Executive functioning, adherence, and trasition readiness in adolescent transplant recipients

Abstract

Objective: This study aimed to evaluate executive functioning in a sample of adolescent transplant recipients and to examine its associations with adherence and readiness to transition from pediatric to adult care. Method: Thirty-six adolescents (M = 16.64; SD = 1.53) with a solid organ transplant and their caregivers were administered self- and proxy-report measures. Results: T-test analyses revealed clinically significant elevations in executive functioning abilities in adolescent transplant recipients compared to normally developing youth. Better executive functioning abilities were a significant predictor of better medication adherence, fewer barriers to adherence, and greater transition readiness. Discussion: Adolescent transplant recipients are at risk for deficits in executive functioning. The assessment of executive functioning abilities may guide adherence and transition readiness intervention efforts designed to promote positive outcomes.