Family Functioning

With pediatric transplant recipients, the primary responsibility for treatment adherence rests on the parents or primary caregivers. According to physician ratings, lack of parental supervision was identified as one of the primary factors contributing to decreased medication adherence in pediatric renal transplant patients, and parent-child conflict also played a role in influencing treatment adherence (Shaw et al. 2003). In a study investigating potentially modifiable psychosocial risk factors in pediatric renal transplant recipients, Gerson et al. (2004) discovered that elevated parental stress, dysfunctional parent-child interactions, and child behavioral problems were factors associated with decreased medication adherence.

Due to the significant role of parents and caregiv-ers, an exploration regarding their availability and willingness to provide supervision over a child's medical treatment is crucial. A recent study revealed an association between increased parental risk classification and increased morbidities in the pediatric patient following cardiac transplantation (Stone et al. 2006).

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