Medication adherence among adolescent solid-organ transplant recipients: A survey of healthcare providers.
Pediatr Transplant
; 21(7)2017 Nov.
Article
in En
| MEDLINE
| ID: mdl-28670855
ABSTRACT
The aim of this study was to assess healthcare provider perspectives on barriers to medication adherence and to discover recommendations for interventions among providers of pediatric solid-organ transplant patients. An anonymous online survey was administered to a multidisciplinary pool of pediatric transplant providers from February 2015 to March 2016. It consisted of 15 questions regarding transplant providers' attitudes, clinical practice, and beliefs pertaining to medication adherence among teenage solid-organ transplant recipients. Data were analyzed using descriptive statistics. Responses to open-ended questions were coded and categorized into themes. One hundred ten surveys were completed by providers specializing in pediatric heart, kidney, liver, lung, and/or intestinal transplantation. Commonly cited reasons for poor adherence were forgetting/poor planning (94%), the desire to be normal (86%), lack of support (86%), and poor parental monitoring (79%). Suggestions to improve adherence included increasing peer and family support, providing education, and incorporating technology into adherence regimens. Barriers to adherence in transplant patients are recognized by providers and are both similar to and disparate from patient and family identified barriers published in the literature. Providers recognize the importance of education, social support, and technologically driven interventions on improving outcomes in the transplant population.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Medication Adherence
/
Transplant Recipients
Type of study:
Guideline
/
Qualitative_research
Aspects:
Implementation_research
/
Patient_preference
Limits:
Adolescent
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Pediatr Transplant
Journal subject:
PEDIATRIA
/
TRANSPLANTE
Year:
2017
Document type:
Article
Affiliation country:
United States