scholarly journals Medication Adherence and Technology-Based Interventions for Adolescents With Chronic Health Conditions: A Few Key Considerations (Preprint)

2017 ◽  
Author(s):  
Sherif M Badawy ◽  
Alexis A Thompson ◽  
Lisa M Kuhns
Keyword(s):  
Medication Adherence ◽  
Health Outcomes ◽  
Text Messaging ◽  
Critical Time ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Transition To Adult Care ◽  
Adherence Behavior ◽  
Adult Care ◽  
Chronic Health

UNSTRUCTURED The number of children and adolescents with chronic health conditions (CHCs) has doubled over the past two decades. Medication adherence is a key component of disease management within these groups. Low adherence to prescribed medications is a known problem in adolescents with CHCs and is related to health outcomes, including quality of life, disease complications, and mortality. Adolescence is a critical time to create routines and health behaviors that optimize disease self-management and transition to adult care. The mounting interest in the development and use of mobile health tools provides novel opportunities to connect patients, particularly adolescents, with their providers outside of the clinic and to improve health outcomes. There is growing evidence to support the efficacy of technology-based approaches, in particular text-messaging and mobile apps, to improve adherence behavior in adolescents, although cost-effectiveness and long-term health benefits remain unclear. In this short viewpoint article, we review some important considerations for promoting medication adherence in adolescents with CHCs using technology-based approaches.

scholarly journals The relationship between medication adherence, health literacy and social support network in the hypertensive emergency department patient

2020 ◽  
Author(s):  
◽  
Benjamin L. Coe
Keyword(s):  
Social Support ◽  
Emergency Department ◽  
Medication Adherence ◽  
Health Literacy ◽  
Chronic Health Conditions ◽  
Support Network ◽  
Health Conditions ◽  
Social Support Network ◽  
Chronic Health ◽  
Ed Visits

Hypertension (HTN) is a major risk factor for the development of heart disease, which is the number one cause of death in the United States (U.S.). The Affordable Care Act of 2010 (ACA) led to a significant increase in emergency department (ED) visits: up to 20 [percent] of visits are considered as avoidable. Many patients present to EDs with uncontrolled chronic health conditions, such as HTN, which can be successfully managed in the outpatient setting. Factors contributing to the large volume of patients that present to the ED with uncontrolled HTN has been understudied. This cross-sectional study examined relationships between selected demographic and health variables, medication adherence, health literacy and social support network among adults (n=50) with HTN that presented to the ED. Participants were predominantly male (56 [percent]), 41-60 years old (46 [percent]), and Caucasian (60 [percent]). Only 36 [percent] of participants were adherent to their HTN medications, 42 [percent] had adequate health literacy, and 38 [percent] perceived high levels of social support. The variable with the strongest correlation to medication adherence was last primary care provider (PCP) visit (-0.473, p [less than] 0.001). However only 54 [percent] of participants had seen a PCP over the last 6 months. Increasing PCP visits and reducing avoidable ED visits has the potential to improve chronic disease health outcomes and reduce health care costs. This study has provided evidence that it is both acceptable and feasible to perform research in the ED setting that addresses chronic health conditions, such as HTN. Findings from this study may be used to inform novel ED interventions that can help adults to better manage their chronic health conditions, such as HTN, outside of the acute care setting.

53 Health Outcomes of Siblings of Children with Chronic Health Conditions: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e38-e39
Author(s):  
Benjamin Martinez ◽  
Petros Pechlivanoglou ◽  
Dorisa Meng ◽  
Benjamin Traubici ◽  
Quenby Mahood ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Rating Scale ◽  
Well Being ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Increased Risk ◽  
Scale Scores

Abstract Primary Subject area Mental Health Background Chronic childhood health conditions are known to have an impact on the well-being of family members. Parental caregivers face well-defined adverse health outcomes, though less is known about the health impacts on siblings. Objectives To assess clinical health outcomes in siblings of children with chronic health condition(s) compared to siblings of healthy children or normative data. Design/Methods We searched Ovid MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, PsycInfo, and CINAHL through June 4, 2020. We included English-language studies that: (1) reported clinically diagnosable mental or physical health outcomes of siblings of children (0-18 years old) diagnosed with any childhood chronic health condition; (2) included a comparison group; and (3) used an experimental or observational study design. Risk of bias was assessed using the Newcastle-Ottawa Scale. Results We included 28 studies of the 9053 screened, comprising 10 cohort studies and 18 cross-sectional studies. Studies from 11 different countries reported most commonly on siblings of children with disabilities (12 studies), cancer (8 studies), or psychiatric disorders (4 studies). Siblings of children with chronic conditions had greater depression rating scale scores than their comparison groups (standardized mean difference 0.49; 95% CI 0.33-0.65; P < .001 [5 studies]) (Fig. 1), whereas anxiety scores did not differ significantly (standardized mean difference 0.24; 95% CI -0.03-0.52; P = .08 [6 studies]) (Fig. 2). Studies that reported on prevalence of psychiatric diagnoses, rather than rating scale scores, had mixed results, either indicating increased risk (3 studies) or no increased risk (4 studies) among exposed siblings. We did not meta-analyze effects for mortality (3 studies) or physical health outcomes (dental caries [1 study], traumatic brain injury [1 study], sexually transmitted infection [1 study], overweightness/obesity [1 study]) given the limited number of studies and between-study heterogeneity. Included studies were rated as high quality (12 studies) or of moderate quality (16 studies). Conclusion Siblings of children with chronic health conditions may be at an increased risk of depression. Our findings suggest the need for targeted interventions to support the psychological well-being of siblings of children with chronic health conditions.

Internet-Based Chronic Disease Self-Management for Youth

2013 ◽  
pp. 224-245
Author(s):  
Jennifer Stinson ◽  
Navreet Gill
Keyword(s):  
Chronic Disease ◽  
Health Outcomes ◽  
Management Program ◽  
Chronic Health Conditions ◽  
Children And Youth ◽  
Health Conditions ◽  
Self Management ◽  
Treatment Programs ◽  
Chronic Health ◽  
Important Health

Chronic health conditions in children and youth are important health problems that seriously affect all aspects of their everyday lives. There is growing recognition of the need to promote disease self-management in youth with chronic health conditions. While there is evidence of the effectiveness of self-management programs to improve health outcomes in pediatric chronic illnesses, there are barriers to youth receiving these services. Internet-based programs offer an innovative approach to improve the availability, accessibility, and acceptability of these programs. This chapter provides an overview of Internet-based chronic disease self-management treatment programs for children and youth. It defines and describes the underlying theories, processes, and content elements of Internet-based self-management programs. Practical tips for program development and evaluation in terms of improved health outcomes are also discussed based on the authors’ experience with developing the “Teens Taking Charge: Managing Arthritis Online” self-management program for adolescents with arthritis. Future directions for theory, research, and clinical practice are also described.

Internet-Based Chronic Disease Self-Management for Youth

2013 ◽  
pp. 36-56
Author(s):  
Jennifer Stinson ◽  
Navreet Gill
Keyword(s):  
Chronic Disease ◽  
Health Outcomes ◽  
Management Program ◽  
Chronic Health Conditions ◽  
Children And Youth ◽  
Health Conditions ◽  
Self Management ◽  
Treatment Programs ◽  
Chronic Health ◽  
Important Health

Chronic health conditions in children and youth are important health problems that seriously affect all aspects of their everyday lives. There is growing recognition of the need to promote disease self-management in youth with chronic health conditions. While there is evidence of the effectiveness of self-management programs to improve health outcomes in pediatric chronic illnesses, there are barriers to youth receiving these services. Internet-based programs offer an innovative approach to improve the availability, accessibility, and acceptability of these programs. This chapter provides an overview of Internet-based chronic disease self-management treatment programs for children and youth. It defines and describes the underlying theories, processes, and content elements of Internet-based self-management programs. Practical tips for program development and evaluation in terms of improved health outcomes are also discussed based on the authors’ experience with developing the “Teens Taking Charge: Managing Arthritis Online” self-management program for adolescents with arthritis. Future directions for theory, research, and clinical practice are also described.

Health outcomes and costs for injured young people hospitalised with and without chronic health conditions

Injury ◽  
2017 ◽  
Vol 48 (8) ◽  
pp. 1776-1783 ◽  
Author(s):  
Rebecca J. Mitchell ◽  
Kate Curtis ◽  
Jeffrey Braithwaite
Keyword(s):  
Young People ◽  
Health Outcomes ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health

Competencies and training of health professionals engaged in health coaching: A systematic review

2020 ◽  
pp. 174239531989946
Author(s):  
Harjit K Singh ◽  
Gerard A Kennedy ◽  
Ieva Stupans
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Health Professionals ◽  
Health Coaching ◽  
Chronic Health Conditions ◽  
Competency Framework ◽  
Health Conditions ◽  
Chronic Health ◽  
Health Coaches ◽  
Evidenced Based

Objective A systematic review was undertaken in order to evaluate the competencies of primary healthcare professionals who are engaged with health coaching patients with chronic health conditions. Methods The databases CINHAL, EMBASE, PubMed, PsychINFO and SCOPUS were searched to identify peer reviewed papers referring to competencies of health professionals engaged in health coaching. Results Nine key competencies that health professionals met and which resulted in successful patient outcomes from health coaching were identified. Comparisons of the core health coaching competencies to the competencies for coaches established by the International Coaching Federation and European Mentoring and Coaching Council showed considerable overlap. However, the comparison also reiterated the need for competencies specific to health coaches to be made explicit. Discussion Health coaching has been shown to improve the health outcomes in patients with chronic health conditions. As such, there is a need to build an evidenced-based competency framework specific to health coaches. At present, the lack of a competency framework on which to base health coach training could significantly impact the outcomes of patients receiving health coaching. Practical implications include improving regulation and quality of health coaching, and more importantly, the health outcomes of patients receiving the service.

scholarly journals Health outcomes in a national sample of American Indian and Alaska Native adults: Differences between multiple-race and single-race subgroups

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0242934
Author(s):  
Ursula Running Bear ◽  
Nancy L. Asdigian ◽  
Janette Beals ◽  
Spero M. Manson ◽  
Carol E. Kaufman
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
American Indian ◽  
Access To Health Care ◽  
Multinomial Logistic Regression ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Access To Health ◽  
Increased Risk

Objectives To determine differences among multi-race (MR) American Indian and Alaska Natives (AIAN), single race (SR) AIANs, and SR-Whites on multiple health outcomes. We tested the following hypotheses: MR-AIANs will have worse health outcomes than SR-AIANs; SR-AIANs will have worse health outcomes than SR-Whites; MR-AIANs will have worse health outcomes than SR-Whites. Methods Behavioral Risk Factor Surveillance System data were used to examine general health, risk behaviors, access to health care, and diagnosed chronic health conditions. Those identifying as SR-White, SR-AIAN, and MR-AIAN were included in multinomial logistic regression models. Results Compared to SR-AIANs, MR-AIANs had more activity limitations, a greater likelihood of experiencing cost as a barrier to health care and were more likely to be at increased risk and diagnosed with more chronic health conditions. Both SR and MR-AIANs have worse health than SR-Whites; MR-AIANs appear to be at increased risk for poor health. Conclusions The current study examined access to health care and nine chronic health conditions, neither of which have been considered in prior work. MR AIANs are at increased risk compared to SR groups. These observations beg for further inquire into the mechanisms underlying these differences including stress related to identify, access to care, and discrimination. Findings support the continued need to address health disparities among AIANs regardless of SR or MR identification.

Sign in / Sign up

Export Citation Format

Share Document