Child and adolescent heart and lung post-transplant adherence

Although adherence to the prescribed post-transplant regimen is critical to both graft and patient survival following thoracic transplantation, sub-optimal adherence is common among pediatric transplant recipients. Challenges specific to adherence contribute to higher rates of mortality among adoles...

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Main Authors: Melissa K. Cousino, PhD, Jill Plevinsky, PhD, Kristin Niel, PhD, Emma Rothman, Lauren M. Schnieder, PsyD, Kelly R. Wolfe, PhD, ABPP-CN, Michael O. Killian, PhD, MSW
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:JHLT Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950133425000886
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author Melissa K. Cousino, PhD
Jill Plevinsky, PhD
Kristin Niel, PhD
Emma Rothman
Lauren M. Schnieder, PsyD
Kelly R. Wolfe, PhD, ABPP-CN
Michael O. Killian, PhD, MSW
author_facet Melissa K. Cousino, PhD
Jill Plevinsky, PhD
Kristin Niel, PhD
Emma Rothman
Lauren M. Schnieder, PsyD
Kelly R. Wolfe, PhD, ABPP-CN
Michael O. Killian, PhD, MSW
author_sort Melissa K. Cousino, PhD
collection DOAJ
description Although adherence to the prescribed post-transplant regimen is critical to both graft and patient survival following thoracic transplantation, sub-optimal adherence is common among pediatric transplant recipients. Challenges specific to adherence contribute to higher rates of mortality among adolescent and young adult transplant recipients. Multi-directional individual-, family-, community-, system- and society-level factors contribute to one’s self-management skills and treatment adherence. This topical, expert-derived review provides an up-to-date overview of the pediatric thoracic transplant adherence literature with particular attention paid to actionable clinical, research, and policy efforts to enhance treatment adherence among pediatric thoracic transplant recipients, and ultimately, improve graft and quality of life outcomes.
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spelling doaj-art-2d58fd2c901c415a9ddfe1b24921bf2b2025-08-20T03:02:59ZengElsevierJHLT Open2950-13342025-08-01910029310.1016/j.jhlto.2025.100293Child and adolescent heart and lung post-transplant adherenceMelissa K. Cousino, PhD0Jill Plevinsky, PhD1Kristin Niel, PhD2Emma Rothman3Lauren M. Schnieder, PsyD4Kelly R. Wolfe, PhD, ABPP-CN5Michael O. Killian, PhD, MSW6Departments of Pediatrics and Cardiac Surgery, University of Michigan, Ann Arbor, MI; Corresponding author: Melissa K. Cousino, PhD, Department of Pediatrics, University of Michigan, Ann Arbor, MI 48109.Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PADepartment of Pediatrics, Emory University School of Medicine, Atlanta, GASchool of Social Work, Columbia University, New York, NYDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CADepartment of Pediatrics, University of Colorado School of Medicine, Aurora, COFlorida State University College of Social Work, Tallahassee, FL; Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FLAlthough adherence to the prescribed post-transplant regimen is critical to both graft and patient survival following thoracic transplantation, sub-optimal adherence is common among pediatric transplant recipients. Challenges specific to adherence contribute to higher rates of mortality among adolescent and young adult transplant recipients. Multi-directional individual-, family-, community-, system- and society-level factors contribute to one’s self-management skills and treatment adherence. This topical, expert-derived review provides an up-to-date overview of the pediatric thoracic transplant adherence literature with particular attention paid to actionable clinical, research, and policy efforts to enhance treatment adherence among pediatric thoracic transplant recipients, and ultimately, improve graft and quality of life outcomes.http://www.sciencedirect.com/science/article/pii/S2950133425000886PediatricTransplantAdherenceHeartLungThoracic
spellingShingle Melissa K. Cousino, PhD
Jill Plevinsky, PhD
Kristin Niel, PhD
Emma Rothman
Lauren M. Schnieder, PsyD
Kelly R. Wolfe, PhD, ABPP-CN
Michael O. Killian, PhD, MSW
Child and adolescent heart and lung post-transplant adherence
JHLT Open
Pediatric
Transplant
Adherence
Heart
Lung
Thoracic
title Child and adolescent heart and lung post-transplant adherence
title_full Child and adolescent heart and lung post-transplant adherence
title_fullStr Child and adolescent heart and lung post-transplant adherence
title_full_unstemmed Child and adolescent heart and lung post-transplant adherence
title_short Child and adolescent heart and lung post-transplant adherence
title_sort child and adolescent heart and lung post transplant adherence
topic Pediatric
Transplant
Adherence
Heart
Lung
Thoracic
url http://www.sciencedirect.com/science/article/pii/S2950133425000886
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