Barriers to treatment adherence for children with cystic fibrosis and asthma: What gets in the way?
Barriers to treatment adherence for children with cystic fibrosis and asthma: What gets in the way?
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DOI：
10.1093/jpepsy/jsj096
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发表时间：
2006-09-01
影响因子：
3.6
通讯作者：
Quittner, Alexandra L.
中科院分区：
文献类型：
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作者：
Modi, Avani C.;Quittner, Alexandra L.
目的本研究的目的是系统地确定囊性纤维化（CF）和哮喘儿童治疗依从性的障碍，以及检查障碍数量和依从性之间的关系。方法研究对象为73例CF或哮喘患儿及其父母。样本的平均年龄为9.9岁，58%为男性。结果结果表明，疾病和被调查者的障碍非常相似（例如，父母和孩子）进行相同的治疗，但确定了疾病特异性治疗的独特障碍。在疾病中经常提到的障碍包括遗忘、对立行为和时间管理困难。在坚持和障碍之间确定了趋势，这表明更多的障碍与更差的坚持有关。总的来说，这项研究提供的证据表明，患者及其父母在自己的疾病背景下经历了特定的障碍，并强调了针对疾病的措施和干预的必要性。
Objectives The purpose of this study was to systematically identify barriers to treatment adherence for children with cystic fibrosis (CF) and asthma, as well as to examine the relationship between the number of barriers and adherence. Methods Participants included 73 children with CF or asthma and their parents. The mean age of the sample was 9.9 years, and 58% were males. Results Results indicated that barriers were quite similar by illness and informant (e.g., parent and child) for the same treatments, but unique barriers were identified for disease-specific treatments. Frequently mentioned barriers across diseases included forgetting, oppositional behaviors, and difficulties with time management. Trends were identified between adherence and barriers, suggesting that a greater number of barriers were related to poorer adherence. Conclusion Overall, this study provided evidence that patients and their parents experience specific barriers within the context of their own illness and highlights the need for disease-specific measures and interventions.