Participants completed the Adherence subscale of the Transplant Effects Questionnaire(TxEQ [61]) to assess how well they were adhering to their medication regimen (e.g. “Sometimes I forget to take my antirejection medicines”). Items are endorsed on a 5-point Likerttype scale (“Strongly Agree” to “Strongly Disagree”) with total score range of 5–25 for this subscale, and higher scores indicating better adherence [61]. Work by Frazier and colleagues indicates that measurement of non-adherence is improved by use of a continuous measure, whichunlike many self-report scales utilizing ‘yes’ or ‘no’ responses, the TxEQ allows [62]. Similarly,previous research indicates that self-report measures that ask for qualitative reports of adherence better approximate adherence level as measured by electronic monitoring than those querying specification of missed doses [63].