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首页> 外文学位 >Evaluating three methods of assessing adherence to an inhaled corticosteroid regimen for pediatric asthma.
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Evaluating three methods of assessing adherence to an inhaled corticosteroid regimen for pediatric asthma.

机译：评价三种评估吸入性糖皮质激素治疗小儿哮喘依从性的方法。

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摘要

The effects of nonadherence to treatment regimens for pediatric chronic illnesses are significant. There are several characteristics of asthma therapy that make non-adherence likely. Accurate assessment of adherence is crucial, but difficult. The primary objective of this study was to examine the relationship between three methods of assessing adherence to inhaled corticosteroid treatment for pediatric asthma. This study utilized the baseline data from a randomized controlled trial for improving adherence (Kamps et al., 2008). Participants included 22 males and 25 females with asthma (72% Caucasian, mean age = 10.34 years). Adherence measures included parent and child self-report questionnaires, parent and child 24-hour recall interviews, and electronic monitors (EM). Mean adherence according to EM for this sample (67.21%) was significantly greater than 50%, the typical level for adherence to regimens for chronic pediatric diseases (Rapoff, 2010). Thus, this study provides information about moderate (as opposed to severe) difficulties with nonadherence. Results suggested that self-report methods inflate adherence compared to EM. Sensitivity, specificity, positive predictive value, and negative predictive value were assessed for each method. The self-report methods did not demonstrate sufficient psychometric properties to justify their use as stand-alone measures of adherence. Agreement between parent and child reports was high, but not redundant. These findings call for further research investigating ways that methods of assessment may be effectively combined for an accurate measurement of adherence.
机译：不遵守小儿慢性疾病治疗方案的影响是巨大的。哮喘治疗的一些特征使不依从性成为可能。准确评估依从性至关重要，但很困难。这项研究的主要目的是研究评估评估吸入性糖皮质激素治疗小儿哮喘依从性的三种方法之间的关系。这项研究利用了来自随机对照试验的基线数据来改善依从性（Kamps等，2008）。参加者包括22名男性和25名女性患有哮喘（72％的白种人，平均年龄= 10.34岁）。遵守措施包括父母和孩子的自我报告调查表，父母和孩子的24小时召回访谈以及电子监控器（EM）。对于该样品，根据EM的平均依从性（67.21％）显着大于50％，这是慢性儿科疾病的典型依从性水平（Rapoff，2010年）。因此，本研究提供了有关不依从的中度（相对于严重）困难的信息。结果表明，与EM相比，自我报告方法提高了依从性。每种方法均评估了敏感性，特异性，阳性预测值和阴性预测值。自我报告方法没有表现出足够的心理计量学特性来证明其可作为独立的依从性度量。父母和孩子的报告之间的协议很高，但并非多余。这些发现要求进行进一步的研究，以研究评估方法可以有效地结合以准确衡量依从性的方法。

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  • 作者

    Lootens, Catrina Chula.;

  • 作者单位

    University of Kansas.;

  • 授予单位 University of Kansas.;
  • 学科 Health Sciences General.;Psychology Clinical.;Psychology Developmental.
  • 学位 M.A.
  • 年度 2010
  • 页码 94 p.
  • 总页数 94
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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