• American family physician · Sep 2006

    Review

    Promoting medication adherence in children.

    • Paula Gardiner and Lana Dvorkin.
    • Osher Institute, Harvard Medical School, Boston, Massachusetts 02215, USA. paula_gardiner@hsm.harvard.edu
    • Am Fam Physician. 2006 Sep 1; 74 (5): 793-8.

    AbstractThe problem of getting children to follow a treatment regimen is widespread and is frustrating for physicians. The extent to which any patient adheres to a medical regimen is an essential determinant of clinical success. Strategies to improve adherence in children include using simplified drug regimens (e.g., once-daily dosing), pleasant-tasting medicines, liquid or other nonpill formulations, regular phone contact between parents and physicians, reminders, information counseling, self-management plans, and other forms of individualized supervision or attention. Physicians also can encourage adherence by providing a dearly written explanation or patient information sheets that list generic and brand names, dosage, schedule, duration, and common side effects and practical ways of coping with them. Physicians, children, and parents should develop a mutually agreed-upon treatment plan. Having the child participate in devising the plan improves adherence.

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