Table 8. Recommendations for Youth-Centered Approaches to Promote Adherence.

Develop structured communication systems between youth and clinical care teams that incorporate a mutual understanding of competing priorities and time pressures Provide education to youth and caregivers on how lack of immediate therapeutic benefit does not equate to lack of long-term benefit Promote adult developmental milestones through early initiation and repeated practice of self-management skills Initiate discussions of adherence barriers with adolescents and caregivers early and often Facilitate youth-derived goals for adherence behaviors that incorporate parents, peers, and multi-disciplinary clinician input