2018
DOI: 10.1007/s00467-018-4044-x
|View full text |Cite
|
Sign up to set email alerts
|

Does a multimethod approach improve identification of medication nonadherence in adolescents with chronic kidney disease?

Abstract: Nonadherence is prevalent in AYAs with CKD. Providers inaccurately identify nonadherence, leading to missed opportunities to intervene. Our study demonstrates the benefit to utilizing a multimethod approach to identify nonadherence in patients with chronic disease, an essential first step to reduce nonadherence.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

0
5
0

Year Published

2019
2019
2024
2024

Publication Types

Select...
7
3

Relationship

4
6

Authors

Journals

citations
Cited by 19 publications
(5 citation statements)
references
References 34 publications
0
5
0
Order By: Relevance
“…In addition, it is critical to consider multiple viewpoints and reports when assessing overall adherence and adherence barriers. Pruette et al analyzed concordance between five different adherence measures, including provider report, adolescent/young adult self‐report, caregiver report, and two objective measures (electronic MEMS and pharmacy refill data 41 . The investigators found poor to fair concordance (Kappas = 0.12‐0.54), with 35%‐61% of adolescents/young adults classified as non‐adherent depending on the measures.…”
Section: Healthcare System–level Factors That Contribute To Non‐adhermentioning
confidence: 99%
“…In addition, it is critical to consider multiple viewpoints and reports when assessing overall adherence and adherence barriers. Pruette et al analyzed concordance between five different adherence measures, including provider report, adolescent/young adult self‐report, caregiver report, and two objective measures (electronic MEMS and pharmacy refill data 41 . The investigators found poor to fair concordance (Kappas = 0.12‐0.54), with 35%‐61% of adolescents/young adults classified as non‐adherent depending on the measures.…”
Section: Healthcare System–level Factors That Contribute To Non‐adhermentioning
confidence: 99%
“…26,54,55 The absence of association between adherence markers and conversion may reflect the challenges that healthcare professionals face in identifying non-adherents; clinician gestalt on this is poor with a gross underestimation of non-adherence. [56][57][58][59][60] This difficulty in differentiating based on adherence may also partially explain the dependence on demographic features when deciding who to convert to ER-Tac, especially as MAM-MM and detailed tacrolimus trough CV% data do not form part of routine clinical practice.…”
Section: Discussionmentioning
confidence: 99%
“…Most current mobile devices can take and send photographs and photo monitoring of urine dipstick results may enhance confidence in the validity of information sent to providers. The system obtained patient- and caregiver proxy–reported medication adherence, which is known to be unreliable in pediatric nephrology samples and other disease groups 9 . Ideally, objectively measured adherence, such as electronic monitoring, will be incorporated in adaptations of this monitoring system, especially because it was designed to alert study teams to reported nonadherence.…”
Section: An Mhealth Disease Monitoring System For Childhood Nephroticmentioning
confidence: 99%