Promoting medication adherence and regimen responsibility in two adolescents on hemodialysis for end-stage renal disease: A case study

Mary E. Payne, Cyd K. Eaton, Laura L. Mee, Ronald L. Blount

Research output: Contribution to journalArticlepeer-review

Abstract

Medication adherence and regimen responsibility (RR) have important implications for adolescents with hemodialysis-dependent end-stage renal disease (ESRD). This case study assesses the preliminary efficacy of a cognitive-behavioral intervention to promote medication adherence and RR in two African American adolescents. Two patients and their mothers participated. Intervention modules addressed adherence barriers. Using a case-series design, weekly parent-adolescent reports of medication adherence and RR were collected. The female participant's selective nonadherence improved during treatment. Mother and daughter were high in RR throughout the study. The male participant's adherence initially decreased following his mother's reduced involvement in treatment. His adherence improved by the end of treatment, and coincided with his mother's reassumption of RR. Improvements were maintained through follow-up for both patients. This case study provides preliminary support for using a cognitive-behavioral protocol to improve medication adherence in adolescents with hemodialysis-dependent ESRD.

Original languageEnglish (US)
Pages (from-to)95-110
Number of pages16
JournalClinical Case Studies
Volume12
Issue number2
DOIs
StatePublished - Apr 2013
Externally publishedYes

Keywords

  • adherence
  • adolescents
  • end-stage renal disease
  • responsibility

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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