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Report from the American Society of Transplantation Psychosocial Community of Practice Adherence Task Force: Real-world options for promoting adherence in adult recipients

机译:美国移植心理社会实践协会坚持性工作组的报告:促进成人接受者坚持治疗的现实选择

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摘要

Starting in 2015, the American Society of Transplantation Psychosocial Community of Practice, with representatives of the Transplant Pharmacy Community of Practice, convened a taskforce to develop a white paper that focused on clinically practical, evidenced-based interventions that transplant centers could implement to increase adherence to medication and behavioral recommendations in adult solid organ transplant recipients. The group focused on what centers could do in their daily routines to implement best practices to increase adherence in adult transplant recipients. We developed a list of strategies using available resources, clinically feasible methods of screening and tracking adherence, and activities that ultimately empower patients to improve their own self-management. We limited the target population to adults because they predominate the research, and because adherence issues differ in pediatric patients, given the necessary involvement of parents/guardians. We also examined broader multilevel areas for intervention including provider and transplant program practices. Ultimately, the task force aims to foster greater recognition, discussion, and solutions required for implementing practical interventions targeted at improving adherence.
机译:从2015年开始,美国移植心理社会实践协会与移植药学实践协会的代表召集了一个工作组,以制定一份白皮书,着重研究移植中心可以实施以提高依从性的临床实践,循证干预措施成人实体器官移植受者的用药和行为建议。该小组的重点是各中心在日常工作中可以采取哪些措施来实施最佳做法,以增加成年移植受者的依从性。我们使用可用资源,临床可行的筛查和追踪依从性方法以及最终使患者有能力改善自身管理能力的活动,制定了一系列策略。我们将目标人群限制为成年人,因为成年人占主导地位,并且由于父母/监护人的必要参与,小儿患者的依从性问题也有所不同。我们还研究了更广泛的多层干预领域,包括提供者和移植计划的实践。最终,工作组旨在培养实施旨在改善依从性的实际干预措施所需的更多认可,讨论和解决方案。

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