Length of the treatment and number of doses per day as major determinants of child adherence to acute treatment

Chappuy, Hélène; Jm, Tréluyer; Faesch, S.; Giraud, C; Chéron, G.

doi:10.1111/j.1651-2227.2009.01601.x

Cited by 13 publications

(5 citation statements)

References 23 publications

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“…First, it is crucial to note that the present manuscript reports on adherence early in the pandemic. Given that adherence is known to decline over time ( Chappuy et al, 2010 ), ongoing research is needed to understand patterns of adherence over the course of the pandemic. Second, the current sample was one of convenience.…”

Section: Discussionmentioning

confidence: 99%

Emerging Adults’ Adherence to Preventative Health Guidelines in Response to COVID-19

Feldman

Balistreri

Lampert

et al. 2021

Journal of Pediatric Psychology

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Objective To examine rates of emerging adults’ (EA) adherence to preventative health behavior recommendations during early months of the COVID-19 pandemic and to investigate demographic (i.e., gender, years of education, socioeconomic status, school enrollment status, and living situation) and exposure and impact-related correlates of adherence. Methods Participants were 273 [M (SD) age = 22 (2.1) years, 55% female, 32% from minoritized groups] EA completed an online survey of adherence to 11 preventative health behaviors recommended by the Centers for Disease Control (CDC) during summer 2020. Participants rated adherence via a visual analog scale. Participants also reported demographic information and completed the COVID-19 Exposure and Family Impact Adolescent and Young Adult Version (CEFIS-AYA). Results Median levels of adherence to preventative recommendations ranged from 66% to 100%. Highest adherence levels (Mdn > 90%) were reported for quarantining if exposed to COVID-19; covering mouth when sneezing; avoiding the elderly/those at high risk; and avoiding large gatherings. Median adherence was <80% for mask wearing; maintaining a 6-foot distance; avoiding in-person visits with romantic partners or friends; and disinfecting surfaces. Female gender was the only variable significantly associated with overall adherence, and it explained 4% of the variance. Conclusions Following guidelines related to social distancing practices may be particularly challenging for EA, possibly because of unique developmental needs of this group, and males may be at greater risk for non-adherence to CDC recommendations. Therefore, public health messaging and adherence intervention development should be designed with males and social distancing practices in mind.

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Section: Discussionmentioning

confidence: 99%

Emerging Adults’ Adherence to Preventative Health Guidelines in Response to COVID-19

Feldman

Balistreri

Lampert

et al. 2021

Journal of Pediatric Psychology

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“…Previous evidence suggests that adherence decreases with the age of the child, coinciding with responsibility for taking medication shifting from parents to their children as they age [ 53 - 59 ], whereas evidence for the impact of children’s sex is mixed [ 56 , 57 , 62 , 68 , 69 ]. We will stratify our recruitment to ensure equal recruitment between age groups (2-7, 8-12, and 13-17 years), and all analyses will consider the child’s age and sex [ 4 ].…”

Section: Methodsmentioning

confidence: 99%

Impact of Unmet Social Needs, Scarcity, and Future Discounting on Adherence to Treatment in Children With Asthma: Protocol for a Prospective Cohort Study

Drouin¹,

Pérez²,

Barnett³

et al. 2023

JMIR Res Protoc

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Background Asthma is one of the most prevalent chronic diseases of childhood and disproportionately affects children with lower socioeconomic status. Controller medications such as inhaled corticosteroids significantly reduce asthma exacerbations and improve symptoms. However, a large proportion of children still have poor asthma control, in part owing to suboptimal adherence. Financial barriers contribute to hindering adherence, as do behavioral factors related to low income. For example, unmet social needs for food, lodging, and childcare may create stress and worry in parents, negatively influencing medication adherence. These needs are also cognitively taxing and force families to focus on immediate needs, leading to scarcity and heightening future discounting; thus, there is the tendency to attribute greater value to the present than to the future in making decisions. Objective In this project, we will investigate the relationship between unmet social needs, scarcity, and future discounting as well as their predictive power over time on medication adherence in children with asthma. Methods This 12-month prospective observational cohort study will recruit 200 families of children aged 2 to 17 years at the Asthma Clinic of the Centre Hospitalier Universitaire Sainte-Justine, a tertiary care pediatric hospital in Montreal, Canada. The primary outcome will be adherence to controller medication, measured using the proportion of prescribed days covered during follow-up. Exploratory outcomes will include health care use. The main independent variables will be unmet social needs, scarcity, and future discounting, measured using validated instruments. These variables will be measured at recruitment as well as at 6- and 12-month follow-ups. Covariates will include sociodemographics, disease and treatment characteristics, and parental stress. Primary analysis will compare adherence to controller medication, measured using the proportion of prescribed days covered, between families with versus those without unmet social needs during the study period using multivariate linear regression. Results The research activities of this study began in December 2021. Participant enrollment and data collection began in August 2022 and are expected to continue until September 2024. Conclusions This project will allow the documentation of the impact of unmet social needs, scarcity, and future discounting on adherence in children with asthma using robust metrics of adherence and validated measures of scarcity and future discounting. If the relationship between unmet social needs, behavioral factors, and adherence is supported by our findings, this will suggest the potential for novel targets for integrated social care interventions to improve adherence to controller medication and reduce risk across the life course for vulnerable children with asthma. Trial Registration ClinicalTrials.gov NCT05278000; https://clinicaltrials.gov/ct2/show/NCT05278000 International Registered Report Identifier (IRRID) PRR1-10.2196/37318

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“… 11 , 12 Additionally, among children and adolescents, 50%–70% are nonadherent to medication directives. 13 The economic burden of nonadherence due to preventable complications, hospitalizations, and poor disease outcomes is significant. However, patients and health care professionals fail to recognize that the cause of poor health outcomes may be due to patient nonadherence.…”

Section: Scope Of Adherence Problemmentioning

confidence: 99%

Importance of family/social support and impact on adherence to diabetic therapy

Miller

DiMatteo²

2013

DMSO

301

226

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Diabetes mellitus affects 24 million individuals in the US. In order to manage their diabetes successfully, patients must adhere to treatment regimens that include dietary restrictions, physical activity goals, and self-monitoring of glucose levels. Numerous factors affect patients’ ability to adhere properly, eg, self-efficacy, treatment expectations, health beliefs, and lack of social support. Consequently, diabetes management can be quite complex, requiring lifelong commitment and drastic changes to the patient’s lifestyle. Empirical studies have shown positive and significant relationships between social support and treatment adherence among patients with diabetes. Social support from family provides patients with practical help and can buffer the stresses of living with illness. However, the exact mechanism by which social support affects patient adherence is not yet completely understood. Further research is needed to address how the differences in types of support, such as functional or emotional support, are linked to outcomes for patients. The purpose of this review is to summarize what is known of the impact of social and family support on treatment adherence in patients with diabetes and to explore the current methods and interventions used to facilitate family support for diabetic patients.

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Length of the treatment and number of doses per day as major determinants of child adherence to acute treatment

Abstract: This study suggests that simplifying treatment schedules is an effective strategy for improving compliance in paediatric emergency departments.

Cited by 13 publications

References 23 publications

Emerging Adults’ Adherence to Preventative Health Guidelines in Response to COVID-19

Emerging Adults’ Adherence to Preventative Health Guidelines in Response to COVID-19

Impact of Unmet Social Needs, Scarcity, and Future Discounting on Adherence to Treatment in Children With Asthma: Protocol for a Prospective Cohort Study

Importance of family/social support and impact on adherence to diabetic therapy

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