Barriers and Facilitators of Adherence

Contributors to a person’s adherence or non-adherence are complex, varied, and highly individual. Yet common themes have emerged and show that barriers to and facilitators of adherence occur on multiple levels: individual, family, healthcare systems, and cultural issues. Some predictors of adherence are stable or fixed and must be considered in clinical care delivery, research, and policy, while other contributors have the potential to be modified through targeted clinical intervention strategies. This chapter will review predictors of adherence in youth with chronic conditions across these multiple levels.