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Association of disease, adolescent, and family factors with medication adherence in pediatric inflammatory bowel disease.
MedLine Citation:
PMID:  20798185     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To examine factors associated with adolescent and parent-reported adherence to prescription and over-the-counter (OTC) medications in a cross-sectional sample of youth with inflammatory bowel disease (IBD).
METHOD: Ninety adolescents and their parents completed measures of medication adherence and disease, individual, and family factors while attending an outpatient gastroenterology appointment.
RESULTS: Longer time since diagnosis, greater perceived disease severity, and a lack of autonomous motivation to adhere predicted adolescent report of lower adherence to prescription medications. Similarly, longer time since diagnosis predicted adolescent report of lower adherence to OTC medications. Less time since diagnosis, greater maternal involvement in the medical regimen, higher perceived disease severity, and less perceived conflict predicted better parent-reported adherence to OTC medications.
CONCLUSIONS: Interventions for improving adherence in adolescents with IBD should address disease, individual, and family factors with special attention given to adolescents who have been diagnosed longer.
Authors:
Bonney Reed-Knight; Jeffery D Lewis; Ronald L Blount
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Publication Detail:
Type:  Journal Article     Date:  2010-08-26
Journal Detail:
Title:  Journal of pediatric psychology     Volume:  36     ISSN:  1465-735X     ISO Abbreviation:  J Pediatr Psychol     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801773     Medline TA:  J Pediatr Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  308-17     Citation Subset:  IM    
Affiliation:
Department of Psychology, University of Georgia, Athens, GA, 30602-3013, USA. bonreed@uga.edu.
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