Adolescent development

Christie, Deborah; Viner, Russell

doi:10.1136/bmj.330.7486.301

Cited by 585 publications

(396 citation statements)

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“…Both the young adults and the health professionals in adult care should be ready to invest the necessary time and support to prepare young adults to take responsibility for their own health. Issues such as allowing sufficient time for consultations, active listening by doctors and nurses and anticipation of young adults' involvement may positively influence the young adults' experience of themselves as valuable contributors (Christie and Viner, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…During mid-adolescence (13-15 years), emotional separation from parents is combined with stronger peer identification (Christie and Viner, 2005). Support from peers during transfer preparations, especially young people with similar chronic conditions, may therefore help the young adults adjust to their life as grown-ups.…”

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confidence: 99%

“…A variety of adolescents and young adults are involved in the transfer process, from those in middle adolescence (13-15 years), who are developing their psychosocial independence, to those in late adolescence (16-18 years), who are developing their personal identity, personal goals and moral values (Goodhand et al, 2011). Health care should include a focus on maintaining meaningful age-appropriate relationships while gradually transferring responsibility from parents to the young adults (Christie and Viner, 2005, van Staa et al, 2011b, van Staa et al, 2011c.…”

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confidence: 99%

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Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: A qualitative metasynthesis

Fegran¹,

Hall²,

Uhrenfeldt³

et al. 2014

International Journal of Nursing Studies

227

204

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: A qualitative metasynthesis

Fegran¹,

Hall²,

Uhrenfeldt³

et al. 2014

International Journal of Nursing Studies

227

204

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“…Young adolescents are generally still concrete thinkers and not capable of fully understanding the implications of medication non-adherence. Christie and Viner (2005) note that physical and psychological changes interact with external and internal system demands (tasks) during adolescence. When these systems also include the healthcare organization, new challenges arise, especially with risk taking and adherence to medication or treatments.…”

Section: Discussionmentioning

confidence: 99%

Virologic Response Using Directly Observed Therapy in Adolescents With HIV: An Adherence Tool

Purdy

Freeman²,

Martin³

et al. 2008

Journal of the Association of Nurses in AIDS Care

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Virologic response to highly active antiretroviral therapy (HAART) treatment of human immunodeficiency virus (HIV) infection depends on viral sensitivity to antiretrovirals (ARV's) and excellent medication adherence. Adolescents with vertically-acquired HIV may require complicated regimens due to significant treatment experience and often have poor medication adherence. A retrospective chart review identified five adolescents with vertically acquired HIV and plasma HIV viral load rebound or nonresponse on a stable HAART regimen followed by a period of directly observed therapy (DOT) in a clinic or hospital setting with serial viral load measurements. Four subjects had a virologic response (mean decline 1.15 log) after DOT. A response to HAART can be seen despite ARV resistance using DOT, and treatment-experienced patients seemingly unresponsive to HAART may be non-adherent even with reassuring adherence measures. A period of clinicmonitored DOT may allow diagnosis of non-adherence, discussion of medication barriers and avoidance of unnecessary medication changes. KeywordsHIV/AIDS; Directly Observed Therapy; adolescence; adherence; virologic response Highly active antiretroviral therapy (HAART) is remarkably effective in suppressing HIV replication, preventing opportunistic infections, and prolonging life in children and adults with HIV infection (Gortmaker et al., 2001;Palella et al., 1998). However, the success of HAART Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. (Watson & Farley, 1999). NIH Public AccessAdherence to medications is often difficult in the pediatric population for reasons generally related to the developmental stage of the patient. In younger children, poor medication tolerability and palatability, lack of available liquid formulations for some medications, and caregiver non-adherence hinder adherence.In the adolescent population, psychosocial factors contribute greatly to non-adherence to antiretrovirals (ARVs), and often adolescents are given independence in taking medications despite not fully understanding their regimens (Martin, Elliot, Toledo-Tamula, Wolters, & Wood, 2004;Murphy et al., 2003). However, data on adherence to ARVs in vertically-infected adolescents are limited. In a study by Van Dyke et al., 2002, almost one-third of 125 HIVinfected pediatric subjects, most of whom were not adolescents, reported non-adherence to ARVs over the course of one year. Only 41% of a group of 161 HIV-positive adolescents infected via sexual contact or drug injection reported full ARV adherence (Murphy et al., 2003).Although adolescents with behavi...

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“…During this time the young person is gaining physical, psychological and social maturity, as well as developing their own identity and independence, all of which present unique challenges to both patient and clinician. 28 It has been shown that self-esteem is least stable during early adolescent, but that stability progressively increases into early adulthood. 26,29 This life-span trajectory is influenced by the individual s ethnicity, socioeconomic status, general health, but especially by their level of education, with more highly educated individuals demonstrating higher self-esteem, than did those less well-educated individuals.…”

Section: Psychological Well-beingmentioning

confidence: 99%

What is the value of orthodontic treatment?

2015

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SummaryOrthodontic treatment is as popular as ever. Orthodontists frequently have long lists of people wanting treatment and the cost to the NHS in England was £261m in 2013-14 (approximately 11% of the NHS annual spend on dentistry). It is important that clinicians and healthcare commissioners constantly question the contribution of interventions towards improving the health of the population. In this article the authors outline some of the evidence for and against the claims that people with a malocclusion are at a disadvantage compared with those without a malocclusion and that orthodontic treatment has significant health benefits. The authors would like to point out that this is not a comprehensive and systematic review of the entire scientific literature. Rather the evidence is presented in order to stimulate discussion and debate.

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Adolescent development

Cited by 585 publications

References 0 publications

Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: A qualitative metasynthesis

Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: A qualitative metasynthesis

Virologic Response Using Directly Observed Therapy in Adolescents With HIV: An Adherence Tool

What is the value of orthodontic treatment?

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