Show simple item record

dc.contributor.authorDean, Angela
dc.contributor.authorWalters, Julie
dc.contributor.authorHall, Tony
dc.date.accessioned2017-05-03T15:35:17Z
dc.date.available2017-05-03T15:35:17Z
dc.date.issued2010
dc.date.modified2011-06-07T06:56:12Z
dc.identifier.issn00039888
dc.identifier.doi10.1136/adc.2009.175125
dc.identifier.urihttp://hdl.handle.net/10072/34850
dc.description.abstractIntroduction Poor medication adherence is common in children and adolescents with chronic illness, but there is uncertainty about the best way to enhance medication adherence in this group. The authors conducted a systematic review of controlled trials examining interventions that aim to improve medication adherence. Method A comprehensive literature search was undertaken to locate controlled trials that described specific interventions aiming to improve adherence to long-term medication, where participants were aged 18 years and under, medication adherence was reported as an outcome measure, and which could be implemented by individual health practitioners. Studies were reviewed for quality and outcome. Results 17 studies met inclusion criteria: seven studies examined educational strategies, seven studies examined behavioural interventions and three studies examined educational intervention combined with other forms of psychological therapies. Only two of seven studies reported a clear benefit for education on medication adherence, whereas four of seven trials indicated a benefit of behavioural approaches on medication adherence. One trial reported that combining education with behavioural management may be more effective than education alone. Studies which combined education with other non-medication specific psychological interventions failed to demonstrate a beneficial effect on medication adherence. Only two studies examined adherence-promoting interventions in young people with established adherence problems. Conclusion These findings suggest that education interventions alone are insufficient to promote adherence in children and adolescents, and that incorporating a behavioural component to adherence interventions may increase potential efficacy. Future research should examine interventions in high-risk groups.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent372667 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Publishing Group Ltd
dc.publisher.placeLondon
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom717
dc.relation.ispartofpageto723
dc.relation.ispartofissue9
dc.relation.ispartofjournalArchives of Disease in Childhood
dc.relation.ispartofvolume95
dc.rights.retentionY
dc.subject.fieldofresearchClinical Pharmacy and Pharmacy Practice
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111503
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1114
dc.subject.fieldofresearchcode1117
dc.titleA systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© The Author(s) 2010. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal's website or contact the authors.
gro.date.issued2010
gro.hasfulltextFull Text
gro.griffith.authorHall, Tony


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record