White Coat Adherence over the First Year of Therapy in Pediatric Epilepsy

To examine white coat adherence over time in children with epilepsy. This was a longitudinal prospective study to examine medication adherence prior to and following consecutive clinic visits over a 13-month period in 120 children with newly diagnosed epilepsy (Mage = 7.2 ± 2.9 years; 38% female) an...

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Vydáno v:The Journal of pediatrics Ročník 161; číslo 4; s. 695 - 699.e1
Hlavní autoři: Modi, Avani C., Ingerski, Lisa M., Rausch, Joseph R., Glauser, Tracy A., Drotar, Dennis
Médium: Journal Article
Jazyk:angličtina
Vydáno: Maryland Heights, MO Elsevier Inc 01.10.2012
Mosby, Inc
Elsevier
Témata:
Anticonvulsants
Anticonvulsants - therapeutic use
Biological and medical sciences
caregivers
Child
Child, Preschool
children
Communication
decision making
drug therapy
epilepsy
Epilepsy - drug therapy
Female
General aspects
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Health participants
Humans
Logistic Models
Male
Medical sciences
monitoring
Nervous system (semeiology, syndromes)
Neurology
Office Visits
Patient Compliance
Patient Compliance - statistics & numerical data
Pediatrics
prospective studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
regression analysis
statistics & numerical data
therapeutic use
MEMS
Medication event monitoring systems
Human
Pediatrics
Nervous system diseases
Treatment
Health staff
Epilepsy
Central nervous system disease
Treatment compliance
Adhesion
Child
Cerebral disorder
ISSN:0022-3476, 1097-6833, 1097-6833
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Popis
Shrnutí:To examine white coat adherence over time in children with epilepsy. This was a longitudinal prospective study to examine medication adherence prior to and following consecutive clinic visits over a 13-month period in 120 children with newly diagnosed epilepsy (Mage = 7.2 ± 2.9 years; 38% female) and their caregivers. Electronic monitors were used to assess adherence and ordinal logistic regression models were employed. Results demonstrated white coat adherence, with adherence increasing during the 3 days preceding clinic visits. Data also revealed a significant interaction, whereby adherence increased following initial clinic visits, but decreased following the last clinic visit. White coat adherence occurs for children with newly diagnosed epilepsy. Increased awareness of white coat adherence has important implications for clinical decision-making and should be examined in other pediatric populations. Increased monitoring of medication patterns can help clinicians avoid unnecessary changes to the treatment regimen. Interventions targeting improved communication around adherence behaviors are necessary to maximize therapy benefits.
Bibliografie:http://dx.doi.org/10.1016/j.jpeds.2012.03.059
ObjectType-Article-1
SourceType-Scholarly Journals-1
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content type line 23
ISSN:0022-3476
1097-6833
1097-6833
DOI:10.1016/j.jpeds.2012.03.059