TITLE

Treatment Adherence in Pediatric Eosinophilic Gastrointestinal Disorders

AUTHOR(S)
Hommel, Kevin A.; Franciosi, James P.; Hente, Elizabeth A.; Ahrens, Annette; Rothenberg, Marc E.
PUB. DATE
June 2012
SOURCE
Journal of Pediatric Psychology;Jun2012, Vol. 37 Issue 5, p533
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective Examine treatment adherence rates in pediatric eosinophilic gastrointestinal disorders (EGID). Methods Participants were children aged 2.5–18 years with eosinophilic esophagitis or eosinophilic gastroenteritis (EGE) and their caregivers. A multimethod, multi-informant assessment including parent report and electronic monitoring was utilized, with a 90% cut point for nonadherence. Results Medication nonadherence prevalence was 30%. Adherence frequency was 91% ± 14% (0–100%) per parent report and 100% ± 69% (0–194%) per electronic monitors. Tube-feeding adherence was 99% ± 3%. Food allergen exposures were less than 1 per 2 weeks, with 33% nonadherence prevalence. Patients with EGE and toddlers with both conditions demonstrated poorer medication adherence (p’s < .05). Caregivers reported higher number of missed medication doses than food exposures (p < .05). Conclusions The prevalence and range of nonadherence demonstrates that subsets of these patients are nonadherent. Adherence to treatment in EGID is complex and multifaceted, with nonadherence varying across treatments.
ACCESSION #
75698182

 

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