Kristin A Riekert1, Michelle N Eakin2, Andrew Bilderback3, Alana K Ridge4, Bruce C Marshall5. 1. Johns Hopkins Adherence Research Center, The Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA. Electronic address: kriekert@jhmi.edu. 2. Johns Hopkins Adherence Research Center, The Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA. Electronic address: meakin1@jhmi.edu. 3. Johns Hopkins Adherence Research Center, The Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA. Electronic address: abilder1@jhmi.edu. 4. Johns Hopkins Adherence Research Center, The Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA. Electronic address: aridge@jhmi.edu. 5. Cystic Fibrosis Foundation, 6931 Arlington Road, Suite 200, Bethesda, MD 20814, USA. Electronic address: bmarshall@cff.org.
Abstract
BACKGROUND: The purpose of this study was to identify the extent to which pediatric and adult cystic fibrosis (CF) care teams implement best practices in adherence assessment and counseling. METHODS: All US CF Foundation accredited programs were invited to participate in a web-based survey; 80% (92/115) of pediatric and 40% (38/95) of adult centers participated. Health care providers reported on current approaches and barriers to implementing adherence promotion practices. RESULTS: 64% discussed adherence at every clinic visit while only 8% used an objective assessment of adherence. Most centers reported frequent use of strategies to increase knowledge; behavioral and support strategies were used less regularly. Several barriers to adherence promotion were reported. CONCLUSIONS: Many opportunities exist for care teams to improve consistency in adherence practices and integrate a greater repertoire of effective counseling strategies into clinic visits. Adherence promotion practices should be considered for quality improvement (QI) projects.
BACKGROUND: The purpose of this study was to identify the extent to which pediatric and adult cystic fibrosis (CF) care teams implement best practices in adherence assessment and counseling. METHODS: All US CF Foundation accredited programs were invited to participate in a web-based survey; 80% (92/115) of pediatric and 40% (38/95) of adult centers participated. Health care providers reported on current approaches and barriers to implementing adherence promotion practices. RESULTS: 64% discussed adherence at every clinic visit while only 8% used an objective assessment of adherence. Most centers reported frequent use of strategies to increase knowledge; behavioral and support strategies were used less regularly. Several barriers to adherence promotion were reported. CONCLUSIONS: Many opportunities exist for care teams to improve consistency in adherence practices and integrate a greater repertoire of effective counseling strategies into clinic visits. Adherence promotion practices should be considered for quality improvement (QI) projects.
Authors: Cozumel S Pruette; Shayna S Coburn; Cyd K Eaton; Tammy M Brady; Shamir Tuchman; Susan Mendley; Barbara A Fivush; Michelle N Eakin; Kristin A Riekert Journal: Pediatr Nephrol Date: 2018-08-16 Impact factor: 3.714
Authors: Sarah Denford; Kelly A Mackintosh; Melitta A McNarry; Alan R Barker; Craig Anthony Williams Journal: BMJ Open Date: 2019-06-14 Impact factor: 2.692
Authors: Mark H Eckman; Elizabeth J Kopras; Karen Montag-Leifling; Lari P Kirby; Lisa Burns; Veronica M Indihar; Patricia M Joseph Journal: MDM Policy Pract Date: 2017-06-23