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Report from the American Society of Transplantation Psychosocial Community of Practice Adherence Task Force: Real‐world options for promoting adherence in adult recipients
Author(s) -
Myaskovsky Larissa,
Jesse Michelle T.,
Kuntz Kristin,
Leino Abbie D.,
Peipert John Devin,
Russell Cynthia L.,
Spivey Christina A.,
Sulejmani Nimisha,
Dew Mary Amanda
Publication year - 2018
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13353
Subject(s) - medicine , psychosocial , psychological intervention , intervention (counseling) , transplantation , best practice , population , task force , pharmacy , family medicine , nursing , psychiatry , surgery , management , environmental health , public administration , political science , economics
Starting in 2015, the American Society of Transplantation Psychosocial Community of Practice, with representatives of the Transplant Pharmacy Community of Practice, convened a taskforce to develop a white paper that focused on clinically practical, evidenced‐based interventions that transplant centers could implement to increase adherence to medication and behavioral recommendations in adult solid organ transplant recipients. The group focused on what centers could do in their daily routines to implement best practices to increase adherence in adult transplant recipients. We developed a list of strategies using available resources, clinically feasible methods of screening and tracking adherence, and activities that ultimately empower patients to improve their own self‐management. We limited the target population to adults because they predominate the research, and because adherence issues differ in pediatric patients, given the necessary involvement of parents/guardians. We also examined broader multilevel areas for intervention including provider and transplant program practices. Ultimately, the task force aims to foster greater recognition, discussion, and solutions required for implementing practical interventions targeted at improving adherence.