The impact of effective paediatric adherence promotion interventions: systematic review and meta-analysis.
Understanding the impact of effective paediatric adherence promotion interventions on patients, families and the healthcare system is necessary to inform efforts to improve healthcare quality and control costs. Building on previous research suggesting that improving adherence may have far-reaching b...
| Publicado en: | Child: Care, Health & Development Vol. 41; no. 6; pp. 789 - 803 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111382423&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111382423 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Nov2015 vid: 41 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 111382423 111382423 111382423 10.1111/cch.12271 111382423 ppf: 789 ppct: 14 formats: fmt: @attributes: type: P tig: atl: The impact of effective paediatric adherence promotion interventions: systematic review and meta-analysis. aug: au: McGrady, M. E. Ryan, J. L. Gutiérrez‐Colina, A. M. Fredericks, E. M. Towner, E. K. Pai, A. L. H. affil: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati OH, USA sug: subj: Medication Compliance In Infancy and Childhood Quality of Life In Infancy and Childhood Chronic Disease Drug Therapy Human Systematic Review Meta Analysis Child Adolescence PubMed Psycinfo CINAHL Database Family Variable Post Hoc Analysis Health Services Utilization Interrater Reliability kappa Statistic Caregivers Descriptive Statistics Confidence Intervals Emergency Service Infant Child, Preschool Young Adult Adult Funding Source Child: 6-12 years Adolescent: 13-18 years Infant: 1-23 months Child, Preschool: 2-5 years Adult: 19-44 years ab: Understanding the impact of effective paediatric adherence promotion interventions on patients, families and the healthcare system is necessary to inform efforts to improve healthcare quality and control costs. Building on previous research suggesting that improving adherence may have far-reaching benefits, the objective of this study was to quantify the impact of effective adherence promotion interventions for children and adolescentswith a chronicmedical condition on patients, families and the healthcare system. Authors systematically reviewed articles indexed in PubMed, PsycINFO and CINAHL to identify randomized controlled trials of paediatric adherence promotion interventions. Interventions that improved paediatric adherence and examined patient-level, family-level or healthcare system-level outcomes in children and adolescents (M age = 18 years) with a chronicmedical conditionwere included. Two authors independently extracted and classified outcome variables as patient-level (quality of life and disease-related activity restrictions), micro-level (family functioning, family conflict, caregiver quality of life, caregiver sleep interruption, caregiver days away from work and patient missed school days) or macro-level variables (emergency department visits, hospitalizations, outpatient visits and urgent care visits). Outcome variables detailed in previously published reviews (i.e. disease severity) were excluded. Twenty studies representing 19 unique samples met inclusion criteria. An additional eight articles representing trials that did not significantly improve adherence were included in post hoc analyses. Compared with control interventions, effective paediatric adherence promotion interventions improved patient quality of life and family-level outcomes and decreased healthcare utilization among children and adolescents with a chronic medical condition. Interdisciplinary efforts to improve healthcare quality and reduce spending among children and adolescents with a chronic medical condition may be enhanced by incorporating effective paediatric adherence promotion interventions. As relatively few chronic medical conditions were represented in included studies, future research should examine the impact of paediatric adherence promotion interventions in other populations. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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