Paeds Vivas · adolescent-and-young-adult-medicine
Medication adherence and treatment fatigue — branching viva
Branching viva on adherence definition and phases, multimodal measurement, treatment fatigue, the tailored intervention, and an acute transplant non-adherence scenario with a confidentiality dimension.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in an adolescent chronic-disease clinic. The examiner will move from the definition of adherence to measurement, treatment fatigue, a tailored intervention, and a transplant non-adherence scenario with a transition and confidentiality dimension.
Stem
The examiner will test whether you can define adherence correctly, measure it without blame, and defend an engagement-first stance under pressure. [1] [2]
References5ShowHide
- [1]Hanghøj S, Boisen KA Self-reported barriers to medication adherence among chronically ill adolescents: a systematic review. Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2014.PMID 24182940
- [2]Pai AL, Drotar D Treatment adherence impact: the systematic assessment and quantification of the impact of treatment adherence on pediatric medical and psychological outcomes. Journal of pediatric psychology, 2010.PMID 19710252
- [3]Palacio A, Garay D, Langer B, Taylor J, Wood BA, Tamariz L Motivational Interviewing Improves Medication Adherence: a Systematic Review and Meta-analysis. Journal of general internal medicine, 2016.PMID 27160414
- [4]Gutierrez-Colina AM, Smith AW, Mara CA, Modi AC Adherence barriers in pediatric epilepsy: From toddlers to young adults. Epilepsy & behavior : E&B, 2018.PMID 29433948
- [5]Modi AC, Lim CS, Yu N, Geller D, Wagner MH, Quittner AL A multi-method assessment of treatment adherence for children with cystic fibrosis. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2006.PMID 16679071