Adherence-Facilitating Behaviors of a Multidisciplinary Pediatric Rheumatology Staff |
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Authors: | Thompson, Suzanne M. Dahlquist, Lynnda M. Koenning, Gaye M. Bartholomew, L. Kay |
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Affiliation: | University of Houston, Baylor College of Medicine, Texas Children's Hospital 2All correspondence should be sent to Lynnda M. Dahlquist, Psychiatry (MC3-3301), Texas Children's Hospital, 6621 Fannin, Houston, Texas 77030 |
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Abstract: | Investigated the behaviors of pediatric rheumatology healthcare providers that were expected to be related to patient orparent adherence. Medical charts of 108 patients ages 1 to 20years diagnosed with Juvenile Rheumatoid Arthritis were examined.The 473 outpatient visits over 15 months yielded a total of2,578 treatment recommendations, but only 1,390 adherence-facilitatingbehaviors by medical staff were documented. Providing informationabout how often to perform the recommendation was the most commonstaff behavior. In contrast, care providers rarely indicatedthat they addressed their patients' concerns and barriers toimplementing the recommendations, or employed behavior modificationstrategies to increase adherence. Implications of these findingsfor development of programs designed to increase treatment adherencein children with chronic diseases requiring time-consuming,intrusive medical regimens are discussed. |
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Keywords: | adherence children arthritis health care providers chronic illness. |
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