Treatment adherence in juvenile rheumatoid arthritis--a review.

Adherence to long-term complex treatment in children with Juvenile Rheumatoid Arthritis (JRA) is a major problem. This article reviews psychosocial factors that compromise treatment adherence and discusses ways to improve long-term adherence. Child-centred information, therapy management, behaviour modification, and parental monitoring are described as adherence facilitating strategies for clinical and non-clinical settings. Finally, the implications for further practice and research are discussed.