SynthesisPediatrics2014
Health care provider-delivered adherence promotion interventions: a meta-analysis.
Synthesis in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Meta-Analysis of Adherence Promotion Interventions in Pediatric Asthma.Journal of pediatric psychology · 2021Pooled it
- Patient-Reported Outcomes for Pediatric Adherence and Self-Management: A Systematic Review.Journal of pediatric psychology · 2020Pooled it
- Interventions to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Adherence and barriers to hyperinsufflation in children with congenital muscular dystrophy.Pediatric pulmonology · 2017Trial
- The Barriers Assessment Tool-A Patient-Centered Measure of Adherence Barriers in Pediatric Kidney Transplantation.Children (Basel, Switzerland) · 2023Article
- Behavioral parenting skills as a novel target for improving medication adherence in young children: Feasibility and acceptability of thePediatric hematology and oncology · 2022Article
- Designing an App for Immunosuppression Adherence and Communication: A Qualitative Approach.Canadian journal of kidney health and disease · 2022Article
- Small Interventions for Big Change: Brief Strategies for Distress and Self-Management Amongst Youth with Type 1 Diabetes.Current diabetes reports · 2020Review
- Young People and the Management of Chronic Illness by Primary Care Pharmacists: A Systematic Review.Pharmacy (Basel, Switzerland) · 2019Review
- Feasibility of a musculoskeletal ultrasound intervention to improve adherence in juvenile idiopathic arthritis: a proof-of concept trial.Pediatric rheumatology online journal · 2018Article
- Antibiotic Prophylaxis for Children With Sickle Cell Anemia.Pediatrics · 2018Article
- Interventions on Adherence to Treatment in Children With Severe Asthma: A Systematic Review.Frontiers in pediatrics · 2018Article
- Assessing barriers to adherence in routine clinical care for pediatric kidney transplant patients.Pediatric transplantation · 2017Article
- Longitudinal Patterns of Medication Nonadherence and Associated Health Care Costs.Inflammatory bowel diseases · 2017Article
- Using Artificial Intelligence to Reduce the Risk of Nonadherence in Patients on Anticoagulation Therapy.Stroke · 2017Article
- Medication adherence decision-making among adolescents and young adults with cancer.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2016Article
- Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care.Clinical and experimental gastroenterology · 2016Review
- Improving medication adherence in migraine treatment.Current pain and headache reports · 2015Review
- Medication discharge teaching in pediatric hematopoietic stem cell transplantation: teaching characteristics, caregiver perceptions, and postdischarge adherence.Journal of psychosocial oncology research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectiveImproving medical regimen adherence is essential for maximizing the therapeutic potential of treatments for pediatric chronic illness. Health care providers are uniquely positioned to deliver adherence promotion interventions. However, no studies have summarized the effectiveness of health care provider-delivered adherence interventions. The objective of this study was to describe the effectiveness of health care provider-delivered adherence promotion interventions in improving adherence among children who have chronic illness. Data sources include PubMed, PsycINFO, CINAHL, and Scopus. Studies were included if they were randomized-controlled trials of pediatric interventions aiming to increase adherence to the primary regimen for a chronic illness and at least 1 health care provider delivered the intervention.
resultsA total of 35 randomized-controlled studies including 4616 children were included. Greater improvements in adherence were observed immediately after health care provider-delivered interventions (d = 0.49; 95% confidence interval, 0.32 to 0.66) than at longer-term follow-up (d = 0.32; 95% confidence interval, 0.10 to 0.54). Treatment effect sizes differed across the adherence behaviors measured. There was significant heterogeneity in treatment effects; however, no moderators of treatment effectiveness were identified. This meta-analysis focused on the published literature. In addition, the majority of studies involved children who had asthma and younger children.
conclusionsHealth care provider-delivered interventions for children who have chronic illness can be effective in improving adherence. Gains in adherence are highest immediately after intervention. Future interventions and studies should include multiple methods of assessing adherence, include active comparators, and address long-term maintenance of adherence gains.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.