title: Adherence self report assessment in solid-organ pre and post transplant recipients.
abstract: OBJECTIVE
  There is strong evidence that many patients with chronic diseases have difficulties to adhere to the medical regimens. As to transplantation, nonadherence to the prescribed medical regimen has repeatedly been found to predict morbidity and mortality, both in adults and in children. Many instruments are available in order to assess nonadherence to immunosuppressive medication, whereas only few are available on behavioural components. Aim of the study was to present the Adherence Schedule in Transplantation (ASiT, in its three versions: ASiT-A, Adults; ASiT-PA, Proxy Adult and ASiT-PC, Proxy Child) that evaluates the Cognitive Relational Antecedents of adherence to treatment and the Self-efficacy in disease management in patients before and after transplantation.
  
  
  METHODS
  (1) Review and construct analysis of the already existing adherence Schedules, on the basis of literature review and clinical experience; (2) Construction of the ASiT in its three versions from an adaptation of the already existing adherence Schedules; (3) Administration of the ASiT to pre and post transplant recipients followed by a semi-structured interview in order to discuss with the patients pros and cons; (4) ASiT correction on the basis of patients' comments; (5) Translation in English by a bilingual English mother tongue.
  
  
  RESULTS
  On the whole 56 Schedules were administered to pre and post transplant (liver, heart, lung and kidney) recipients and their proxy and resulted to have good construct validity, were easily administered and were well accepted by patients.
  
  
  CONCLUSIONS
  As to research the ASiT could cover a wide range of nonadherence sources. Within a clinical context our Schedule could be a not time consuming tool useful in favouring the communication about adherence and able to enhance patients' personal limits and resources.
authors.affiliation: Servizio di Psicologia, Fondazione Salvatore Maugeri, IRCCS, Istituto Scientifico di Montescano (PV), Italy. anna.giardini@fsm.it
authors.forename: Anna
authors.initials: A
authors.lastname: Giardini
authors.forename: Antonia
authors.initials: A
authors.lastname: Pierobon
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Majani
authors.forename: Gabriella
authors.initials: G
authors.lastname: Biffa
authors.forename: Biancarosa
authors.initials: B
authors.lastname: Volpe
authors.forename: Ambra
authors.initials: A
authors.lastname: Sala
authors.forename: Laura
authors.initials: L
authors.lastname: Gangeri
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Aurelio
authors.forename: Francesca
authors.initials: F
authors.lastname: Ferri
authors.forename: Elisa Maria
authors.initials: EM
authors.lastname: Colombo
authors.forename: Lorella
authors.initials: L
authors.lastname: Fontana
authors.forename: Gaetano
authors.initials: G
authors.lastname: Trabucco
authors.forename: Clara
authors.initials: C
authors.lastname: Travaglini
authors.forename: Pietro
authors.initials: P
authors.lastname: Zoncheddu
authors.forename: Rita
authors.initials: R
authors.lastname: Nobili
authors.forename: Silvia
authors.initials: S
authors.lastname: Bellapi
authors.forename: Laura Sofia
authors.initials: LS
authors.lastname: Masolo
authors.forename: Angela Margherita
authors.initials: AM
authors.lastname: Sacchi
mesh_terms: D006801:Humans; D016377:Organ Transplantation; D010349:Patient Compliance; D011184:Postoperative Period; D057234:Preoperative Period; D057566:Self Report; D011795:Surveys and Questionnaires