Adherence to Pediatric Medical Regimens

Rapoff, Michael A.

doi:10.1007/978-1-4419-0570-3

Cited by 267 publications

(380 citation statements)

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“…Adherence outcomes were also often assessed by using patient-and parent-report, which is typically an overestimate. 1 Future studies should consider including an attention control or active comparison intervention and adherence assessments other than self-report. 23 The current results should be interpreted with several limitations in mind.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, rates of medical regimen non-adherence are high, with ∼50% of pediatric patients and their families demonstrating non-adherence. 1 Improving medical regimen adherence is of central importance for achieving better medical outcomes for chronically ill children. 2 Previous metaanalyses and reviews have focused on the effectiveness of behavioral health professionals (eg, psychologists) in implementing pediatric adherence promotion interventions.…”

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confidence: 99%

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Health Care Provider-Delivered Adherence Promotion Interventions: A Meta-Analysis

Pai

2014

Pediatrics

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BACKGROUND AND OBJECTIVE: Improving medical regimen adherence is essential for maximizing the therapeutic potential of treatments for pediatric chronic illness. Health care providers are uniquely positioned to deliver adherence promotion interventions. However, no studies have summarized the effectiveness of health care provider-delivered adherence interventions. The objective of this study was to describe the effectiveness of health care provider-delivered adherence promotion interventions in improving adherence among children who have chronic illness. Data sources include PubMed, PsycINFO, CINAHL, and Scopus. Studies were included if they were randomizedcontrolled trials of pediatric interventions aiming to increase adherence to the primary regimen for a chronic illness and at least 1 health care provider delivered the intervention.RESULTS: A total of 35 randomized-controlled studies including 4616 children were included. Greater improvements in adherence were observed immediately after health care provider-delivered interventions (d = 0.49; 95% confidence interval, 0.32 to 0.66) than at longer-term follow-up (d = 0.32; 95% confidence interval, 0.10 to 0.54). Treatment effect sizes differed across the adherence behaviors measured. There was significant heterogeneity in treatment effects; however, no moderators of treatment effectiveness were identified. This meta-analysis focused on the published literature. In addition, the majority of studies involved children who had asthma and younger children.CONCLUSIONS: Health care provider-delivered interventions for children who have chronic illness can be effective in improving adherence. Gains in adherence are highest immediately after intervention. Future interventions and studies should include multiple methods of assessing adherence, include active comparators, and address long-term maintenance of adherence gains.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Health Care Provider-Delivered Adherence Promotion Interventions: A Meta-Analysis

Pai

2014

Pediatrics

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“…Treatment adherence is a long-term goal, important for defining the quality of life, but also a continuing challenge [5].…”

Section: Introductionmentioning

confidence: 99%

Medical Staff’s Opinions Regarding Factors which Influence the Case Management of Children with Insulin-dependent Diabetes Mellitus

Maria

Zoltan

Maria

et al. 2016

Acta Medica Marisiensis

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Insulin-dependent diabetes mellitus (IDDM) is a chronic disease with high incidence, especially in children, and for a better outcome the individual case management is required. The patient and his family can experience different levels of anxiety, with negative effects on disease evolution and prognosis. Objectives: identify relevant factors which influence the case management of children with IDDM. The implementation of the results of this study will help to elaborate an efficient method of intervention for improving the treatment adherence and obtaining a better outcome of IDDM in children. Methods: A semi-structured interview was done individually to 10 experts in diabetes for collecting their opinion concerning relevant factors that may influence treatment adherence and what are the characteristics of an efficient method of intervention. Results: Majority of experts considered that the main factor which influences the outcome is doctor-patient relationship. The need of child, to feel that it is understood and protected, was considered that can directly motivate a better self-management and a good outcome. The increase of importance of individual resources of children with IDDM and accent on the quality of life of those children could be considered a starting point for creating a psychological clinic intervention in this field. The results were compared with scientific literature data. Conclusions: understanding of the causes which have interfered negatively with therapeutic plan is a starting point for develop a clinicalpsychological protocol for children with IDDM.

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“…A não adesão ao tratamento de doenças crônicas pode afetar de forma adversa a saúde e o bem estar do indivíduo, bem como a relação custo-benefício de cuidados médicos, elevando os gastos para a população e para o Estado, com desperdício de medicamentos, aumento de internações e atendimentos ambulatoriais (Rapoff, 2009). Aderir ao tratamento médico pode ser entendido por Haynes et al (2008) como o grau de conformidade entre as recomendações dos profissionais de saúde e o comportamento da pessoa direcionado a executar o tratamento proposto.…”

Section: Introductionunclassified

Avaliação da adesão ao tratamento do diabetes mellitus tipo 1: Revisão de literatura

Kirchner

Marinho-Casanova

2014

Estud. Interdiscip. Psicol.

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ResumoEsse trabalho buscou identificar os métodos, objetivos e tipo de estudos que avaliaram a adesão ao tratamento do Diabetes Mellitus tipo 1, publicados entre 2000 e 2013. Foram analisados 111 artigos, levantados na base de dados Web of Science. Os resultados indicaram que 95 pesquisas são descritivas, com participantes predominantemente adolescentes (74 estudos) e crianças (34 estudos). Verificou-se também que prevaleceram aqueles estudos que: utilizaram apenas um informante (67 estudos), sendo o portador da doença quem mais informou os dados (72 estudos); foram avaliados de um (35 estudos) ou cinco (25 estudos) componentes do tratamento médico, por meio de um único instrumento de avaliação (68 estudos), sendo os instrumentos padronizados a medida de avaliação mais utilizada (40 estudos). Os dados levam ao questionamento de que os métodos utilizados para avaliar a adesão, nos estudos levantados, não estão de acordo com sugestões apresentadas na literatura para tornar resultados da avaliação da adesão mais confiáveis. Discussões a respeito desta temática precisam ser mais desenvolvidas. Palavras-chave: adesão ao tratamento; revisão de literatura; diabetes mellitus tipo 1. EVALUATION OF ADHERENCE TO THE TREATMENT OF TYPE 1 DIABETES MELLITUS: LITERATURE REVIEW AbstractThis work aimed to identify methods, objectives and type of studies that assessed adherence to the treatment of type 1 Diabetes Mellitus, published from 2000 to 2013. We analyzed 111 articles, collected in the survey by the Web of Science database. The results indicated that 95 studies are descriptive, with prevalence of adolescents (74 studies) and children (34 studies). It was also found that those studies that have prevailed: Used an informer (67 studies), the carrier of the disease who reported more data (72 studies), evaluated one (35 studies) or five (25 studies) treatment medical, by means of an instrument (68 studies), being standardized instruments the most used procedures in this assessment (40 studies). Data leaded to the conclusion that the methods used to assess adherence, in the studies analyzed, do not comply with the suggestions made in Literature to make the results in adherence more reliable. Discussions about this subject need to be further developed.

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Adherence to Pediatric Medical Regimens

Cited by 267 publications

References 0 publications

Health Care Provider-Delivered Adherence Promotion Interventions: A Meta-Analysis

Health Care Provider-Delivered Adherence Promotion Interventions: A Meta-Analysis

Medical Staff’s Opinions Regarding Factors which Influence the Case Management of Children with Insulin-dependent Diabetes Mellitus

Avaliação da adesão ao tratamento do diabetes mellitus tipo 1: Revisão de literatura

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