Jennifer L Lee1, Cyd Eaton2, Ana M Gutiérrez-Colina2, Katie Devine2, Laura E Simons2, Laura Mee2, Ronald L Blount2. 1. Department of Psychology, University of Georgia, Department of Medicine, Division of Population Sciences, Rutgers Cancer Institute of New Jersey, Center for Pain and the Brain, Children's Hospital Boston/Harvard Medical School, and Department of Psychiatry and Behavioral Sciences, Children's Healthcare of Atlanta, Transplant Services/Emory University School of Medicine jenlee09@gmail.com. 2. Department of Psychology, University of Georgia, Department of Medicine, Division of Population Sciences, Rutgers Cancer Institute of New Jersey, Center for Pain and the Brain, Children's Hospital Boston/Harvard Medical School, and Department of Psychiatry and Behavioral Sciences, Children's Healthcare of Atlanta, Transplant Services/Emory University School of Medicine.
Abstract
OBJECTIVE: Higher levels of barriers are related to lower medication adherence and negative medical outcomes in pediatric transplant recipients. Although total number of barriers appears to be stable over time, it is unclear whether the same is true for specific barriers. This study examined the frequency of endorsement and the stability of specific barriers over 18 months. METHOD: Participants included 63 parents and 51 adolescents and young adults. Transplant types included 39 kidneys, 16 livers, 10 hearts, and 1 double lung. Participants completed measures of perceived barriers to adherence at Time 1 (T1) and Time 2 (T2). RESULTS: The majority of parent- and adolescent-reported specific barriers showed a positive relationship from T1 to T2. Few specific barriers showed significant differences in the level of endorsement between time points. CONCLUSION: Specific barriers to medication adherence tend to be stable over time. Patients' specific barriers appear unlikely to change without targeted intervention.
OBJECTIVE: Higher levels of barriers are related to lower medication adherence and negative medical outcomes in pediatric transplant recipients. Although total number of barriers appears to be stable over time, it is unclear whether the same is true for specific barriers. This study examined the frequency of endorsement and the stability of specific barriers over 18 months. METHOD:Participants included 63 parents and 51 adolescents and young adults. Transplant types included 39 kidneys, 16 livers, 10 hearts, and 1 double lung. Participants completed measures of perceived barriers to adherence at Time 1 (T1) and Time 2 (T2). RESULTS: The majority of parent- and adolescent-reported specific barriers showed a positive relationship from T1 to T2. Few specific barriers showed significant differences in the level of endorsement between time points. CONCLUSION: Specific barriers to medication adherence tend to be stable over time. Patients' specific barriers appear unlikely to change without targeted intervention.
Authors: Eyal Shemesh; Sarah Duncan; Ravinder Anand; Benjamin L Shneider; Estella M Alonso; George V Mazariegos; Robert S Venick; Rachel A Annunziato; John C Bucuvalas Journal: Liver Transpl Date: 2017-12-04 Impact factor: 5.799
Authors: Geovani Faddoul; Girish N Nadkarni; Nancy D Bridges; Jens Goebel; Donald E Hricik; Richard Formica; Madhav C Menon; Yvonne Morrison; Barbara Murphy; Kenneth Newell; Peter Nickerson; Emilio D Poggio; David Rush; Peter S Heeger Journal: Transplantation Date: 2018-04 Impact factor: 4.939
Authors: Cyd K Eaton; Michelle N Eakin; Shayna Coburn; Cozumel S Pruette; Tammy M Brady; Barbara A Fivush; Susan Mendley; Shamir Tuchman; Kristin A Riekert Journal: J Pediatr Psychol Date: 2019-01-01
Authors: Lara Danziger-Isakov; Thomas W Frazier; Sarah Worley; Nikki Williams; Diana Shellmer; Vikas R Dharnidharka; Nitika A Gupta; David Ikle; Eyal Shemesh; Stuart C Sweet Journal: Pediatr Transplant Date: 2019-02-12
Authors: Leslie A Favier; Janalee Taylor; Kristin Loiselle Rich; Karla B Jones; Sheetal S Vora; Julia G Harris; Beth S Gottlieb; Lisa Robbins; Jamie T Lai; Tzielan Lee; Melanie Kohlheim; Jennifer Gill; Laura Bouslaugh; Angela Young; Nancy Griffin; Esi M Morgan; Avani C Modi Journal: J Rheumatol Date: 2018-02-01 Impact factor: 4.666
Authors: Charles D Varnell; Kristin L Rich; Melissa Nichols; Devesh Dahale; Jens W Goebel; Ahna L H Pai; David K Hooper; Avani C Modi Journal: Pediatr Transplant Date: 2017-08-01