Emily M. Fredericks|Dawn Dore?Stites|Andrew Well|John C. Magee|Gary L. Freed|Victoria Shieck|M. James Lopez
Assessment of transition readiness skills and adherence in pediatric liver transplant recipients
Michigan Medicine|Michigan Medicine|Michigan Medicine|University of Michigan–Ann Arbor|Michigan Medicine|Michigan Medicine|Michigan Medicine|Michigan Medicine
fredericks em dorestites well magee jc freed gl shieck v lopez mj assessment transition readiness skills adherence pediatric liver transplant recipientspediatr transplantation 2010 14944953 2010 john wiley sons abstract examine transition readiness adherence health outcomes pediatric liver transplant recipients using clinically administered screening measure seventyone pediatric liver transplant recipients 1120 yr 58 parents completed clinicbased trs measuring perceived demonstrated selfmanagement skills aor healthrelated tasks regimen knowledge psychosocial adjustment adherence measured using sd immunosuppressants proportion immunosuppressant blood levels target range clinic attendance health outcomes included liver test panels biopsies rejection episodes hospitalizations results indicate domains transition readiness exception demonstrated skills nonadherence positively correlated age proportion immunosuppressant blood levels target range positively correlated selfmanagement skills increased responsibility medication tasks parent regimen knowledge associated clinic attendance health outcomes significantly related medication nonadherence transition readiness domains medication adherence considered key factor transition pediatric adultcentered transplant care nonadherence associated increased risk medical complications potentially modifiable interventions promote selfmanagement skills adherence essential component transition planning