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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluation of a Group-Based Behavioral Intervention to Promote Adherence in <bold>Adolescents with</bold> Inflammatory Bowel Disease</title><author><name sortKey="Hommel, Kevin A" sort="Hommel, Kevin A" uniqKey="Hommel K" first="Kevin A." last="Hommel">Kevin A. Hommel</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A2">University of Cincinnati College of Medicine</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Division of Behavioral Medicine and Clinical Psychology</nlm:aff></affiliation></author><author><name sortKey="Hente, Elizabeth A" sort="Hente, Elizabeth A" uniqKey="Hente E" first="Elizabeth A." last="Hente">Elizabeth A. Hente</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Division of Behavioral Medicine and Clinical Psychology</nlm:aff></affiliation></author><author><name sortKey="Odell, Shannon" sort="Odell, Shannon" uniqKey="Odell S" first="Shannon" last="Odell">Shannon Odell</name><affiliation><nlm:aff id="A6">Cleveland Clinic Children's Hospital</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Center for Pediatric Behavioral Health</nlm:aff></affiliation></author><author><name sortKey="Herzer, Michele" sort="Herzer, Michele" uniqKey="Herzer M" first="Michele" last="Herzer">Michele Herzer</name><affiliation><nlm:aff id="A8">Children's Mercy Hospitals and Clinics</nlm:aff></affiliation><affiliation><nlm:aff id="A9">University of Missouri – Kansas City School of Medicine</nlm:aff></affiliation><affiliation><nlm:aff id="A10">Section of Developmental and Behavioral Sciences</nlm:aff></affiliation><affiliation><nlm:aff id="A11">Section of Gastroenterology</nlm:aff></affiliation></author><author><name sortKey="Ingerski, Lisa M" sort="Ingerski, Lisa M" uniqKey="Ingerski L" first="Lisa M." last="Ingerski">Lisa M. Ingerski</name><affiliation><nlm:aff id="A12">St. Jude Children's Research Hospital</nlm:aff></affiliation><affiliation><nlm:aff id="A13">Department of Psychology</nlm:aff></affiliation></author><author><name sortKey="Guilfoyle, Shanna M" sort="Guilfoyle, Shanna M" uniqKey="Guilfoyle S" first="Shanna M." last="Guilfoyle">Shanna M. Guilfoyle</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Division of Behavioral Medicine and Clinical Psychology</nlm:aff></affiliation></author><author><name sortKey="Denson, Lee A" sort="Denson, Lee A" uniqKey="Denson L" first="Lee A." last="Denson">Lee A. Denson</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A2">University of Cincinnati College of Medicine</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Division of Gastroenterology, Hepatology, and Nutrition</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21989119</idno><idno type="pmc">3233635</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233635</idno><idno type="RBID">PMC:3233635</idno><idno type="doi">10.1097/MEG.0b013e32834d09f1</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000229</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000229</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Evaluation of a Group-Based Behavioral Intervention to Promote Adherence in <bold>Adolescents with</bold> Inflammatory Bowel Disease</title><author><name sortKey="Hommel, Kevin A" sort="Hommel, Kevin A" uniqKey="Hommel K" first="Kevin A." last="Hommel">Kevin A. Hommel</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A2">University of Cincinnati College of Medicine</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Division of Behavioral Medicine and Clinical Psychology</nlm:aff></affiliation></author><author><name sortKey="Hente, Elizabeth A" sort="Hente, Elizabeth A" uniqKey="Hente E" first="Elizabeth A." last="Hente">Elizabeth A. Hente</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Division of Behavioral Medicine and Clinical Psychology</nlm:aff></affiliation></author><author><name sortKey="Odell, Shannon" sort="Odell, Shannon" uniqKey="Odell S" first="Shannon" last="Odell">Shannon Odell</name><affiliation><nlm:aff id="A6">Cleveland Clinic Children's Hospital</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Center for Pediatric Behavioral Health</nlm:aff></affiliation></author><author><name sortKey="Herzer, Michele" sort="Herzer, Michele" uniqKey="Herzer M" first="Michele" last="Herzer">Michele Herzer</name><affiliation><nlm:aff id="A8">Children's Mercy Hospitals and Clinics</nlm:aff></affiliation><affiliation><nlm:aff id="A9">University of Missouri – Kansas City School of Medicine</nlm:aff></affiliation><affiliation><nlm:aff id="A10">Section of Developmental and Behavioral Sciences</nlm:aff></affiliation><affiliation><nlm:aff id="A11">Section of Gastroenterology</nlm:aff></affiliation></author><author><name sortKey="Ingerski, Lisa M" sort="Ingerski, Lisa M" uniqKey="Ingerski L" first="Lisa M." last="Ingerski">Lisa M. Ingerski</name><affiliation><nlm:aff id="A12">St. Jude Children's Research Hospital</nlm:aff></affiliation><affiliation><nlm:aff id="A13">Department of Psychology</nlm:aff></affiliation></author><author><name sortKey="Guilfoyle, Shanna M" sort="Guilfoyle, Shanna M" uniqKey="Guilfoyle S" first="Shanna M." last="Guilfoyle">Shanna M. Guilfoyle</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Division of Behavioral Medicine and Clinical Psychology</nlm:aff></affiliation></author><author><name sortKey="Denson, Lee A" sort="Denson, Lee A" uniqKey="Denson L" first="Lee A." last="Denson">Lee A. Denson</name><affiliation><nlm:aff id="A1">Cincinnati Children's Hospital Medical Center</nlm:aff></affiliation><affiliation><nlm:aff id="A2">University of Cincinnati College of Medicine</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Center for the Promotion of Treatment Adherence and Self-Management</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Division of Gastroenterology, Hepatology, and Nutrition</nlm:aff></affiliation></author></analytic><series><title level="j">European journal of gastroenterology & hepatology</title><idno type="ISSN">0954-691X</idno><idno type="eISSN">1473-5687</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To <bold>pilot</bold> test the feasibility and acceptability of a family-based group behavioral intervention to improve medication adherence in adolescents diagnosed with Inflammatory Bowel Disease (IBD).</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Participants were 40 adolescents age 11-18 years diagnosed with IBD and their primary caregivers, who were randomized to either <bold>a 4-session</bold> Family-Based Group Behavioral Treatment or Usual Care <bold>over a 6-week period</bold>. Adherence was measured using a mutli-method, multi-informant assessment involving caregiver- and patient-report, pill count data, and electronic monitoring.</p></sec><sec id="S3"><title>Results</title><p id="P3">Adherence rates ranged from 66-89% for 6-MP/azathioprine and 51-93% for mesalamine across assessment methods. The intervention was feasible, as evidenced by the 99% treatment session attendance rate, and acceptable based on patient and caregiver report. Repeated measures ANOVA tests revealed nonsignificant differences between the conditions from baseline to post-treatment assessments for pill count, electronic monitor, and primary caregiver-reported adherence (<underline>p's</underline>> .05). There was a statistically significant improvement in patient-reported mesalamine adherence represented by a significant main effect for Condition (F = 22.24, <underline>p</underline>< .01; δ = .79) and Condition X Time interaction (F = 13.32, <underline>p</underline>< .05; δ = .69).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Findings suggest potential for use of behavioral intervention to improve medication adherence in this population. This intervention may be more effective with more complex regimens (e.g., multiple doses per day) such as those prescribed with mesalamine. Further research is needed to examine this type of intervention in more diverse samples with more active disease. Use of alternative adherence measurement approaches, including electronic pill boxes and/or real-time self-report (e.g., via text messaging, electronic diaries, etc.) is also recommended.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9000874</journal-id><journal-id journal-id-type="pubmed-jr-id">8589</journal-id><journal-id journal-id-type="nlm-ta">Eur J Gastroenterol Hepatol</journal-id><journal-title-group><journal-title>European journal of gastroenterology & hepatology</journal-title></journal-title-group><issn pub-type="ppub">0954-691X</issn><issn pub-type="epub">1473-5687</issn></journal-meta><article-meta><article-id pub-id-type="pmid">21989119</article-id><article-id pub-id-type="pmc">3233635</article-id><article-id pub-id-type="doi">10.1097/MEG.0b013e32834d09f1</article-id><article-id pub-id-type="manuscript">NIHMS331579</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Evaluation of a Group-Based Behavioral Intervention to Promote Adherence in <bold>Adolescents with</bold> Inflammatory Bowel Disease</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hommel</surname><given-names>Kevin A.</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Hente</surname><given-names>Elizabeth A.</given-names></name><degrees>B.A.</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Odell</surname><given-names>Shannon</given-names></name><degrees>Psy.D.</degrees><xref ref-type="aff" rid="A6">6</xref><xref ref-type="aff" rid="A7">7</xref></contrib><contrib contrib-type="author"><name><surname>Herzer</surname><given-names>Michele</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="A8">8</xref><xref ref-type="aff" rid="A9">9</xref><xref ref-type="aff" rid="A10">10</xref><xref ref-type="aff" rid="A11">11</xref></contrib><contrib contrib-type="author"><name><surname>Ingerski</surname><given-names>Lisa M.</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="A12">12</xref><xref ref-type="aff" rid="A13">13</xref></contrib><contrib contrib-type="author"><name><surname>Guilfoyle</surname><given-names>Shanna M.</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Denson</surname><given-names>Lee A.</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A5">5</xref></contrib></contrib-group><aff id="A1"><label>1</label>Cincinnati Children's Hospital Medical Center</aff><aff id="A2"><label>2</label>University of Cincinnati College of Medicine</aff><aff id="A3"><label>3</label>Center for the Promotion of Treatment Adherence and Self-Management</aff><aff id="A4"><label>4</label>Division of Behavioral Medicine and Clinical Psychology</aff><aff id="A5"><label>5</label>Division of Gastroenterology, Hepatology, and Nutrition</aff><aff id="A6"><label>6</label>Cleveland Clinic Children's Hospital</aff><aff id="A7"><label>7</label>Center for Pediatric Behavioral Health</aff><aff id="A8"><label>8</label>Children's Mercy Hospitals and Clinics</aff><aff id="A9"><label>9</label>University of Missouri – Kansas City School of Medicine</aff><aff id="A10"><label>10</label>Section of Developmental and Behavioral Sciences</aff><aff id="A11"><label>11</label>Section of Gastroenterology</aff><aff id="A12"><label>12</label>St. Jude Children's Research Hospital</aff><aff id="A13"><label>13</label>Department of Psychology</aff><author-notes><corresp id="CR1">Corresponding author: Kevin A. Hommel, Ph.D., Center for the Promotion of Treatment Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, MLC-7039, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229; (513) 803-0407; fax (513) 803-0415; <email>kevin.hommel@cchmc.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>17</day><month>10</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>1</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>1</month><year>2013</year></pub-date><volume>24</volume><issue>1</issue><fpage>64</fpage><lpage>69</lpage><abstract><sec id="S1"><title>Objective</title><p id="P1">To <bold>pilot</bold> test the feasibility and acceptability of a family-based group behavioral intervention to improve medication adherence in adolescents diagnosed with Inflammatory Bowel Disease (IBD).</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Participants were 40 adolescents age 11-18 years diagnosed with IBD and their primary caregivers, who were randomized to either <bold>a 4-session</bold> Family-Based Group Behavioral Treatment or Usual Care <bold>over a 6-week period</bold>. Adherence was measured using a mutli-method, multi-informant assessment involving caregiver- and patient-report, pill count data, and electronic monitoring.</p></sec><sec id="S3"><title>Results</title><p id="P3">Adherence rates ranged from 66-89% for 6-MP/azathioprine and 51-93% for mesalamine across assessment methods. The intervention was feasible, as evidenced by the 99% treatment session attendance rate, and acceptable based on patient and caregiver report. Repeated measures ANOVA tests revealed nonsignificant differences between the conditions from baseline to post-treatment assessments for pill count, electronic monitor, and primary caregiver-reported adherence (<underline>p's</underline>> .05). There was a statistically significant improvement in patient-reported mesalamine adherence represented by a significant main effect for Condition (F = 22.24, <underline>p</underline>< .01; δ = .79) and Condition X Time interaction (F = 13.32, <underline>p</underline>< .05; δ = .69).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Findings suggest potential for use of behavioral intervention to improve medication adherence in this population. This intervention may be more effective with more complex regimens (e.g., multiple doses per day) such as those prescribed with mesalamine. Further research is needed to examine this type of intervention in more diverse samples with more active disease. Use of alternative adherence measurement approaches, including electronic pill boxes and/or real-time self-report (e.g., via text messaging, electronic diaries, etc.) is also recommended.</p></sec></abstract><kwd-group><kwd>Inflammatory bowel disease</kwd><kwd>adherence</kwd><kwd>self-management</kwd><kwd>medication</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Diabetes and Digestive and Kidney Diseases : NIDDK</funding-source><award-id>K23 DK079037-06 || DK</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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