Literature DB >> 16357486

Factors determining patient choice of device for GH therapy.

B P N Wickramasuriya1, A Casey, S Akhtar, R Zia, S Ehtisham, T G Barrett, N J Shaw, J M W Kirk.   

Abstract

AIM: To assess the factors determining patient choice of GH device, and whether offering free patient choice improves compliance with GH therapy.
METHODS: A prospective cross-sectional study performed on patients offered free choice of GH device in a regional growth clinic. In a subgroup having home delivery, GH compliance was assessed using ampoule counts.
RESULTS: 125 patients (74 (59%) male), median (range) 9.30 (1.0-18.3) years were commenced on GH from January 2001 to March 2004, and offered free choice of device. 68 (54%) chose a needled device, and 57 (46%) needle-free. There was no statistical difference in age, sex or diagnostic category between the two groups. Light blue devices were more likely to be chosen by males (p=0.056). Questionnaires giving reasons for choosing a device were available in 40, and a further 50 gave reasons for both choosing a specific device and not choosing others. Other than choice of needled/needle-free device, the factor most likely to determine choice was 'ease of use'. Only 6 (4.8%) subsequently changed device, and compliance remained high but unchanged at approximately 90%.
CONCLUSIONS: There are no specific features which determine what GH device a patient will choose. For those units offering free patient choice, a wide range of different devices should be made available. Copyright (c) 2006 S. Karger AG, Basel.

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Year:  2005        PMID: 16357486     DOI: 10.1159/000090375

Source DB:  PubMed          Journal:  Horm Res        ISSN: 0301-0163


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