Estudio multicéntrico sobre adhesión al tratamiento antibiótico en población infantil en atención primaria

Silvestre, Carmen; Ramalle-Gómara, Enrique; Garcia, Rosa; Flor-Serrano, A.; García-Fernández, J.; Pernas, Herminia Ramil; Tejero, M. Pilar Notivol

doi:10.1016/s0212-6567(01)78859-2

Cited by 14 publications

(7 citation statements)

References 9 publications

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“…Nevertheless, many studies in paediatric patients proved non-adherence to treatment of chronic diseases to even exceed the level of 50%. For example, adherence in paediatric patients with Attention Deficit/Hyperactivity Disorder was only 39.9% [ 21 ], whereas out of 2244 Spanish children prescribed antibiotics, only 46.5% adhered adequately [ 22 ]. Having this data in mind it would be fair to say that survey participants underestimated the overall prevalence of non-adherence in paediatric patients, providing the average number below 30%, and close to 1/5 of respondents believing that non-adherence occurs in up to 10% of the paediatric patients only.…”

Section: Discussionmentioning

confidence: 99%

Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

2021

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Background Due to high prevalence, non-adherence to prescribed treatment seriously undermines the effectiveness of evidence-based therapies in paediatric patients. In order to change this negative scenario, physicians need to be aware of adherence problem, as well as of possible solutions. Unfortunately, full potential of adherence-targeting interventions is still underused in Poland. Therefore, the aim of this study was to assess the knowledge, attitudes and behaviours toward non-adherence in Polish paediatricians. Methods An anonymous cross-sectional nationwide survey was conducted in the convenience sample of Polish doctors providing care to paediatric patients. The survey focused on the prevalence of non-adherence, its causes, and interventions employed. Primary studied parameter was perceived prevalence of non-adherence in paediatric patients. Reporting of this study adheres to STROBE guidelines. Results One thousand and thirty-three responses were eligible for analysis. Vast majority of respondents were female (85.9%), most of them worked in primary care (90.6%). The respondents represented all 16 Polish Voivodeships, with the biggest number coming from the Mazowieckie Voivodeship (n = 144, 13.9%). Survey participants believed that on average 28.9% of paediatric patients were non-adherent to medication. More than half of the respondents (n = 548, 53.0%) were convinced that their own patients were more adherent than average. Duration of the professional practice strongly correlated with a lower perceived prevalence of non-adherence. Professionals with more than 40 years of practice believed that the percentage of non-adherent patients was <=20% particularly often (OR = 3.82 (95% CI 2.11–6.93) versus those up to 10 years in practice). Out of all respondents, they were also most often convinced that their own patients were more adherent than the general population (P < 0.01). Consequently, they underestimated the need for training in this area. Conclusions Physicians taking care of Polish paediatric patients underestimated the prevalence of medication non-adherence and believed that this was a problem of other doctors. This optimistic bias was particularly pronounced in older doctors. These results identify important barriers toward improving patient adherence that are worth addressing in the pre- and post-graduate education of Polish physicians. They also put some light over the challenges that educational activities in this area may face.

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Section: Discussionmentioning

confidence: 99%

Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

2021

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“…Silvestre- Busto et al (2001), in a study comparing 6 indirect methods to evaluate therapy adherence, observed that the MGT underestimates the number of good adherents and overestimates the number of non-adherents by 7.9%. Notwithstanding, the MGT remains one of the best methods for assessing adherence, and is very reliable when nonadherent patients affirm this status.…”

Section: Discussionmentioning

confidence: 99%

Adherence to drug treatment in hypertensive patients on the Family Health Program

Ungari

Fabbro

2010

Braz. J. Pharm. Sci.

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The aim of the present study was to analyze adherence to drug treatment in hypertensive patients enrolled on the Family Health Program in Ribeirão Preto, São Paulo State. This transversal study was conducted between August and December 2006, in which 109 patients were interviewed using the Morisky and Green Test to measure adherence level to pharmacotherapy. Variables that may be related to adherence level were also investigated, such as demographic characteristics, health care team and health service related factors, and pharmacotherapy related factors. The test scores were analyzed by two criteria: patients were categorized as "more adherent" if they had a score from 3 to 4 (criterion 1) or a score of 4 (criterion 2); patients with other scores were categorized as less adherent. Of all patients, 79.8% and 43.1% were classified as "more adherent" according to criterion 1 and criterion 2, respectively. With regard to the possible causes of non-adherence to treatment, statistically significant (p<0.05) associations were identified between "trust in the doctor" or "number of antihypertensive drugs used" and the level of adherence, according to criterion 2. These results indicated adequate adherence levels to drug treatment by the patients, and highlighted the importance of professional/patient interaction, trust in the doctor and the attitude by health professionals toward users. Este estudo teve como objetivo estudar a adesão ao tratamento farmacológico de pacientes hipertensos seguidos no Programa de Saúde da Família em Ribeirão Preto, SP. Realizou-se um estudo transversal entre agosto e dezembro de 2006, em que foram entrevistados 109 pacientes, utilizando-se o Teste de Morisky e Green para mensurar o grau de adesão ao tratamento. Variáveis que podem se relacionar com o grau de adesão também foram estudadas, tais como: características demográficas, fatores relacionados à equipe e ao serviço de saúde e à terapia medicamentosa. Os resultados do teste foram avaliados por dois critérios: os pacientes foram classificados como "mais aderentes" se apresentassem pontuação de 3 a 4 (critério 1) ou de 4 (critério 2); pacientes com outras pontuações foram classificados como "menos aderentes". Dos pacientes, 79,8% e 43,1% foram "mais aderentes" de acordo com os critérios 1 e 2, respectivamente. Em relação às possíveis causas da não adesão, observaram-se associações significativas (p<0,05) entre as variáveis "confiança no médico" ou "quantidade de medicamentos anti-hipertensivos que utiliza" e "grau de adesão", pelo critério 2. Os resultados do presente trabalho indicam que os pacientes apresentam graus satisfatórios de adesão ao tratamento medicamentoso, a importância da interação profissional/paciente, a confiança no médico e a atitude dos profissionais de saúde em relação ao usuário.Unitermos: Adesão ao tratamento. Hipertensão Arterial/tratamento farmacológico. Saúde da Família.

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“…Esta asociación también se ha observado en estudios previos 13,15,25 . Entre los motivos de incumplimiento, referidos por los padres, se incluyen la mejoría clínica y la presencia de efectos secundarios, que también se han identificado en estudios previos como causas más frecuentes de la no cumplimentación terapéu-tica 11,12 .…”

Section: Características De Los Participantesunclassified

Cumplimiento del tratamiento antibiótico en niños en Atención Primaria

et al. 2014

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Estudio multicéntrico sobre adhesión al tratamiento antibiótico en población infantil en atención primaria

Cited by 14 publications

References 9 publications

Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

Adherence to drug treatment in hypertensive patients on the Family Health Program

Cumplimiento del tratamiento antibiótico en niños en Atención Primaria

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