Discordance between physician and adolescent assessments of adherence to treatment: influence of HbA1c level. The PEDIAB Collaborative Group.

Pasquier-Fediaevsky, L Du; Tubiana‐Rufi, N.

doi:10.2337/diacare.22.9.1445

Cited by 35 publications

(29 citation statements)

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“…In an earlier study, the rate of discordance on adherence to drugs between patients and physicians was 35% [18] which is significantly lower than what we have reported. Again, the rate of discordance in our study is lower than that previously reported in HIV-infected people where adherence was measured by electronic monitoring 41% [8], self-report 45% [11] or even with a study carried out on adherence to treatment for diabetic adolescents [19]. Despite the fact that the rate of discordance is lower than in some other studies, substantial gap has been found between patients and physicians.…”

Section: Discussioncontrasting

confidence: 95%

Discordance between providers estimated and caregivers self reported adherence to haart and immunological response among hiv infected children in Ethiopia

Biadgilign¹,

Deribew²,

Amberbir³

et al. 2010

Int J Health Res

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an online international journal allowing free unlimited access to abstract and full-text of published articles. The journal is devoted to the promotion of health sciences and related disciplines (including medicine, pharmacy, nursing, biotechnology, cell and molecular biology, and related engineering fields). It seeks particularly (but not exclusively) to encourage multidisciplinary research and collaboration among scientists, the industry and the healthcare professionals. It will also provide an international forum for the communication and evaluation of data, methods and findings in health sciences and related disciplines. The journal welcomes original research papers, reviews and case reports on current topics of special interest and relevance. All manuscripts will be subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication) will be published without delay. The maximum length of manuscripts should normally be 10,000 words (20 single-spaced typewritten pages) for review, 6,000 words for research articles, 3,000 for technical notes, case reports, commentaries and short communications. Submission of Manuscript:The International Journal of Health Research uses a journal management software to allow authors track the changes to their submission. All manuscripts must be in MS Word and in English and should be submitted online at http://www.ijhr.org. Authors who do not want to submit online or cannot submit online should send their manuscript by e-mail attachment (in single file) to the editorial office below. Submission of a manuscript is an indication that the content has not been published or under consideration for publication elsewhere. Authors may submit the names of expert reviewers or those they do not want to review their papers. Enquiries AbstractPurpose: Poor concordance between patient and physician reports of adherence might lead to inappropriate decisions regarding therapy. This study was undertaken to determine the rate of discordance between caregivers of children and physicians on adherence to Highly Active Antiretroviral Therapy (HAART). Methods: In a cross sectional study involving 390 respondents that was conducted in five hospitals in Addis Ababa, agreement between caregiver-reported adherence and providers' estimate of adherence was compared using Kappa (k) statistic. The association between the CD4 counts and measure of adherence was evaluated using a receiver operating characteristic (ROC) curve. Results: Caregivers reported dose adherence was 87% in the last 7 days and physician estimated 84% of the children as adherent based on their judgment. Fair agreement was observed between caregivers-reported dose adherence and providers' estimate adherence (Kappa = 0.27, p=0.0001). In a ROC curve, the association between a current CD4 count slope and physician estimated was poor. Conclusions: There is fair agreement and high rate of discordance (18%) between physicians estimated and caregivers reported adherence. These recall for an in...

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Section: Discussioncontrasting

confidence: 95%

Discordance between providers estimated and caregivers self reported adherence to haart and immunological response among hiv infected children in Ethiopia

Biadgilign¹,

Deribew²,

Amberbir³

et al. 2010

Int J Health Res

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“…The literature describing the diabetes professional-patient relationship suggests that wellintentioned professionals sometimes misjudge the perspective of families, thereby missing opportunities to be of greatest service. [27][28][29][30] This discussion organizes the parents' perspective into several themes, each of which describes an aspect of a multilayered approach that health professionals might use to optimize care for patients with diabetes. Qualitative insight from the preliminary analysis of the focus groups and interviews are included to describe the subtext behind some of the ideas.…”

Section: Discussionmentioning

confidence: 99%

“…With this in mind, it is not surprising that adherence declines during adolescence. 30,41 Hanna and Guthrie 12 found that parental involvement in diabetes management decreased from early to middle to late adolescence. Anderson and colleagues 42,43 reported that children and adolescents whose parents were more involved in diabetes management tested blood sugar more frequently and were in better glycemic control.…”

Section: Supporting Children and Adolescentsmentioning

confidence: 97%

Parents’ Perceptions of Factors That Affect Successful Diabetes Management for Their Children

Ginsburg

Howe²,

Jawad

et al. 2005

Pediatrics

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Clinicians can affect many of the factors that parents perceive to make a difference in whether they can successfully raise a resilient child in good diabetes control. Future research needs to determine whether health care teams that address the concerns that parents raised in this study are more effective in guiding children to cope well with diabetes, to incorporate healthier lifestyles, and ultimately to achieve better metabolic control.

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“…Interestingly, Du Pasquier-Fediaevsky and Tubiana-Rufi [33] reported very low agreement between adolescents' and physicians' perception of adherence. Adolescents saw themselves as more adherent.…”

Section: Metabolic Control Behavioral Assessment and Interventionsmentioning

confidence: 97%

Psychosocial issues in pediatric diabetes

Schiffrin

2001

Curr Diab Rep

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Although the majority of diabetic patients exhibit mild depression, anxiety, and somatic complaints at the time of diagnosis, these symptoms are usually temporary and resolve within 6 to 9 months. However, in some patients, depressive symptoms may increase with the duration of diabetes. Anxiety seems to increase and to be more prevalent in girls than in boys. Depression and self-esteem problems have a negative impact on the adaptation to diabetes and metabolic control. Patients' adjustment to diabetes shortly after diagnosis seems to predict adjustment later on. Family characteristics have major implications in the patient's adjustment to diabetes, self-management, and quality of life. Children and adolescents living in families with a high degree of conflict or that are less caring appear to have poorer metabolic control. Thus, the goal of achieving metabolic and psychological stability requires a diabetes team equipped to provide social and psychological support in addition to the development of technical skills. This includes very early assessment of family dynamics and psychological intervention.

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Discordance between physician and adolescent assessments of adherence to treatment: influence of HbA1c level. The PEDIAB Collaborative Group.

Cited by 35 publications

References 0 publications

Discordance between providers estimated and caregivers self reported adherence to haart and immunological response among hiv infected children in Ethiopia

Discordance between providers estimated and caregivers self reported adherence to haart and immunological response among hiv infected children in Ethiopia

Parents’ Perceptions of Factors That Affect Successful Diabetes Management for Their Children

Psychosocial issues in pediatric diabetes

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