Facilitators and barriers to adherence to medical recommendations among adolescents with cancer: A systematic review.

IF 1.3 4区医学 Q3 NURSING

Journal of Child Health Care Pub Date : 2023-10-21 DOI:10.1177/13674935231208502

Ágata Salvador, Shivani Atul Mansuklal, Maria Moura, Carla Crespo, Luísa Barros

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引用次数: 0

Abstract

We aimed to systematically review barriers/facilitators of adherence among adolescents with cancer (aged 10-24 years), following a comprehensive approach to adherence that goes beyond medication-taking. Empirical studies published in English exploring determinants of adherence to medical recommendations among adolescents with cancer were identified in MEDLINE, PsycInfo, and Web of Science, up to October 2021. Records and full-text articles were reviewed by two independent reviewers, and results were classified according to the World Health Organization's (WHO) multidimensional adherence model. Eighteen studies were included. Despite heterogeneity in the definition and measurement of adherence, literature supported barriers/facilitators at patient, treatment, condition, healthcare team/system, and social/economic levels. Specifically, patient-related factors (i.e., psychological functioning and beliefs about disease and treatment) and social-related factors (i.e., family functioning) were major determinants of adolescent adherence. Few studies were conducted, and inconsistent findings were displayed for other dimensions (i.e., healthcare team/system, treatment, and condition-related factors). Adherence is a complex and multidetermined phenomenon. More research is needed to provide critical insights for policymakers and healthcare professionals in planning practices and interventions that effectively address meaningful barriers/facilitators of adolescents' adherence.

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癌症青少年遵守医疗建议的推动者和障碍：一项系统综述。

我们旨在系统地审查癌症青少年（10-24岁）坚持治疗的障碍/促进因素，遵循一种超越药物治疗的全面坚持治疗方法。截至2021年10月，MEDLINE、PsycInfo和Web of Science以英文发表了实证研究，探讨了癌症青少年遵守医疗建议的决定因素。记录和全文文章由两名独立审查员审查，结果根据世界卫生组织（世界卫生组织）的多维依从性模型进行分类。包括18项研究。尽管依从性的定义和测量存在异质性，但文献支持患者、治疗、病情、医疗团队/系统以及社会/经济层面的障碍/促进者。具体而言，患者相关因素（即心理功能和对疾病和治疗的信念）和社会相关因素（如家庭功能）是青少年依从性的主要决定因素。很少进行研究，在其他方面（即医疗团队/系统、治疗和病情相关因素）也显示出不一致的结果。坚持是一种复杂的、多因素的现象。需要进行更多的研究，为政策制定者和医疗保健专业人员在规划实践和干预措施时提供关键见解，以有效解决青少年依从性的有意义的障碍/促进因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Child Health Care NURSING-PEDIATRICS

CiteScore

4.10

自引率

15.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.