Paeds Vivas · adolescent-and-young-adult-medicine
Chronic disease self-management in young people — branching viva
Branching viva on chronic-disease self-management: adherence assessment, transition readiness, motivational interviewing, the acute non-adherence crisis, and the transfer cliff.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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]
References7ShowHide
- [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