The Journal focuses on Self-Management, Adherence, Compliance, Inflammatory bowel disease, Psychosocial, Treatment. This clinical report aims to review key self-management and adherence issues in pediatric inflammatory bowel disease (IBD) and to provide recommendations for health care providers regarding evidence-based assessment and treatment approaches to promote optimal selfmanagement. Self-management difficulties in the form of nonadherence to treatment regimens are common in pediatric IBD and are influenced by various disease-related, individual, family, and health-professional relationship factors. To promote adaptive self-management, health care providers are encouraged to adopt a long-term preventive orientation which includes routine screening of barriers to self-management and nonadherence in the context of routine clinic appointments. The use of a multimethod approach to assessment which incorporates objective measures (e.g., pill counts or bioassays) may be particularly advantageous. Individualized treatment approaches that incorporate evidence-based practices, such as providing written treatment plans and offering opportunities to practice and receive feedback on skills may help to ameliorate minor self-management concerns; however, more severe or chronic self-management problems may require a referral for behavioral health intervention. Additional research to broaden our understanding of self-management in domains beyond medication adherence and to evaluate the impact of clinic-based interventions is imperative.

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Editorial Manager
Research and Reports in Gastroentrology
Email: gastro@clinicalmedicaljournals.com