对促进患有疾病的儿童、青少年和年轻成人坚持服药的干预措施进行系统回顾和荟萃分析。

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2024-06-21 DOI:10.1093/jpepsy/jsae036

Meghan E McGrady, Mary E Keenan-Pfeiffer, Amy C Lang, Amy E Noser, Anshul P Tyagi, Julia K Herriott, Rachelle R Ramsey

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引用次数: 0

摘要

研究目的这项荟萃分析研究了针对儿童、青少年和年轻成人的依从性促进干预措施的疗效，这些干预措施作为治疗方案的一部分，在儿童、青少年和年轻成人中的用药时间超过90天：我们进行了一项系统性文献综述，以确定2013年至2023年期间发表的关于促进依从性干预措施的随机对照试验，其中包括患有某种疾病的儿童、青少年和/或年轻成人。共有代表 39 项试验的 38 篇文章符合纳入标准。我们对纳入的试验进行了叙述性综合总结，并使用随机效应模型计算了总体干预效果。此外，还按依从性结果评估方法、参与者年龄和技术使用情况计算了效果大小：结果：儿科依从性促进干预显示出中等效果，随机接受干预的患者比随机接受对比条件的患者在用药依从性方面有更大改善（SMD = 0.46，95% CI：0.31，0.60，n = 37；95% 预测区间：-0.32，1.23）：结论：对患有疾病的儿童、青少年和年轻成人进行坚持治疗干预可提高坚持治疗率。

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Systematic review and meta-analysis of interventions to promote medication adherence among children, adolescents, and young adults with medical conditions.

Objective: This meta-analysis examined the efficacy of adherence-promotion interventions for children, adolescents, and young adults prescribed a medication for > 90 days as part of a treatment regimen for a medical condition.

Methods: A systematic literature review was conducted to identify randomized controlled trials of adherence-promotion interventions published between 2013 and 2023 and including children, adolescents, and/or young adults with a medical condition. A total of 38 articles representing 39 trials met inclusion criteria. A narrative synthesis was conducted to summarize included trials and a random-effects model was used to compute an overall intervention effect. Effect sizes by adherence outcome assessment methodology, participant age, and technology use were also computed.

Results: Pediatric adherence-promotion interventions demonstrate a medium effect with those randomized to an intervention displaying greater improvements in medication adherence than those randomized to a comparator condition (SMD = 0.46, 95% CI: 0.31, 0.60, n = 37; 95% Prediction Interval: -0.32, 1.23).

Conclusions: Adherence interventions for children, adolescents, and young adults with medical conditions increase adherence.

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.