The concept of treatment beliefs in children and adolescents with chronic health conditions: a scoping review

Metzner, Gloria; von der Warth, Rieka; Glattacker, Manuela

doi:10.1080/17437199.2023.2253300

Cited by 3 publications

(2 citation statements)

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“…Regarding treatment adherence to chronic care in the pediatric population, our data on poor adherence in an adolescent patient highlight how delicate it is to treat patients with daily therapies in this specific age group [44,45] and also for PJP [46].…”

Section: Discussionmentioning

confidence: 96%

Clinical and Radiological Features of Pneumocystis jirovecii Pneumonia in Children: A Case Series

Ricci,

Bartalucci,

Russo

et al. 2024

JoF

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Background: Pneumocytis jirovecii pneumonia (PJP) has high mortality rates in immunocompromised children, even though routine prophylaxis has decreased in incidence. The aim of this case series is to present the radiological and clinical pathway of PJP in a pediatric population. Description of Cases: All PJP cases in non-HIV/AIDS patients diagnosed at Istituto Giannina Gaslini Pediatric Hospital in Genoa (Italy) from January 2012 until October 2022 were retrospectively evaluated. Nine cases were identified (median age: 8.3 years), and of these, 6/9 underwent prophylaxis with trimethoprim/sulfamethoxazole (TMP/SMX; five once-a-week schedules and one three times-a-week schedule), while 3/9 did not receive this. PJP was diagnosed by real-time PCR for P. jirovecii-DNA in respiratory specimens in 7/9 cases and two consecutive positive detections of β-d-glucan (BDG) in the serum in 2/9 cases. Most patients (6/8) had a CT scan with features suggestive of PJP, while one patient did not undergo a scan. All patients were treated with TMP/SMX after a median time from symptoms onset of 3 days. In 7/9 cases, empirical TMP/SMX treatment was initiated after clinical suspicion and radiological evidence and later confirmed by microbiological data. Clinical improvement with the resolution of respiratory failure and 30-day survival included 100% of the study population. Discussion: Due to the difficulty in obtaining biopsy specimens, PJP diagnosis is usually considered probable in most cases. Moreover, the severity of the clinical presentation often leads physicians to start TMP/SMX treatment empirically. BDG proved to be a useful tool for diagnosis, and CT showed good accuracy in identifying typical patterns. In our center, single-day/week prophylaxis was ineffective in high-risk patients; the three-day/week schedule would, therefore, seem preferable and, in any case, should be started promptly in all patients who have an indication of pneumonia.

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Section: Discussionmentioning

confidence: 96%

Clinical and Radiological Features of Pneumocystis jirovecii Pneumonia in Children: A Case Series

Ricci,

Bartalucci,

Russo

et al. 2024

JoF

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“…These illness belief dimensions have also been found in children and adolescents (Heyduck-Weides et al, 2019;Lohaus, 2013). Treatment beliefs are often described in terms of patients' perceptions about the necessity of and concerns about medication treatment, while children's and adolescents' treatment beliefs in relation to nonmedication treatment are rarely investigated and child/adolescent-specific measurements to assess this multidimensional construct are scarce (Horne, 2003;Metzner, von der Warth, & Glattacker, 2023). Using qualitative interviews, our research group explored pediatric patients' treatment beliefs regarding inpatient rehabilitation for the first time and developed the Rehabilitation Treatment Beliefs Questionnaire (RTBQ) (Metzner et al, 2022;Metzner, Höhn, et al, 2023).…”

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confidence: 99%

Patients’ beliefs as predictors of patient satisfaction and health-related quality of life in pediatric rehabilitation.

Metzner,

Höhn,

Waldeck

et al. 2024

Rehabilitation Psychology

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Objective: This study investigated the predictive value of illness and treatment beliefs for patient satisfaction and health-related quality of life (HRQOL) in adolescents receiving inpatient rehabilitation treatment. In addition, we examined the relationship between fulfilled rehabilitation-related treatment expectations and patient satisfaction. Method: In this longitudinal study (recruitment between April 2019 and March 2020), 170 participants (M = 14.3 years [SD = 1.6]) answered self-report questionnaires before and at the end of rehabilitation (6 weeks later). We applied multiple hierarchical regression analyses, controlling for sociodemographic and diagnoses variables. Results: The results showed fulfilled expectations of treatment success and sustainability to be a significant predictor of patient satisfaction (p , .01). The illness belief dimension of emotional representation predicted HRQOL (p , .01). Rehabilitation-related treatment beliefs were not predictive of any outcome. Conclusion: This study provides a first insight into the relationships between these constructs in the context of inpatient pediatric rehabilitation. However, future research is needed to further examine illness and treatment beliefs in this specific treatment setting. Practical implications concern the incorporation of children's and adolescents' beliefs into treatment management to optimize rehabilitation outcomes. Impact and ImplicationsThis is the first study that examines the impact of illness beliefs, treatment beliefs, and fulfilled treatment expectations on patient satisfaction and health-related quality of life in adolescents with chronic diseases. While pediatric treatment beliefs have primarily been studied in relation to medication treatment, we captured adolescents' treatment beliefs regarding inpatient rehabilitation treatment with a multidimensional approach. Possible practical implications include the exploration of pediatric patients' treatment expectations at the beginning of rehabilitation, the provision of appropriate information and (if necessary) the correction of unrealistic expectations, as well as interventions addressing children's and adolescents' emotional representations about their illness.

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The rehabilitation treatment beliefs questionnaire—revised: assessing adolescents’ treatment beliefs

Metzner,

Glattacker

2024

Journal of Pediatric Psychology

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Objective While there are several studies on children’s and adolescents’ beliefs about illness and medication treatment, there is limited research on their treatment beliefs in the context of rehabilitation. The Rehabilitation Treatment Beliefs Questionnaire (RTBQ) was the first instrument available to assess pediatric patients’ rehabilitation-related treatment beliefs. However, the RTBQ had some limitations that we aimed to address in this study: We revised the content of the RTBQ to include previously unaddressed dimensions of rehabilitation-related treatment beliefs, and we thoroughly tested its psychometric properties based on a sizeable, multicenter sample of adolescents with different chronic diseases. Methods Across 11 pediatric rehabilitation clinics throughout Germany, eligible patients aged 12–18 years with any chronic physical or mental health condition were invited to participate in an online survey. Psychometric evaluation included item analysis, exploratory factor analysis, internal consistency and construct validity. Results The sample comprised N = 294 adolescents (M = 14.2 years) with various chronic conditions. Psychometric testing demonstrated a coherent factor structure with 6 interpretable scales covering process and outcome expectations, expectations of one’s own role in the treatment process, structural expectations, concerns, and emotions, the latter three representing previously unaddressed dimensions of rehabilitation-related treatment beliefs. Internal consistency was acceptable to good. Construct validity analyses showed mostly hypotheses-consistent correlations with related constructs. Conclusions The revised RTBQ provides a psychometrically well-tested, adolescent-specific, and disease-generic instrument that captures multiple dimensions of rehabilitation-related treatment beliefs. Practical implications include identifying adolescents’ beliefs about rehabilitation treatment in order to actively involve them in their illness management.

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The concept of treatment beliefs in children and adolescents with chronic health conditions: a scoping review

Cited by 3 publications

References 98 publications

Clinical and Radiological Features of Pneumocystis jirovecii Pneumonia in Children: A Case Series

Clinical and Radiological Features of Pneumocystis jirovecii Pneumonia in Children: A Case Series

Patients’ beliefs as predictors of patient satisfaction and health-related quality of life in pediatric rehabilitation.

The rehabilitation treatment beliefs questionnaire—revised: assessing adolescents’ treatment beliefs

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