Non-adherence in Adolescents with Chronic Illness - September 22 - 23, 2008
Non-adherence in Adolescents with Chronic Illness - September 22 - 23, 2008
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Non-adherence in Adolescents with Chronic Illness - September 22 - 23, 2008

DRAFT AGENDA

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Monday, September 22, 2008
7:30 – 8:30 a.m. Registration and Continental Breakfast
8:30 – 8:40 a.m. Introduction – National Institutes of Health
8:40 – 8:50 a.m. Introduction and Conference Goals
Brad Warady, M.D., Children’s Mercy Hospital
   
Background
Moderator: Brad Warady, M.D., Children’s Mercy Hospital
8:50 – 9:15 a.m. Definition of Non-Adherence and Heterogeneity of Non-Adherence
Terrance Blaschke, M.D., Stanford School of Medicine
9:15 – 9:40 a.m. The Medical and Economic Impact of Treatment Non-Adherence in the Adolescent 
Fabienne Dobbels, Ph.D., University of Leuven, Belgium
9:40 – 10:00 a.m. Risk Factors for Non-Adherence among Adolescents with Chronic Illness
Barbara Fiese, Ph.D., Syracuse University
10:00 – 10:30 a.m. Measurement and Detection of Treatment Non-Adherence in the Adolescent
Suzanne Johnson, Ph.D., Florida State University College of Medicine
10:30 – 10:45 a.m. Break
   
Scope of the Problem:  A Disease-Specific Perspective
(report of specific studies documenting the extent and consequences of non-adherence to regimens for specific conditions listed below)

The Adolescent with Diabetes Mellitus
Moderator: Lori Laffel, M.D., M.P.H., Joslin Diabetes Center
10:45 – 11:10 a.m. Type 1 Diabetes in Preteens and Teens   
Tim Wysocki, Ph.D., Nemours Children’s Clinic
11:10 – 11:35 a.m. Type 2 Diabetes/Prediabetes in Preteens and Teens
Phil Zeitler, M.D., Ph.D., University of Colorado at Denver
11:35 a.m. – 12:00 p.m. The Adolescent with Chronic Kidney Disease (CKD) and Kidney Transplantation
Robert Ettenger, M.D., University of California, Los Angeles
12:00 – 12:30 p.m. Dietary Interventions and Nutrition for DM, CKD, and Celiac Disease
Elizabeth Mayer-Davis, Ph.D., R.D., University of North Carolina at Chapel Hill
12:30 – 1:30 p.m. Lunch (on your own)
   
Understanding the Adolescent with Chronic Illness
Moderator:  Tom Nevins, M.D., University of Minnesota Medical School
1:30 – 1:55 p.m. Developmental Aspects of Adolescence and Their Impact on Treatment Non-Adherence, Including Transition Issues
Maria Ferris, M.D., M.P.H., University of North Carolina School of Medicine
1:55 – 2:20 p.m. Psychiatric and Psychologic Comorbidities
Eyal Shemesh, M.D., Children’s Hospital of Philadelphia
2:20 – 2:40 p.m. Competing Challenges and Family Issues
(financial, insurance, emotional)
Barbara Anderson, Ph.D., Baylor College of Medicine
2:40 – 3:00 p.m. Break
3:00 – 5:00 p.m. Breakout Sessions:  Ideas for Research Initiatives

The Role of the Family in Adolescent Treatment Non-Adherence
Tim Wysocki, Ph.D., Nemours Children’s Clinic

The Influence of Ethnic and Cultural Diversity on Non-Adherence
Carolyn Tucker, Ph.D., University of Florida

Treatment Concordance:  The Patient–Healthcare Team Continuum and Its Impact on Non-Adherence
Alan Watson, M.B., Ch.B., F.R.C.P.(E), F.R.C.P.C.H., Nottingham University Hospital, U.K.

Strategies to Enhance Treatment Adherence in the Adolescent with Chronic Illness
Dennis Drotar, Ph.D., Cincinnati Children’s Hospital Medical Center  
   
Tuesday, September 23, 2008

Welcome:  Day 2:  Brad Warady, M.D., Children’s Mercy Hospital

8:30 – 10:30 a.m. The Perspective of Patients and Parents on Treatment Adherence
   
Panel Members:  Barbara Anderson, Ph.D., Baylor College of Medicine; Jeff Hitchcock, Children with Diabetes; Allison Tong, M.P.H., University of Sydney, Australia

Moderator:  Richard Fine, M.D., Stony Brook University School of Medicine

Topics to Be Covered:

  • Peer Influences, Including Social Support
  • Quality of Life
  • Parenting:  Monitoring and Supervision
  • Communication within the Family
  • Relationship to the Healthcare Team, Including Communication
  • Perceived Barriers to Adherence (“What Gets in the Way of You or Your Teen Following Their Medical Treatment Regimen”)
10:30 – 10:45 a.m. Break
   
Interventions to Promote Treatment Adherence
Moderator:  Mike Rapoff, Ph.D., University of Kansas Hospital
10:45 – 11:10 a.m. Lessons to Be Learned from Adult Intervention Studies
Jackie Dunbar-Jacob, Ph.D., R.N., F.A.A.N., University of Pittsburgh

11:10 – 11:30 a.m. Meta-Analysis of the Literature on Chronic Pediatric Diseases to Determine What Has Worked to Improve Adherence and Any Effects on Health Outcomes
Dennis Drotar, Ph.D., Cincinnati Children’s Hospital Medical Center  
11:30 a.m. – 12:00 p.m. Innovative Approaches to Intervention, Published and Unpublished, That Include Unique Outreach, Such as Using Electronic Interactions, Cell Phone Text Messaging, Etc.
Lori Laffel, M.D., M.P.H., Joslin Diabetes Center
12:00 – 12:20 p.m. Top 10 Ways of Improving Research on Adherence
Mike Rapoff, Ph.D., University of Kansas Hospital
12:20 – 1:30 p.m. Lunch (on your own)
1:30 – 2:30 p.m. Reports of the Workgroups and Closing Remarks
Brad Warady, M.D., Children’s Mercy Hospital
2:30 p.m. Adjournment

 

 

 

 

 

 

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