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Published in: Pediatric Nephrology 6/2011

01-06-2011 | Original Article

Medication beliefs and perceived barriers in adolescent renal transplant patients and their parents

Authors: Nataliya Zelikovsky, Tracey Dobson, Jessica Norman

Published in: Pediatric Nephrology | Issue 6/2011

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Abstract

Understanding patient beliefs about medications and perceived barriers is important for optimal medical management. Differentiating adolescent views from parents’ perceptions would enhance care by increasing communication about regimens and reducing obstacles. This study explored beliefs about medications and perceived barriers among 40 adolescent kidney transplant patients and their parents. Younger adolescents reported greater concern about medication harmfulness (t(38) = 2.190, p < 0.05) and more barriers, particularly for practical problems including forgetfulness, organization, and coordination (t(38) = 2.049, p < 0.05). Fathers with a lower education reported their children having greater challenges with medications due to taste and size (t(37) = 2.933, p < 0.01). Families with incomes in the low and high levels expressed that their children need more medication reminders (F (2, 35) = 7.815, p < 0.005), and adolescents from lower-income families perceived medication to be more harmful (F (2, 36) = 3.815, p < 0.05). Adolescents expressed challenges with practical aspects of medication taking, whereas parents were more focused on medications being necessary for their health. Adolescent renal patients experience challenges to medication management that may differ from their parents, findings that can help tailor interventions to improve medication management.
Literature
1.
go back to reference Seki T, Koyanagi T, Chikaraishi T, Takeuchi I, Kangawa K, Harada H, Togashi M, Hirano T (2000) Clinical experience of pediatric kidney transplantation: What is the benefit? Transplant Proc 32:1822–1823CrossRef Seki T, Koyanagi T, Chikaraishi T, Takeuchi I, Kangawa K, Harada H, Togashi M, Hirano T (2000) Clinical experience of pediatric kidney transplantation: What is the benefit? Transplant Proc 32:1822–1823CrossRef
2.
go back to reference Torkaman M, Khalili-Matin-Zadeh Z, Azizabadi-Farahani M, Moghani-Lankarani M, Assari S, Pourfarziani V, Saadat S, Kayehmanesh Z, Afshar-Payman S (2007) Outcome of living kidney transplant: pediatric in comparison to adults. Transplant Proc 39:1088–1090CrossRef Torkaman M, Khalili-Matin-Zadeh Z, Azizabadi-Farahani M, Moghani-Lankarani M, Assari S, Pourfarziani V, Saadat S, Kayehmanesh Z, Afshar-Payman S (2007) Outcome of living kidney transplant: pediatric in comparison to adults. Transplant Proc 39:1088–1090CrossRef
3.
go back to reference Pinson C, Feurer I, Wise P, Shockley S, Speroff T (2000) Health-related quality of life after different types of solid organ transplantation. Ann Surg 232(4):597–607CrossRef Pinson C, Feurer I, Wise P, Shockley S, Speroff T (2000) Health-related quality of life after different types of solid organ transplantation. Ann Surg 232(4):597–607CrossRef
4.
go back to reference Russell C, Kilburn E, Conn V, Libbus M, Ashbaugh C (2003) Medication-taking beliefs of adult renal transplant recipients. Clin Nurse Spec 17:200–208CrossRef Russell C, Kilburn E, Conn V, Libbus M, Ashbaugh C (2003) Medication-taking beliefs of adult renal transplant recipients. Clin Nurse Spec 17:200–208CrossRef
5.
go back to reference Horne R, Weinman J (1999) Patients’ beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. J Psych Res 47:555–567CrossRef Horne R, Weinman J (1999) Patients’ beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. J Psych Res 47:555–567CrossRef
6.
go back to reference Farmer A, Kinmonth A, Sutton S (2006) Measuring beliefs about taking hypoglycemic medication among people with Type 2 diabetes. Diabet Med 23:265–270CrossRef Farmer A, Kinmonth A, Sutton S (2006) Measuring beliefs about taking hypoglycemic medication among people with Type 2 diabetes. Diabet Med 23:265–270CrossRef
7.
go back to reference Mann D, Ponieman D, Leventhal H, Halm E (2009) Misconceptions about diabetes and its management among low-income minorities with diabetes. Diab Care 32:591–593CrossRef Mann D, Ponieman D, Leventhal H, Halm E (2009) Misconceptions about diabetes and its management among low-income minorities with diabetes. Diab Care 32:591–593CrossRef
8.
go back to reference Menckeberg T, Bouvy M, Bracke M, Kaptein A, Leufkens H, Raaijmakers J, Horne R (2008) Beliefs about medicines predict refill adherence to inhaled corticosteroids. J Psych Res 64:47–54CrossRef Menckeberg T, Bouvy M, Bracke M, Kaptein A, Leufkens H, Raaijmakers J, Horne R (2008) Beliefs about medicines predict refill adherence to inhaled corticosteroids. J Psych Res 64:47–54CrossRef
9.
go back to reference Hall N, Rubin G, Hungin A, Dougall A (2007) Medication beliefs among patients with inflammatory bowel disease who report low quality of life: a qualitative study. BCM Gastroenterol 7:20–28 Hall N, Rubin G, Hungin A, Dougall A (2007) Medication beliefs among patients with inflammatory bowel disease who report low quality of life: a qualitative study. BCM Gastroenterol 7:20–28
10.
go back to reference Wray J, Waters S, Radley-Smith R, Sensky T (2006) Adherence in adolescents and young adults following heart or heart-lung transplantation. Pediatr Transplant 10:694–700CrossRef Wray J, Waters S, Radley-Smith R, Sensky T (2006) Adherence in adolescents and young adults following heart or heart-lung transplantation. Pediatr Transplant 10:694–700CrossRef
11.
go back to reference Conn K, Halterman J, Lynch K, Cabana M (2007) The impact of parents’ medication beliefs on asthma management. Pediatrics 120:e521–e526CrossRef Conn K, Halterman J, Lynch K, Cabana M (2007) The impact of parents’ medication beliefs on asthma management. Pediatrics 120:e521–e526CrossRef
12.
go back to reference Burgess S, Sly P, Morawska A, Devadason S (2008) Assessing adherence and factors associated with adherence in young children with asthma. Respirology 13:559–560CrossRef Burgess S, Sly P, Morawska A, Devadason S (2008) Assessing adherence and factors associated with adherence in young children with asthma. Respirology 13:559–560CrossRef
13.
go back to reference Ingerski L, Baldassano R, Denson L, Hommel K (2010) Barriers to oral medication adherence for adolescents with inflammatory bowel disease. J Pediatr Psychol 35:683–691CrossRef Ingerski L, Baldassano R, Denson L, Hommel K (2010) Barriers to oral medication adherence for adolescents with inflammatory bowel disease. J Pediatr Psychol 35:683–691CrossRef
14.
go back to reference Marhefka S, Koenig L, Allison S, Bachanas P, Bulterys M, Bettica L, Tepper V, Abrams E (2008) Family experiences with pediatric antiretroviral therapy: responsibilities, barriers, and strategies for remembering medications. AIDS Patient Care STDs 22:637–647CrossRef Marhefka S, Koenig L, Allison S, Bachanas P, Bulterys M, Bettica L, Tepper V, Abrams E (2008) Family experiences with pediatric antiretroviral therapy: responsibilities, barriers, and strategies for remembering medications. AIDS Patient Care STDs 22:637–647CrossRef
15.
go back to reference Modi A, Quittner A (2006) Barriers to treatment adherence for children with cystic fibrosis and asthma: what gets in the way? J Pediatr Psychol 31:846–858CrossRef Modi A, Quittner A (2006) Barriers to treatment adherence for children with cystic fibrosis and asthma: what gets in the way? J Pediatr Psychol 31:846–858CrossRef
16.
go back to reference Logan D, Zelikovsky N, Labay L, Spergel J (2003) The Illness Management Survey: identifying adolescents' perceptions of barriers to adherence. J Pediatr Psychol 28:383–392CrossRef Logan D, Zelikovsky N, Labay L, Spergel J (2003) The Illness Management Survey: identifying adolescents' perceptions of barriers to adherence. J Pediatr Psychol 28:383–392CrossRef
17.
go back to reference Marhefka S, Farley J, Rodrigue J, Sandrik L, Sleasman J, Tepper V (2004) Clinical assessment of medication adherence among HIV-infected children: examination of the Treatment Interview Protocol (TIP). AIDS Care 16:323–337CrossRef Marhefka S, Farley J, Rodrigue J, Sandrik L, Sleasman J, Tepper V (2004) Clinical assessment of medication adherence among HIV-infected children: examination of the Treatment Interview Protocol (TIP). AIDS Care 16:323–337CrossRef
18.
go back to reference Zelikovsky N, Schast A, Palmer J, Meyers K (2008) Perceived barriers to adherence among adolescent renal transplant candidates. Pediatr Transplant 12:300–308CrossRef Zelikovsky N, Schast A, Palmer J, Meyers K (2008) Perceived barriers to adherence among adolescent renal transplant candidates. Pediatr Transplant 12:300–308CrossRef
19.
go back to reference Simons L, McCormick M, Mee L, Blount R (2009) Parent and patient perspectives on barriers to medication adherence in adolescent transplant recipients. Pediatr Transplant 13:338–347CrossRef Simons L, McCormick M, Mee L, Blount R (2009) Parent and patient perspectives on barriers to medication adherence in adolescent transplant recipients. Pediatr Transplant 13:338–347CrossRef
20.
go back to reference Theunissen N, Vogels T, Koopman H, Verrips G, Zwinderman K, Verloove-Vanhorick K (1998) The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res 7:387–397CrossRef Theunissen N, Vogels T, Koopman H, Verrips G, Zwinderman K, Verloove-Vanhorick K (1998) The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res 7:387–397CrossRef
21.
go back to reference Speyer E, Herbinet A, Vuillemin A, Chastanger P, Briançon S (2009) Agreement between children with cancer and their parents in reporting the child’s health-related quality of life during a stay at the hospital and at home. Child Care Health Dev 35:489–495CrossRef Speyer E, Herbinet A, Vuillemin A, Chastanger P, Briançon S (2009) Agreement between children with cancer and their parents in reporting the child’s health-related quality of life during a stay at the hospital and at home. Child Care Health Dev 35:489–495CrossRef
22.
go back to reference Kröner-Herwig B, Morris L, Heinrich M, Gassmann J, Vath N (2009) Agreement of parents and children on characteristics of pediatric headache, other pains, somatic symptoms, and depressive symptoms in an epidemiological study. Clin J Pain 25:58–64CrossRef Kröner-Herwig B, Morris L, Heinrich M, Gassmann J, Vath N (2009) Agreement of parents and children on characteristics of pediatric headache, other pains, somatic symptoms, and depressive symptoms in an epidemiological study. Clin J Pain 25:58–64CrossRef
23.
go back to reference Simons L, Blount R (2007) Identifying barriers to medication adherence in adolescent transplant recipients. J Pediatr Psychol 32:831–844CrossRef Simons L, Blount R (2007) Identifying barriers to medication adherence in adolescent transplant recipients. J Pediatr Psychol 32:831–844CrossRef
24.
go back to reference Horne R, Weinman J, Hankins M (1999) Beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health 14:1–24CrossRef Horne R, Weinman J, Hankins M (1999) Beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health 14:1–24CrossRef
Metadata
Title
Medication beliefs and perceived barriers in adolescent renal transplant patients and their parents
Authors
Nataliya Zelikovsky
Tracey Dobson
Jessica Norman
Publication date
01-06-2011
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 6/2011
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-011-1805-1

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