Efficacy of Problem-Solving Intervention to Improve Adherence in Adolescents and Adults with Cystic Fibrosis

被引:0
|
作者
Landau, Edwina [1 ]
Mussaffi, Huda [1 ,4 ]
Kalamaro, Vardit [2 ]
Quittner, Alexandra [3 ]
Taizi, Tammy [1 ]
Kadosh, Diana [1 ]
Mantin, Hadas [1 ]
Prais, Dario [1 ,4 ]
Blau, Hannah [1 ,4 ]
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
来源
ISRAEL MEDICAL ASSOCIATION JOURNAL | 2021年 / 23卷 / 09期
关键词
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.
引用
收藏
页码:584 / 589
页数:6
相关论文
共 50 条
  • [1] Clustered randomized controlled trial of a clinic-based problem-solving intervention to improve adherence in adolescents with cystic fibrosis
    Quittner, Alexandra L.
    Eakin, Michelle N.
    Alpern, Adrianne N.
    Ridge, Alana K.
    McLean, Katherine A.
    Bilderback, Andrew
    Criado, Kristen K.
    Chung, Shang-En
    Riekert, Kristin A.
    [J]. JOURNAL OF CYSTIC FIBROSIS, 2019, 18 (06) : 879 - 885
  • [2] A TELECOACHING INTERVENTION TO IMPROVE ADHERENCE IN ADOLESCENTS AND YOUNG ADULTS WITH CYSTIC FIBROSIS
    Muther, E. F.
    Lindwall, J.
    Bord, E.
    Polineni, D.
    Duncan, C. L.
    [J]. PEDIATRIC PULMONOLOGY, 2019, 54 : S402 - S402
  • [3] Can a problem-solving intervention improve treatment adherence for type II diabetes?
    Cojan, R.
    Negrean, V.
    Alexescu, T.
    Adam, M.
    [J]. PSYCHOLOGY & HEALTH, 2010, 25 : 183 - 183
  • [4] Association of observed family relationship quality and problem-solving skills with treatment adherence in older children and adolescents with cystic fibrosis
    DeLambo, KE
    Ievers-Landis, CE
    Drotar, D
    Quittner, AL
    [J]. JOURNAL OF PEDIATRIC PSYCHOLOGY, 2004, 29 (05) : 343 - 353
  • [5] Problem-solving Test: A Mutation Causing Cystic Fibrosis
    Szeberenyi, Jozsef
    [J]. BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION, 2008, 36 (06) : 437 - 438
  • [6] Efficacy of a problem-solving therapy for depression and suicide potential in adolescents and young adults
    Eskin, Mehmet
    Ertekin, Kamil
    Demir, Hadiye
    [J]. COGNITIVE THERAPY AND RESEARCH, 2008, 32 (02) : 227 - 245
  • [7] Efficacy of a Problem-Solving Therapy for Depression and Suicide Potential in Adolescents and Young Adults
    Mehmet Eskin
    Kamil Ertekin
    Hadiye Demir
    [J]. Cognitive Therapy and Research, 2008, 32 : 227 - 245
  • [8] DISCLOSURE AND TREATMENT ADHERENCE IN ADOLESCENTS AND ADULTS WITH CYSTIC FIBROSIS
    Rand-Giovannetti, D.
    Eakin, M. N.
    Ridge, A.
    Rickert, K. A.
    [J]. PEDIATRIC PULMONOLOGY, 2010, : 435 - 436
  • [9] PREDICTORS OF PROVIDERS' COMPETENCE DELIVERING A PROBLEM-SOLVING ADHERENCE INTERVENTION
    Alpern, A. N.
    McLean, K. A.
    Becker, E. M.
    Riekert, K. A.
    Quittner, A. L.
    [J]. PEDIATRIC PULMONOLOGY, 2016, 51 : 458 - 458
  • [10] EDUCATIONAL INTERVENTION IMPROVES ADHERENCE IN CHILDREN AND ADOLESCENTS WITH CYSTIC FIBROSIS
    Beatricci, Simone Zani
    Schaan, Camila Wohlgemuth
    de Grana Calvete, Fernanda Pilla
    Mocelin, Helena Teresinha
    Fischer, Gilberto Bueno
    [J]. PEDIATRIC PULMONOLOGY, 2016, 51 : S12 - S12