Sandra Cortina1, Maxx Somers, Jennifer M Rohan, Dennis Drotar. 1. Division of Behavioral Medicine and Clinical Psychology, Center for Promotion of Adherence and Self-Management, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USA. sandra.cortina@cchmc.org
Abstract
OBJECTIVE: To evaluate the effectiveness of an adherence promotion intervention provided to patients and families referred to a clinical service. METHODS: 6 patients and their caregivers representing 5 different chronic conditions were seen for comprehensive psychological intervention that was evaluated based on electronic monitoring of adherence to prescribed oral medication. RESULTS: Time series analysis (Auto-Regressive Integrated Moving Average) indicated that for each of the 6 cases, treatment adherence increased during the intervention phase relative to nonintervention periods, but for 5 of these 6 patients, adherence decreased during the follow-up period (p < .05). CONCLUSION: Comprehensive adherence promotion strategies delivered in standard clinical practice were effective, but the effects did not persist after treatment. Future adherence promotion interventions should focus on sustaining intervention effects.
OBJECTIVE: To evaluate the effectiveness of an adherence promotion intervention provided to patients and families referred to a clinical service. METHODS: 6 patients and their caregivers representing 5 different chronic conditions were seen for comprehensive psychological intervention that was evaluated based on electronic monitoring of adherence to prescribed oral medication. RESULTS: Time series analysis (Auto-Regressive Integrated Moving Average) indicated that for each of the 6 cases, treatment adherence increased during the intervention phase relative to nonintervention periods, but for 5 of these 6 patients, adherence decreased during the follow-up period (p < .05). CONCLUSION: Comprehensive adherence promotion strategies delivered in standard clinical practice were effective, but the effects did not persist after treatment. Future adherence promotion interventions should focus on sustaining intervention effects.
Authors: Kelly D Coyne; Katherine A Trimble; Ashley Lloyd; Laura Petrando; Jennie Pentz; Kari Van Namen; Andrea Fawcett; Catherine M Laing Journal: J Pediatr Oncol Nurs Date: 2019-04-04 Impact factor: 1.636
Authors: Jennifer M Rohan; Dennis Drotar; Melissa Alderfer; Crista Wetherington Donewar; Linda Ewing; Ernest R Katz; Anna Muriel Journal: J Pediatr Psychol Date: 2013-12-23