Patient Health Beliefs and Characteristics Predict Longitudinal Antihypertensive Medication Adherence in Adolescents With CKD
Patient Health Beliefs and Characteristics Predict Longitudinal Antihypertensive Medication Adherence in Adolescents With CKD
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DOI：
10.1093/jpepsy/jsy073
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发表时间：
2019-01-01
影响因子：
3.6
通讯作者：
Riekert, Kristin A.
中科院分区：
文献类型：
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作者：
Eaton, Cyd K.;Eakin, Michelle N.;Riekert, Kristin A.
目的探讨青少年慢性肾脏病(CKD)患者的健康信念(包括自我效能感、结果期望值、知觉障碍)和人口学危险因素(年龄、性别、种族、家庭收入)与24个月以上高血压药物依从性的纵向关系。青少年报告了他们在基线和基线后12个月和24个月的服药自我效能、服药结果预期和坚持的障碍。通过电子监测在基线时以及基线后6、12、18和24个月评估抗高血压药物的依从性。结果依从性在2年的研究期内先增加后减少(倒U形)。自我效能感、结果预期和障碍不会随着时间的推移而改变。青春期年龄较大，女性，非裔美国人，
Objective To investigate longitudinal associations of health beliefs, which included self-efficacy, outcome expectancies, and perceived barriers, and demographic risk factors (i.e., age, gender, race, and family income) with antihypertensive medication adherence in adolescents with chronic kidney disease (CKD) over 24months.Method The sample included 114 adolescents (M age = 15.03years, SD = 2.44) diagnosed with CKD. Adolescents reported their self-efficacy for taking medications, medication outcome expectancies, and barriers to adherence at baseline and 12 and 24 months after baseline. Antihypertensive medication adherence was assessed via electronic monitoring for 2weeks at baseline and 6, 12, 18, and 24 months after baseline.Results Adherence increased and then decreased over the 2-year study period (inverted U-shape). Self-efficacy, outcome expectancies, and barriers did not change over time. Older adolescent age, female gender, African American race,