Identified attributes of adherence to oral
chemotherapy in childhood ALL included motivation,
persistence, collaboration, mindfulness, cognitive capacity,
flexibility, active participation, and identification of key
participants in the process. Identified antecedents included
a diagnosis of leukemia, the perceived value of adherence,
and patient, family, and healthcare system-related factors.
Identified consequences included the potential for maintaining
optimal drug levels and improving disease outcome,
as well as increased patient and caregiver esteem through
active participation in the process. Adherence in the context
of childhood ALL is defined as the active self-care behavior
of taking (or having the responsibility for administering) daily
oral chemotherapy, in collaboration with and according to
the instructions of the healthcare provider over a defined,
prolonged treatment period.