32 results match your criteria: "Center for the Promotion of Treatment Adherence and Self-Management[Affiliation]"

Brief report: Barriers to treatment adherence in pediatric inflammatory bowel disease.

J Pediatr Psychol

October 2010

Cincinnati Children's Hospital Medical Center, Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati, OH 45229-3039, USA.

Objective: To examine perceived barriers to medication adherence in inflammatory bowel disease (IBD) treatment and their relationship with adherence using a combined forced choice and semi-structured interview assessment approach.

Methods: Sixteen adolescents with IBD and their parents participated in an open-ended interview regarding adherence barriers and completed quantitative measures of adherence, barriers to treatment, and disease severity.

Results: The most commonly identified barriers to adherence were forgetting, interference with other activities, difficulty swallowing pills, and not being at home.

View Article and Find Full Text PDF

Barriers to oral medication adherence for adolescents with inflammatory bowel disease.

J Pediatr Psychol

July 2010

Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., MLC 7039, Cincinnati, OH 45229-3039, USA.

Objective: To identify family-reported, adherence-related barriers for adolescents with inflammatory bowel disease (IBD) and examine their relationship to 6-MP/azathioprine and 5-ASA medication adherence.

Methods: Participants included 74 adolescents, aged 13-17 years, diagnosed with IBD and their caregivers. Adolescents and caregivers jointly completed a measure of barriers to medication adherence.

View Article and Find Full Text PDF

Anxiety symptoms in adolescents with type 1 diabetes: association with blood glucose monitoring and glycemic control.

J Pediatr Psychol

May 2010

Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.

Article Synopsis
  • The study analyzed anxiety symptoms in 276 adolescents with type 1 diabetes and their connection to blood glucose monitoring (BGM) and glycemic control.
  • A significant 17% of participants showed trait anxiety symptoms needing clinical attention, while 13% had state anxiety symptoms.
  • Findings indicated that higher state anxiety symptoms were linked to less frequent BGM and poorer glycemic control, independent of depressive symptoms.
View Article and Find Full Text PDF

Background: The objective was to examine the prevalence and frequency of oral medication nonadherence using a multimethod assessment approach consisting of objective, subjective, and biological data in adolescents with inflammatory bowel disease (IBD).

Methods: Medication adherence was assessed via pill counts, patient/parent interview, and 6-thioguanine nucleotide (6-TGN)/6-methylmercaptopurine nucleotide (6-MMPN) metabolite bioassay in 42 adolescents with IBD. Pediatric gastroenterologists provided disease severity assessments.

View Article and Find Full Text PDF

The purpose of this article is to review the existing research pertaining to behavioral functioning and treatment adherence in children and adolescents with inflammatory bowel disease (IBD), discuss potential effects of behavioral dysfunction on adherence, and provide clinical recommendations for assessment and treatment options. An updated literature review in pediatric IBD is presented, and research across chronic conditions supports the plausibility of negative consequences of patient and family behavioral problems on disease management. Clinical recommendations include use of multimethod assessment of treatment adherence, routine screening for behavioral difficulties, patient-provider discussion of behavioral issues and disease management during clinic visits, and increased attention to the process of gradually transitioning responsibility of disease management from parents to adolescents as patients approach adulthood.

View Article and Find Full Text PDF

Treatment regimen adherence in pediatric gastroenterology.

J Pediatr Gastroenterol Nutr

November 2008

Center for the Promotion of Treatment Adherence and Self-Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.

Objective: To review and critically evaluate the extant research pertaining to adherence in pediatric gastroenterological diseases, particularly inflammatory bowel disease and celiac disease, and to provide recommendations for future research development.

Materials And Methods: A literature search with no date restriction was conducted using PubMed and PsychInfo electronic databases and bibliographies of relevant articles.

Results: Adherence rates in inflammatory bowel disease and celiac disease range considerably from 16% to 62% and 5% to 70%, respectively, across treatments and assessment method; nonadherence frequency was generally not reported.

View Article and Find Full Text PDF

Medication adherence and quality of life in pediatric inflammatory bowel disease.

J Pediatr Psychol

September 2008

Cincinnati Children's Hospital Medical Center, Center for the Promotion of Treatment Adherence and Self Management, Division of Behavioral Medicine and Clinical Psychology, 3333 Burnet Ave. MLC 7039, Cincinnati, OH 45229, USA.

Objective: To examine the relationship between medication adherence and quality of life (QOL) in adolescent patients with inflammatory bowel disease (IBD) utilizing a multimethod adherence assessment approach.

Methods: Medication adherence in 36 adolescents with IBD was assessed via interviews, pill counts, and biological assays. QOL was assessed via patient and parent report.

View Article and Find Full Text PDF