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Barriers to Medication Adherence Following Pediatric Renal Transplantation: The Utility of Independent and Interrelated Parent and Child Reports

Perazzo, Lauren
http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396372473

Abstract Details

2011, Doctor of Psychology (Psy.D.), Xavier University, Psychology.
Nonadherence to immunosuppressant medications following renal transplantation can lead to devastating health consequences. In order to minimize nonadherence-related negative health outcomes in children, this study aimed to identify the predictive power of the number of barriers to adherence outcomes as reported by both the parent and child. Additionally, this study aimed to determine the significance of the relationship between the parent and child's perspectives by examining the discrepancy between reports and its ability to predict adherence outcomes. Forty-one children and their caregivers participated, with children's ages ranging from 7 to 18 with a mean of 15. Results of the Parent Medication Barriers Scale (PMBS) and the Adolescent Medication Barriers Scale (AMBS) were used for analyses, as well as electronic monitoring data to measure adherence. The average rate of adherence from the electronic monitoring data in this sample was 79.3%. Findings indicate that number of barriers according to both parent (p=.904) and child (p = .393) reports are not predictive of adherence. Nor is the discrepancy between parent (p = .950) and child (p = .902) report predictive of adherence. Qualitative analysis of specific barriers suggests that parents and children do not consistently indicate the same barriers to adherence for the child. Although the number of barriers to adherence was not found to be predictive of oral medication adherence, additional exploration of specific barriers to adherence as indicated by both parents and children is suggested for future research.
Janet R. Schultz, Ph.D., ABPP (Committee Chair)
W. Michael Nelson III, Ph.D., ABPP (Committee Member)
Ahna L.H. Pai, Ph.D. (Committee Member)
113 p.
Health Care; Psychology
kidneys-transplantation; immunosuppressive agents; drug utilization-evaluation

Recommended Citations

Citations

  • Perazzo, L. (2011). Barriers to Medication Adherence Following Pediatric Renal Transplantation: The Utility of Independent and Interrelated Parent and Child Reports [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396372473

    APA Style (7th edition)

  • Perazzo, Lauren. Barriers to Medication Adherence Following Pediatric Renal Transplantation: The Utility of Independent and Interrelated Parent and Child Reports. 2011. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396372473.

    MLA Style (8th edition)

  • Perazzo, Lauren. "Barriers to Medication Adherence Following Pediatric Renal Transplantation: The Utility of Independent and Interrelated Parent and Child Reports." Doctoral dissertation, Xavier University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396372473

    Chicago Manual of Style (17th edition)

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© 2011, all rights reserved.
This open access ETD is published by Xavier University Psychology and OhioLINK.