Factors associated with Adherence to Medications for Children with Juvenile Idiopathic Arthritis at Queen Sirikit National Institute of Child Health
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Abstract
Objective: To identify factors associated with medication adherence in children with juvenile idiopathic arthritis (JIA) at Allergy and Rheumatology clinic, Queen Sirikit National Institute of Child Health. Method: A total of 76 family caregivers of JIA patients who received medications for JIA for at least 3 months, were enrolled to the study. Adherence to medications for JIA pediatric patients in this prospective study was assessed by pill count/volume measurement and self-medication reminder card during 1-2 months of the follow-up period and categorized into good adherence or poor adherence (according to percentage of overall adherence score ≥80% or <80%, respectively). Patient-related factors including gender, age, complexity of medication regimen and absence of chronic comorbidity, were collected from patient’s medication records. Family caregiver-related factors including family income, educational level, knowledge, barriers and attitudes to medication taking, were obtained by interview with caregivers using a questionnaire. Knowledge, barriers and attitudes about medication taking, were measured using medication adherence scale developed by Wu et al. Results: Fifty-five patients (72.4%) had good medication adherence. Logistic regression analysis showed that more positive attitudes of caregivers about medication taking (odds ratio or OR=3.7, P=0.026) and absence of chronic comorbidity (OR=6.5, P=0.010) were significant predictors of good medication adherence. Conclusion: Intervention on attitudes towards medication taking of patients’ caregivers would improve medication adherence in children with JIA. Nevertheless, further studies are warranted to more fully address relevant factors associated with medication adherence in this population.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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