Abstract
This paper describes the development and implementation of a self-management program designed to address noncompliance in adolescents with renal transplants. Transplantation provides the best treatment alternative for End-Stage Renal Disease (ESRD), but is a procedure that subsequently demands recipients follow a life-long medication regimen. Nonadherance to medical therapy is a serious problem for adolescents; it is one of the most common causes of chronic graft rejection in this population. To improve compliance rates for this population, a self-management program was designed: (1) to provide social support; (2) to review information about medications and transplant management; and (3) to both teach and provide transplantation patients the opportunity to practice self-management skills. Details about the program, including recruitment issues and session content, are provided. Evaluations by participants indicated that the program was effective in creating a supportive environment for both patients and their parents, and in addressing health-related concerns.
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Meade, M.A., Creer, T.L. & Mahan, J.D. A Self-Management Program for Adolescents and Children with Renal Transplantation. Journal of Clinical Psychology in Medical Settings 10, 165–171 (2003). https://doi.org/10.1023/A:1025406711313
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DOI: https://doi.org/10.1023/A:1025406711313