title: The reliability of reports of medical adherence from children with HIV and their adult caregivers.
abstract: OBJECTIVE
  To compare children's reports of their medication adherence to those of their adult caregivers.
  
  
  METHODS
  Several indicators of medication adherence were assessed for 48 adult-child dyads. Kappa statistics were calculated as measures of agreement.
  
  
  RESULTS
  Adherence problems were common, although the level of agreement between the child and the adult was quite low (kappas for adherence variables ranged from .05 to .32). Compared to adult-child dyads that agreed, dyads that disagreed tended to include older children who had more responsibility for managing their own medications.
  
  
  CONCLUSIONS
  Both researchers and clinicians would benefit from acquiring information on children's adherence from multiple sources.
authors.affiliation: New York State Psychiatric Institute, 1051 Riverside Drive, Unit # 15, New York, New York 10032, USA. dolezalc@childpsych.columbia.edu
authors.forename: Curtis
authors.initials: C
authors.lastname: Dolezal
authors.forename: Claude
authors.initials: C
authors.lastname: Mellins
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Brackis-Cott
authors.forename: Elaine J
authors.initials: EJ
authors.lastname: Abrams
mesh_terms: D000293:Adolescent; D019380:Anti-HIV Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D017028:Caregivers; D002648:Child; D005260:Female; D006679:HIV Seropositivity / Q000188:drug therapy*; D015438:Health Behavior; D006801:Humans; D008297:Male; D010349:Patient Compliance; D015203:Reproducibility of Results; D014342:Truth Disclosure
chemical_list: D019380:Anti-HIV Agents