A systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness.
نویسندگان
چکیده
INTRODUCTION Poor medication adherence is common in children and adolescents with chronic illness, but there is uncertainty about the best way to enhance medication adherence in this group. The authors conducted a systematic review of controlled trials examining interventions that aim to improve medication adherence. METHOD A comprehensive literature search was undertaken to locate controlled trials that described specific interventions aiming to improve adherence to long-term medication, where participants were aged 18 years and under, medication adherence was reported as an outcome measure, and which could be implemented by individual health practitioners. Studies were reviewed for quality and outcome. RESULTS 17 studies met inclusion criteria: seven studies examined educational strategies, seven studies examined behavioural interventions and three studies examined educational intervention combined with other forms of psychological therapies. Only two of seven studies reported a clear benefit for education on medication adherence, whereas four of seven trials indicated a benefit of behavioural approaches on medication adherence. One trial reported that combining education with behavioural management may be more effective than education alone. Studies which combined education with other non-medication specific psychological interventions failed to demonstrate a beneficial effect on medication adherence. Only two studies examined adherence-promoting interventions in young people with established adherence problems. CONCLUSION These findings suggest that education interventions alone are insufficient to promote adherence in children and adolescents, and that incorporating a behavioural component to adherence interventions may increase potential efficacy. Future research should examine interventions in high-risk groups.
منابع مشابه
A systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness
متن کامل
Medication adherence and health care utilization in pediatric chronic illness: a systematic review.
BACKGROUND AND OBJECTIVE Advanced understanding of modifiable predictors of health care use in pediatric chronic illness is critical to reducing health care costs. We examined the relationship between medication non-adherence and health care use in children and adolescents who have a chronic medical condition. METHODS A systematic review of articles by using PubMed, PsycINFO, and CINAHL was c...
متن کاملEvaluating the effectiveness of peer-based intervention in managing type I diabetes mellitus among children and adolescents: A systematic review
Background: Type 1 diabetes is one of the chronic metabolic disorders among children and adolescents. Peers are also important units in diabetes management through adolescence. This study aimed to evaluate the effectiveness of peer-based intervention in managing type 1 diabetes mellitus among children and adolescents. Methods: Searching articles published prior to December 2013 in Pub...
متن کاملThe Effect of Different Exercise Training on Physical Fitness of Children and Adolescents with Intellectual Disabilities: Systematic Review
Abstract Background & Purpose: Children and adolescents with Intellectual disabilities due to sedentary lifestyle experience various diseases and significant reduction in physical fitness, which ultimately leads to premature death. The effect of purposeful and structured exercise in improving the physical fitness of this category has been proven. Therefore, the aim of this study was to the ...
متن کاملPredicting Medication Adherence Based on Personality Characteristics in Individuals with Type 2 Diabetes Mellitus
Objective: Diabetes mellitus is a chronic illness and adherence to medications is vital to manage the illness. The purpose of this study was to examine the prediction of medication adherence based on personality factors in a group of individuals with type 2 diabetes in Yasuj. Materials and Methods: One hundred twenty individuals with type 2 diabetes who visited health centers were selected for...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Archives of disease in childhood
دوره 95 9 شماره
صفحات -
تاریخ انتشار 2010