Feasibility of Electronic Medication Monitoring Among Adolescents and Emerging Adults with Sickle Cell Disease

被引:0
作者
Hildenbrand, Aimee K. [1 ,2 ,3 ,8 ]
Kidwell, Katherine M. [4 ]
Mcgrady, Meghan E. [5 ,6 ]
Mara, Constance A. [5 ,6 ]
Quinn, Charles [6 ,7 ]
Crosby, Lori E. [5 ,6 ]
机构
[1] Nemours Childrens Hlth, Ctr Healthcare Delivery Sci, Wilmington, DE USA
[2] Nemours Childrens Hosp Delaware, Div Behav Hlth, Wilmington, DE USA
[3] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Pediat, Philadelphia, PA USA
[4] Syracuse Univ, Dept Psychol, Syracuse, NY USA
[5] Cincinnati Childrens Hosp Med Ctr, Div Behav Med & Clin Psychol, Cincinnati, OH USA
[6] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA
[7] Cincinnati Childrens Hosp Med Ctr, Div Hematol, Cincinnati, OH USA
[8] Nemours Ctr Healthcare Delivery Sci, 1600 Rockland Rd,RC 1,Suite 160, Wilmington, DE 19803 USA
基金
美国国家卫生研究院;
关键词
adherence; MEMS; medicine; sickle cell anemia; PEDIATRIC-PATIENTS; YOUNG-ADULTS; FOLLOW-UP; ADHERENCE; CHILDREN; HYDROXYUREA;
D O I
10.2147/PPA.S431595
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To examine the feasibility of using MEMS (R) bottles to assess adherence among adolescents and emerging adults with sickle cell disease. Patients and Methods: Eighteen non-Hispanic Black participants with HbSS (M = 17.8 years; 61% male) were given a MEMS (R) bottle to store hydroxyurea (n = 14) or deferasirox (n = 4). Results: One hundred percent initiated MEMS (R) use and 61% sustained use through the 18-week study; at follow-up, only 11% returned their bottle on time. Barriers to MEMS (R) use included medication changes and transition to adult care; facilitators included tip sheets and reminders. Conclusion: While MEMS (R) is acceptable to this population, ensuring sustained use and timely provision of bottles will require additional supports.
引用
收藏
页码:3167 / 3171
页数:5
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