A Pilot Study Evaluating the Impact of an Adherence-promoting Intervention Among Nonadherent Youth With Inflammatory Bowel Disease.
PURPOSE: This study examined the feasibility and impact of a multicomponent adherence intervention among youth with Inflammatory Bowel Disease (IBD) who presented to clinic with poor adherence.
DESIGN AND METHODS: Medical providers referred twelve adolescents for the intervention, who participated in 4 weekly visits with a caregiver aimed at improving adherence.
RESULTS: Intervention session attendance was 100% and the intervention was rated as feasible and acceptable. Mean adherence increased 12% from baseline to post-intervention (p<0.01), and 6% from baseline to 1-month follow-up (p<0.025). A generalized linear model revealed significantly greater adherence from baseline to post-intervention (p<0.001), and from baseline to 1-month follow-up (p<0.01). Logistic Regression revealed a nearly 2:1 odds ratio during post-intervention when compared to the Baseline period (p<0.001).
CONCLUSIONS: Findings suggest that the delivery of a multicompoment adherence intervention to poorly adherent youth with IBD can result in significant improvements in their adherence to oral medication.
PRACTICE IMPLICATIONS: An intervention individually tailored to each family's unique adherence barriers is a feasible and promising treatment approach for improving medication adherence among nonadherent youth seen in clinical care.
Journal of pediatric nursing
Adolescent; Adolescent Behavior; Attitude to Health; Female; Humans; Inflammatory Bowel Diseases; Male; Medication Adherence; Patient Compliance; Patient Education as Topic; Pilot Projects; Professional-Patient Relations; Quality of Life
Adolescents; Inflammatory bowel disease; Intervention; Self-management; IBS
Maddux, Michele H.; Ricks, Shawna; Delurgio, Stephen; and Hommel, Kevin, "A Pilot Study Evaluating the Impact of an Adherence-promoting Intervention Among Nonadherent Youth With Inflammatory Bowel Disease." (2017). Manuscripts, Articles, Book Chapters and Other Papers. 1162.