PubMed:16969171 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/16969171","sourcedb":"PubMed","sourceid":"16969171","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/16969171","text":"Medical adherence and childhood chronic illness: family daily management skills and emotional climate as emerging contributors.\nPURPOSE OF REVIEW: To describe recent research that examines family factors that promote or derail adherence to medical regimens for children with chronic health conditions, primarily asthma, diabetes, and cystic fibrosis. From the past 2 years, eight correlational studies were identified which specifically examined the links between family management strategies, family climate and medical adherence.\nRECENT FINDINGS: Findings from the studies suggest that team-based management strategies and cohesive family climate promote adherence to medical treatments over time. Family interactions that are characterized by conflict and disengagement tend to disrupt adherence and inevitably cause a decline in child health. Moreover, these findings seem to be moderated by child age in that poorer adherence often occurs when a child reaches adolescence and is searching for greater autonomy.\nSUMMARY: Future research should consider the challenges in measuring medical adherence in the family context as well as incorporating more naturalistic studies of family interactions. Randomized controlled trials using family-based interventions may consider focusing on medical adherence as an important mediator between family process and child health outcomes.","tracks":[{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":312,"end":318},"obj":"HP_0002099"}],"attributes":[{"subj":"T1","pred":"source","obj":"PubmedHPO"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"PubmedHPO","color":"#bbec93","default":true}]}]}}