Adherencia al Tratamiento del Trastorno por Déficit de Atención e Hiperactividad (TDAH) en el Programa ChAMP UT-Health Houston.
Introduction: ADHD has a safe and effective treat ment, but treatment adherence is often low. Several factors contribute to this low adherence, some of which are modifiable. Methods: We conducted a literature review of recent studies on medication adherence in children and adoles cents with ADHD. We...
| Published in: | Medicina (Buenos Aires) Vol. 85; pp. 82 - 90 |
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| Main Authors: | , , , |
| Format: | Article |
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Medicina (Buenos Aires)
2025 Supplement 1
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=185002785&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 185002785 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 00257680 50C2 jtl: Medicina (Buenos Aires) issn: 00257680 maglogo: N pubinfo: dt: 2025 Supplement 1 vid: 85 pid: 39353 pub: Medicina (Buenos Aires) artinfo: ui: 185002785 ppf: 82 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 992KB tig: atl: Adherencia al Tratamiento del Trastorno por Déficit de Atención e Hiperactividad (TDAH) en el Programa ChAMP UT-Health Houston. aug: au: Jadala, Rachitha P. Temkin, Hali Daniel, Kerri L. Soutullo, Cesar A. affil: McGovern Medical School, Houston, Texas, EE.UU. The University of Texas (UT) Health - Houston. Louis A. Faillace MD Department of Psychiatry & Behavioral Sciences, Houston, Texas, EE.UU. USA su: PATIENT compliance PARENT attitudes SOCIOECONOMIC factors AFFECTIVE disorders ATTENTION-deficit hyperactivity disorder HEALTH care reminder systems sug: subj: PATIENT compliance PARENT attitudes SOCIOECONOMIC factors AFFECTIVE disorders ATTENTION-deficit hyperactivity disorder HEALTH care reminder systems keyword: ADHD Adherence Children and adolescents Medication Adherencia Medicación Niños y adolescentes TDAH ab: Introduction: ADHD has a safe and effective treat ment, but treatment adherence is often low. Several factors contribute to this low adherence, some of which are modifiable. Methods: We conducted a literature review of recent studies on medication adherence in children and adoles cents with ADHD. We gathered data on ADHD treatment adherence from our clinic in the ADHD Program and the Child and Adolescent Mood Disorders Program (ChAMP) at the University of Texas Health-Houston Program. We analyzed factors related to medication adherence, such as patient age, sex, prescription type, release formula, and their association with adherence in 117 patients with ADHD who were prescribed stimulant or non-stimulant medications. Results: We found publications identifying factors influencing medication adherence, including disorder characteristics, the patient, the healthcare system, socio-economic factors, the medication itself, and the envi ronment. Factors that can improve adherence include knowledge about ADHD, the medication, its benefits, and potential side effects; simple, once-daily extended-release medication regimens; patients younger than 12 years old; female sex; reduced barriers to accessing healthcare; and a positive, proactive attitude of parents toward ADHD and medication use. Discussion: Optimizing adherence and long-term prognosis of ADHD is achieved by reinforcing factors that increase adherence and reducing biases and lack of knowledge about ADHD. Introducción: El TDAH tiene un tratamiento seguro y eficaz, pero frecuentemente la adherencia al tratamiento es baja. Hay factores asociados a esta baja adherencia, algunos modificables. Métodos: Se realizó una búsqueda bibliográfica de artículos recientes sobre adherencia al tratamiento en niños y adolescentes con TDAH. Se recogieron datos sobre adherencia al tratamiento en TDAH en una mues tra en nuestra consulta del Programa de TDAH y de la Consulta ChAMP para niños y adolescentes con TDAH de la Universidad de Texas-Houston. Se analizaron los factores asociados a la adherencia tales como edad del paciente, sexo, el tipo de receta, la fórmula de liberación y su asociación con la adherencia al medicamento, me didos por la asistencia a su cita psiquiátrica más recien te, en 117 pacientes con TDAH que recibieron recetas de medicaciones estimulantes o no-estimulantes. Resultados: Encontramos publicaciones sobre fac tores asociados al trastorno, al paciente, al sistema de salud, a la medicación, socio-económicos y al entorno, que modifican la adherencia. Los factores que pueden mejorar la adherencia incluyen el mayor conocimiento sobre el TDAH, la medicación, sus beneficios y posibles efectos secundarios; regímenes de medicación de libera ción prolongada, simples, de una dosis diaria; pacientes menores de 12 años; sexo femenino; barreras reduci das para acceder a la atención médica; y una actitud positiva y proactiva de los padres hacia el TDAH y a la medicación. Discusión: Se consigue optimizar la adherencia y el pronóstico a largo plazo del TDAH reforzando factores que aumentan la adherencia y reduciendo sesgos y desconocimiento sobre el TDAH. pubtype: Academic Journal doctype: Article src: R language: Spanish refInfo: copyright: @attributes: flag: Y custom: Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Medicina (Buenos Aires) holder: Medicina (Buenos Aires) dt: @attributes: year: 2025 holdings: @attributes: islocal: N |
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