title: Executive Functioning, Barriers to Adherence, and Nonadherence in Adolescent and Young Adult Transplant Recipients.
abstract: OBJECTIVE : To evaluate levels of executive functioning in a sample of adolescent and young adult (AYA) transplant recipients, and to examine executive functioning in association with barriers to adherence and medication nonadherence.  METHOD : In all, 41 caregivers and 39 AYAs were administered self- and proxy-report measures.  RESULTS : AYA transplant recipients have significant impairments in executive functioning abilities. Greater dysfunction in specific domains of executive functioning was significantly associated with more barriers to adherence and greater medication nonadherence.  CONCLUSION : AYA transplant recipients are at increased risk for executive dysfunction. The assessment of executive functioning abilities may guide intervention efforts designed to decrease barriers to adherence and promote developmentally appropriate levels of treatment responsibility.
authors.affiliation: Department of Psychology, University of Georgia, acolina@uga.edu.
authors.forename: Ana M
authors.initials: AM
authors.lastname: Gutiérrez-Colina
authors.affiliation: Department of Psychology, University of Georgia.
authors.forename: Cyd K
authors.initials: CK
authors.lastname: Eaton
authors.affiliation: Department of Pediatrics, Emory University School of Medicine.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Lee
authors.affiliation: Department of Pediatrics, Emory University School of Medicine.
authors.forename: Bonney
authors.initials: B
authors.lastname: Reed-Knight
authors.affiliation: Cincinnati Children's Hospital Medical Center.
authors.forename: Kristin
authors.initials: K
authors.lastname: Loiselle
authors.affiliation: Department of Psychiatry and Behavioral Science, Emory School of Medicine, and.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Mee
authors.affiliation: Department of Psychology, University of Georgia.
authors.forename: Julia
authors.initials: J
authors.lastname: LaMotte
authors.affiliation: Children's Healthcare of Atlanta.
authors.forename: Rochelle
authors.initials: R
authors.lastname: Liverman
authors.affiliation: Department of Psychology, University of Georgia.
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Blount
mesh_terms: D000293:Adolescent; D002648:Child; D056344:Executive Function; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D012189:Retrospective Studies; D057566:Self Report; D066027:Transplant Recipients / Q000523:psychology*; D055815:Young Adult
keywords: adherence; adolescents and young adults; barriers; executive functioning; transplant