Table 3. Facilitators of Adherence.

Recognizing the importance of therapies Becoming knowledgeable about taking medications and their purpose, as well as other aspects of their care Accepting responsibility for one's health and CF care Relationships with the CF care team Having a trusting relationship with the CF doctor and team, Encouraging the CF physician to talk frankly to the adolescent and reinforce the importance of adherence to the medication and treatment regimen CF team should provide “tools” and tips to assist the adolescent in maintaining adherence CF team should be creative in problem-solving with the adolescent and parent Being treated as an adult Openness about CF with others to offer opportunities for support Enabling parents to cede control and entrust responsibility to adolescents Allowing adolescents to experience the negative consequences to their health of non-adherence in order to increase the likelihood of future adherence to treatments Early development of self-care skills through repeated practice Completing treatments consistently from an early age (“always have done it”) Gradually increasing responsibility given to the child for self-care “The sooner he/she knows how to do it, the sooner it becomes second nature.” Establishing a structure Having a regular, predictable schedule Having a daily routine, “making it a ritual” Learning to multitask, for example, do homework, video games, etc. while doing CPT