{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:54:24Z","timestamp":1790729664517,"version":"4.1.0"},"reference-count":75,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T00:00:00Z","timestamp":1543363200000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Pfizer Denmark","award":["Unnumbered research grant"],"award-info":[{"award-number":["Unnumbered research grant"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Recombinant prophylactic treatment (PTX) has greatly improved morbidity, mortality and health\u2010related quality of life (HRQoL) in patients with severe haemophilia. Yet, treatment adherence appears suboptimal in adolescents and young adults with haemophilia (YWH). Young patients experience major biopsychosocial changes challenging their adherence through the transition from parental to self\u2010care, from paediatric to adult care. In clinical practice, a systematic approach to transition is rarely used and there is little evidence on best practices. This qualitative review was based on a systematic literature search including quantitative as well as qualitative research reports to examine all relevant factors influencing adherence to PTX in YWH. We aimed to gain comprehensive insight into main drivers and barriers to adherence by exploring them in the context of YWH\u2019s disease perceptions, characteristics, HRQoL and needs. The outcome is an overview of the latest published recommendations to support treatment adherence in YWH during the transition from family\u2010oriented care to self\u2010care and from paediatric to adult care. The literature suggests that adherence to PTX is best supported when individual patient needs and preferences are taken into consideration when planning treatment. Preserving normality is a main priority in young patients making it crucial to support patients from early childhood in considering PTX as enabling rather than hindering a normal social and physically active life. Education in self\u2010management should include psychosocial support of patients as well as caregivers. This requires systematic transition planning including milestone assessments and ongoing multidisciplinary support until full self\u2010management is secured.<\/jats:p>","DOI":"10.1111\/hae.13621","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T19:31:09Z","timestamp":1543433469000},"page":"862-872","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Adherence to prophylactic haemophilic treatment in young patients transitioning to adult care: A qualitative review"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9750-2493","authenticated-orcid":false,"given":"Gitte","family":"Lee Mortensen","sequence":"first","affiliation":[{"name":"AnthroConsult Aarhus C Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Mette","family":"Strand","sequence":"additional","affiliation":[{"name":"Pfizer Ballerup 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