“It is kind of like a responsibility thing”: transitional challenges in asthma medication adherence among adolescents and young adults

2021 ◽  
pp. 1-11
Author(s):  
Sandra E. Zaeh ◽  
Monica A. Lu ◽  
Kathryn V. Blake ◽  
Elizabeth Ruvalcaba ◽  
Christabelle Ayensu-Asiedu ◽  
...  
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Asthma Medication ◽  
Adolescents And Young Adults ◽  
Transitional Challenges

scholarly journals Adaptation of an HIV Medication Adherence Intervention for Adolescents and Young Adults

2014 ◽  
Vol 21 (2) ◽  
pp. 191-205 ◽  
Author(s):  
Idia B. Thurston ◽  
Laura M. Bogart ◽  
Madeline Wachman ◽  
Elizabeth F. Closson ◽  
Margie R. Skeer ◽  
...  
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Adolescents And Young Adults ◽  
Adherence Intervention ◽  
Hiv Medication

Usefulness of Cellular Text Messaging for Improving Adherence Among Adolescents and Young Adults with Systemic Lupus Erythematosus

2011 ◽  
Vol 39 (1) ◽  
pp. 174-179 ◽  
Author(s):  
TRACY V. TING ◽  
DEEPA KUDALKAR ◽  
SHANNEN NELSON ◽  
SANDRA CORTINA ◽  
JOSHUA PENDL ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Young Adults ◽  
Medication Adherence ◽  
Disease Activity ◽  
Lupus Erythematosus ◽  
Text Messaging ◽  
Adolescents And Young Adults ◽  
Systemic Lupus ◽  
Visit Adherence ◽  
Clinic Visits

Objective.In a cohort of 70 patients with childhood-onset systemic lupus erythematosus (cSLE): to determine the baseline adherence to medications and visits; to investigate the effects of cellular text messaging reminders (CTMR) on adherence to clinic visits; and to study the influence of CTMR on adherence to use of hydroxychloroquine (HCQ).Methods.CTMR were sent to 70 patients prior to clinic visits for 14 months. A subgroup of patients were evaluated for medication adherence to HCQ: 19 patients receiving CTMR prior to each scheduled HCQ dose were compared to 22 patients randomized to standard of care education about HCQ. Visit adherence was measured using administrative databases. Pharmacy refill information, self-report of adherence, and HCQ blood levels were utilized to monitor medication adherence to HCQ. Sufficient adherence to visits or HCQ was defined as estimates > 80%. Disease activity was primarily monitored with the Systemic Lupus Erythematosus Disease Activity Index.Results.At baseline, 32% of patients were sufficiently adherent to HCQ, and 81% to clinic visits. Visit adherence improved significantly by > 80% among those who were nonadherent to clinic visits at the baseline CTMR (p = 0.01). CTMR did not influence adherence to HCQ over time.Conclusion.Patients with cSLE were only modestly adherent to HCQ and clinic visits. CTMR may be effective for improving visit adherence among adolescents and young adults with cSLE, but it does not improve adherence to HCQ.

scholarly journals Adherence to hydroxyurea, health-related quality of life domains and attitudes towards a smartphone app among Irish adolescents and young adults with sickle cell disease

2021 ◽  
Author(s):  
Helen Fogarty ◽  
Alan Gaul ◽  
Saifullah Syed ◽  
Natalija Aleksejenko ◽  
Rosena Geoghegan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Medication Adherence ◽  
Adolescents And Young Adults ◽  
Smartphone App ◽  
Health Related Quality ◽  
Improve Medication Adherence ◽  
Related Quality ◽  
Health Related

Abstract Introduction SCD patients experience declines in health-related quality of life (HRQOL) domains compared with healthy controls. Despite evidence supporting the benefits of hydroxyurea, medication non-adherence remains problematic, especially in adolescents and young adults (AYA). Adherence barriers include forgetfulness and lack of knowledge. Recently, increased interest in technology-based strategies to improve medication adherence has emerged. No data currently exists on hydroxyurea adherence, HRQOL or perceptions of technology-based tools in the Irish SCD population. Methods In order to interrogate these domains among Irish AYA SCD patients we administered an anonymous survey at two tertiary referral centres in Dublin, Ireland, in July 2019. Results Sixty-three patients participated; 63% female and 37% male, with a median and mean age of 17 and 19 years, respectively. Average monthly adherence was 76% using a visual analogue scale. Recall barriers were present in 62% while 26% omit hydroxyurea for reasons other than forgetting. Reviewing HRQOL; only 36.5% felt always physically able to engage in recreational activities, while 51% experienced disruption to school/college/work due to pain. Eighty-one percent reported that anxiety about health interferes with their lives and non-adherence correlated with worse HRQOL outcomes. Interest in a smartphone app was expressed by the majority, with daily medication reminders being the most popular feature. Sharing adherence data with doctors and discussion forums were less appealing. Conclusions Representing over 10% of the Irish SCD population, our survey provides novel and valuable insights into medication adherence and HRQOL domains. Preferred app features may inform future technology-based interventions to improve medication adherence in SCD and other chronic health conditions.

scholarly journals Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Young People Living with HIV: A Scoping Review

2020 ◽  
Author(s):  
Emeka Francis Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Adolescents And Young Adults ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background: Mental health disorders such as high levels of anxiety, isolation, depression and suicide ideation reported among young people living with HIV (10-24; YPLWH) contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among YPLWH . This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among adolescents and young people living with HIV globally. Method: We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework. Results: Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters. Conclusion: There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of adolescents and young adults living with HIV.PROSPERO: Registration CRD42018105057

scholarly journals Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Adolescents and Young People Living with HIV: A Scoping Review

2020 ◽  
Author(s):  
Emeka Francis Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Adolescents And Young Adults ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background: Mental health disorders such as high levels of anxiety, isolation, depression and suicide reported among adolescents and young people living with HIV contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among adolescents living with HIV. This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among adolescents and young people living with HIV globally. Method: We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework. Results: Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters. Conclusion: There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of adolescents and young adults living with HIV.

Sign in / Sign up

Export Citation Format

Share Document