schaefer MR, Kavookjian J. The impact of motivational interviewing on adherence and symptom severity in adolescents and young adults with chronic illness: A systematic review. Patient Educ Couns, 2017.PMID 28619271
[5]Pruette CS, Coburn SS, Eaton CK, et al. Does a multimethod approach improve identification of medication nonadherence in adolescents with chronic kidney disease? Pediatr Nephrol, 2019.PMID 30116892
[6]Li Z, Lu F, Wu J, et al. Usability and Effectiveness of eHealth and mHealth Interventions That Support Self-Management and Health Care Transition in Adolescents and Young Adults With Chronic Disease: Systematic Review. J Med Internet Res, 2024.PMID 39589770
[7]Eaton CK, Duraccio KM, Eakin MN, et al. Executive functioning, caregiver monitoring, and medication adherence over time in adolescents with chronic kidney disease. Health Psychol, 2020.PMID 32202823

Chronic disease self-management in young people — branching viva

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Chronic disease self-management in young people — branching viva

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