Efficacy of Problem-Solving Intervention to Improve Adherence in Adolescents and Adults with Cystic Fibrosis
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作者:
Landau, Edwina
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Landau, Edwina
[1
]
Mussaffi, Huda
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Tel Aviv Univ, Sackler Fac Med, Tel Aviv, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Mussaffi, Huda
[1
,4
]
Kalamaro, Vardit
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h-index: 0
机构:
Cyst Fibrosis Fdn Israel, Ramat Gan, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Kalamaro, Vardit
[2
]
Quittner, Alexandra
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机构:
Nicklaus Childrens Hosp, Miami Childrens Res Inst, Miami, FL USASchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Quittner, Alexandra
[3
]
Taizi, Tammy
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Taizi, Tammy
[1
]
Kadosh, Diana
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Kadosh, Diana
[1
]
Mantin, Hadas
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Mantin, Hadas
[1
]
Prais, Dario
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Tel Aviv Univ, Sackler Fac Med, Tel Aviv, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Prais, Dario
[1
,4
]
Blau, Hannah
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Tel Aviv Univ, Sackler Fac Med, Tel Aviv, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Blau, Hannah
[1
,4
]
Mei-Zahav, Meir
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机构:
Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Tel Aviv Univ, Sackler Fac Med, Tel Aviv, IsraelSchneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
Mei-Zahav, Meir
[1
,4
]
机构:
[1] Schneider Childrens Med Ctr, Pulm Inst, IL-49202 Petah Tiqwa, Israel
[2] Cyst Fibrosis Fdn Israel, Ramat Gan, Israel
[3] Nicklaus Childrens Hosp, Miami Childrens Res Inst, Miami, FL USA
[4] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
adherence;
adolescents;
CF My Way;
cystic fibrosis (CF);
medical possession ratio (MPR);
MEDICATION ADHERENCE;
LUNG HEALTH;
CHILDREN;
ASSOCIATION;
QUALITY;
D O I:
暂无
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background: Adherence to treatment by adolescents and adults with cystic fibrosis (CF) is often poor. Objectives: To assess the impact of a focused clinical intervention on adherence in individual patients, including help in problem-solving key barriers to adherence. To implement a patient-centered problem-solving intervention using CF My Way tools. To identify and overcome a selected barrier to adherence. Methods: Medication possession ratios (MPRs), number of airway clearance sessions, forced expiratory volume (FEV,), body mass index (BMI), and health-related quality of life (HRQoL) were measured before and after the intervention. Results: Sixteen patients with CF, aged 23.4 +/- 6.7 years, participated. MPR increased for col istimethate sodium and tobramycin inhalationsfromamedian of 21 (range 0-100) to 56 (range 0-100), P = 0.04 and 20 (range 0-100) to 33.3 (range 25-100), P = 0.03, respectively. BMI standard deviation score rose from -0.37 to -0.21, P = 0.05. No significant improvements were found in FEV,, airway clearance, or HRQoL scores. Conclusions: The CF My Way problem-solving intervention increased adherence to medical treatments by removing barriers directly related to the needs and goats of young adults with CF.
机构:
Nicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Nicklaus Childrens Res Inst, 3100 SW 62nd Ave, Miami, FL 33155 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Quittner, Alexandra L.
Eakin, Michelle N.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Med, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Eakin, Michelle N.
Alpern, Adrianne N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Dept Psychol, POB 248185, Miami, FL USA
Childrens Hosp Orange Cty, Orange, CA 92668 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Alpern, Adrianne N.
Ridge, Alana K.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Med, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 USA
Barrow Neurol Inst, Phoenix, AZ 85013 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Ridge, Alana K.
McLean, Katherine A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Dept Psychol, POB 248185, Miami, FL USA
Rush Univ, Med Ctr, Chicago, IL 60612 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
McLean, Katherine A.
Bilderback, Andrew
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Med, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 USA
Univ Pittsburgh, Med Ctr, Pittsburgh, PA USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Bilderback, Andrew
Criado, Kristen K.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Dept Psychol, POB 248185, Miami, FL USA
Emory Univ, Sch Med, Atlanta, GA USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Criado, Kristen K.
Chung, Shang-En
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Med, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA
Chung, Shang-En
Riekert, Kristin A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Div Pulm & Crit Care Med, Dept Med, 5501 Hopkins Bayview Circle, Baltimore, MD 21224 USANicklaus Childrens Hosp, Nicklaus Childrens Res Inst, Miami, FL USA