Preschool and schoolAge children

Young children (typically ages 0-3 years) are dependent on their parents for administering medications and for following medical recommendations. For these children, nonadherence is related to the caretaker's inability to follow recommendations. As children grow older, it is increasingly important for clinicians to take into account the interaction between caretaker and child, childrearing practices, patient temperament, and the role of any existing disability when responding to nonadherence to treatment regimens (Garrison et al. 1990). As children become increasingly autonomous, child and caretaker conflicts can emerge that lead to nonadherent behaviors. Cognitive-behavioral strategies for children and their caretakers become useful in approaching these difficulties with school-age children.

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