Srinivas Goli, Moradhvaj, Swastika Chakravorty, Anu Rammohan
World health status 1950-2015: Converging or diverging
PloS one
managing bipolar disorder bd particularly challenging adolescents young adults ayas ages 16 21 interventions exist address selfmanagement ayas bd thus study aimed modify customized adherence enhancement behavioral intervention ayas iterative patientcentered process obesityrelated behavioral intervention trials orbit model used intervention development phase 1a adherence barriers facilitators identified refine intervention content phase 1b occurred following curriculum modification ensure modified intervention relevant usable target population data collected via focus groups interviews ayas bd parents providers transcripts analyzed using directed content analysis phase 1a included focus groupsinterviews ayas n 10 parents n 4 providers n 9 described difficulties successes managing bd symptoms improving adherence transitioning care caregivers phase 1b included advisory board composed 8 phase 1a participants provided feedback modified session activities module delivery curriculum phase 1b involved usability testing new participants n 8 revealing need modifiable language based developmental level engaging visual images confirmation topics salient ayas bd though sample sizes small representative population ayas bd orbit methodology informed adaptation customized adherence enhancement intervention improve adherence ayas bd important next steps conduct pilot randomized clinical trial customized adherence enhancement ayas