A photo of Kristin Loiselle Rich, PhD.

Kristin Loiselle Rich, PhD

  • Pediatric Psychologist, Division of Behavioral Medicine and Clinical Psychology
  • Assistant Professor, UC Department of Pediatrics
In my practice, I believe patients and their families should have an active role in determining their personal treatment goals. I want them to feel empowered so they can continue to use their skills after their care with me has ended.
Kristin Loiselle Rich, PhD



I am a pediatric psychologist who helps children who have serious medical conditions and chronic pain. These include chronic kidney and liver disease and rheumatic conditions such as lupus and juvenile idiopathic arthritis (JIA). I also work with children who are having solid organ transplants and patients with chronic pancreatitis undergoing total pancreatectomy with islet auto-transplantation.

I was drawn to my career when I saw the resilience of children while volunteering at summer camps for those with chronic health conditions. I want to support children with behavioral and emotional management for coping with their condition, so they can focus on other important areas of their lives such as school and social relationships.

In my practice, I believe patients and their families should have an active role in determining their personal treatment goals. I want them to feel empowered so they can continue to use their skills after their care with me has ended.

While I use evidence-based treatments, I take a flexible approach to meet the individual needs of each patient. I spend time getting to know them and their families to understand their unique dynamics. I am here to support children and their families at any point in their journey, from diagnosis throughout medical treatment.

In addition to seeing patients, I also conduct research. I am trying to determine what can get in the way of children and families following their prescribed medical regimens. I’m also looking into increasing patient access to evidence-based interventions that promote adherence, by training frontline healthcare providers to deliver these interventions.

In my spare time, I enjoy playing tennis as well as board and card games. I also attend live theater in Cincinnati and travel back home to the East Coast for the beach.

PhD: University of Georgia, Athens, GA, 2014.

Residency: O'Grady Residency in Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2013-2014.

Fellowship: Behavioral Medicine and Clinical Psychology/Center for Treatment Adherence and Self-Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2014-2016.


Pediatric psychology; coping with chronic illness; adherence to treatment/self-management; transition of responsibility for health care; behavioral pain management; solid organ transplant; cognitive-behavioral therapy

Services and Specialties

Behavioral Medicine, Kidney Transplant, Liver Transplant, Pancreas Care


Adherence to medical regimens; dissemination and implementation of evidence-based behavioral interventions; quality of life

Research Areas

Clinical Psychology

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Percutaneous Electrical Nerve Field Stimulation in Children and Adolescents With Functional Dyspepsia-Integrating a Behavioral Intervention. Santucci, NR; Beigarten, AJ; Khalid, F; El-Chammas, KI; Graham, K; Sahay, R; Fei, L; Rich, K; Mellon, M. Neuromodulation. 2024; 27:372-381.

The Barriers Assessment Tool-A Patient-Centered Measure of Adherence Barriers in Pediatric Kidney Transplantation. Varnell, CD; Hooper, DK; Mara, CA; Modi, AC; Rich, KL. Children. 2023; 10:1435.

Diabetes-Related Quality of Life Assessment in Children following Total Pancreatectomy with Islet Autotransplantation. Redel, JM; Hornung, L; Elder, D; Nathan, JD; Corathers, S; Rich, KL; Abu-El-Haija, M. Pediatric Diabetes. 2023; 2023:1-8.

Electronic Monitoring of Adherence in Clinical Care: Ethical and Practical Considerations. Rich, KL; Pai, AL H; Varnell, CD; Hooper, DK; Eckhardt, C; Modi, AC. Clinical Practice in Pediatric Psychology. 2022; 10:452-461.

A Cost-effectiveness Analysis of Adherence Promotion Strategies to Improve Rejection Rates in Adolescent Kidney Transplant Recipients. Varnell, CD; Rich, KL; Modi, AC; Hooper, DK; Eckman, MH. American Journal of Kidney Diseases. 2022; 80:330-340.

A Medication Adherence Promotion System to Reduce Late Kidney Allograft Rejection: A Quality Improvement Study. Hooper, DK; Varnell, CD; Rich, K; Carle, A; Huber, J; Mostajabi, F; Dahale, D; Pai, AL H; Goebel, J; Modi, AC. American Journal of Kidney Diseases. 2022; 79:335-346.

Caregiver-reported outcomes of pediatric transplantation: Changes and predictors at 6 months post-transplant. Cushman, G; Gutierrez-Colina, AM; Lee, JL; Rich, KL; Mee, LL; Rea, K; Blount, RL; Eaton, CK. Pediatric Transplantation. 2021; 25:e14067.

Predicting acute rejection in children, adolescents, and young adults with a kidney transplant by assessing barriers to taking medication. Varnell, CD; Rich, KL; Zhang, B; Carle, AC; Pai, AL H; Modi, AC; Hooper, DK. Pediatric Nephrology. 2021; 36:2453-2461.

Psychosocial Adjustment and Adherence to Prescribed Medical Care of Children and Adolescents on Dialysis. Rich, KL; Johnson, RJ; Cousino, MK. Pediatric Dialysis. : Springer Nature; Springer Nature; 2021.

The Role of Psychology in the Care of Children With Pancreatitis. Rich, KL; Abu-El-Haija, M; Nathan, JD; Lynch-Jordan, A. Pancreas. 2020; 49:887-890.

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