Module 4: Clearly Defined Roles are Important

	One common adherence barrier in families is that parents and children do not have clearly defined roles around medication management.   Research studies have found that parents and children who can identify and assign roles around adherence to medical treatments have better adherence outcomes.
Module 4

Pai AL, Gray E, Kurivial K, Ross J, Schoborg D, Goebel J. The Allocation of Treatment Responsibility scale: a novel tool for assessing patient and caregiver management of pediatric medical treatment regimens. Pediatr Transplant 2010;14:993–9.; Anderson BJ, Holmbeck G, Iannotti RJ, McKay SV, Lochrie A, Volkening LK, et al. Dyadic measures of the parent–child relationship during the transition to adolescence and glycemic control in children with type 1 diabetes. Fam Syst Health 2009;27: 141–52.;  Miller VA, Drotar D. Decision-making competence and adherence to treatment in adolescents with diabetes. J Pediatr Psychol 2007;32:178–88.