Evidence map›Paper›PMID 31005801›Full record

ArticleJournal of pediatric nursing

Adherence to Nutritional Supplementation in Cystic Fibrosis.

Kevin A Hommel, Joseph Rausch, Elizabeth K Towner, Joan Schall, Asim Maqbool, Maria Mascarenhas, Virginia Stallings

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Kevin A HommelCenter for Adherence and Self-Management, OH, United States of America; Cincinnati Children's Hospital Medical Center, OH, United States of America; University of Cincinnati College of Medicine, OH, United States of America. Electronic address: kevin.hommel@cchmc.org.
Joseph RauschNationwide Children's Hospital, OH, United States of America; Ohio State University, OH, United States of America.
Elizabeth K TownerWayne State University School of Medicine, MI, United States of America.
Joan SchallChildren's Hospital of Philadelphia, PA, United States of America.
Asim MaqboolChildren's Hospital of Philadelphia, PA, United States of America; University of Pennsylvania Perelman School of Medicine, PA, United States of America.
Maria MascarenhasChildren's Hospital of Philadelphia, PA, United States of America; University of Pennsylvania Perelman School of Medicine, PA, United States of America.
Virginia StallingsChildren's Hospital of Philadelphia, PA, United States of America; University of Pennsylvania Perelman School of Medicine, PA, United States of America.
Children's Hospital of Philadelphia · USThe Ohio State University · USUniversity of Cincinnati Medical Center · USWayne State University · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Organized Lipid Matrix: Fatty Acids and Choline in Cystic FibrosisR44DK060302 · NIDDK · AVANTI POLAR LIPIDS, INC. · PI SHAW, WALTER A · 2006 to 2008
$6.2M
Behavioral Treatment of Nonadherence in Pediatric Inflammatory Bowel DiseaseK23DK079037 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI HOMMEL, KEVIN · 2007 to 2011
$618k
NCATS NIH HHS UL1 TR000003NCRR NIH HHS UL1 RR024134NIDDK NIH HHS K23 DK079037NIDDK NIH HHS R44 DK060302
6 · The paper itself

Abstract

purposeThe purpose of this study was to examine patterns of adherence to a novel dietary supplement in pediatric cystic fibrosis. Adherence to dietary supplementation in cystic fibrosis is challenging, and examination of patterns of adherence behavior over time is needed to better characterize subgroups of patients who need self-management support. DESIGN AND

methodsWe prospectively examined adherence to Lym-X-Sorb™ (LXS), an organized lipid matrix dietary supplementation for patients with cystic fibrosis (CF) and pancreatic insufficiency (PI), over a 12-month period. Adherence for participants aged 5-17 years with CF and PI (N = 109) was monitored monthly via supplement packet counts. Group-based trajectory modeling was employed to examine patterns in adherence behavior over time.

resultsFour distinct trajectories best characterized adherence in this sample, with 18% of participants demonstrating near perfect adherence, 42% demonstrating good adherence (at or above 80%), 16% demonstrating poor adherence that declined over time, and 24% demonstrating significant non-adherence (< 30%).

conclusionsSome patients with CF and PI who are prescribed nutritional supplements will require intensive, individualized behavioral intervention to enhance adherence. Identifying patients who will have difficulty adhering to dietary interventions may result in better treatment-to-patient matching and improved adherence promotion efforts. PRACTICE IMPLICATIONS: Assessment of adherence to dietary supplementation over time can identify patients at risk for continued difficulty with self-management and provide opportunities for early intervention.

Indexed as

Dietary SupplementsPatient ComplianceAdolescentChildChild, PreschoolCystic FibrosisExocrine Pancreatic InsufficiencyFemaleHumansMaleProspective StudiesAdherenceCystic fibrosisDietary

Identifiers

PMID31005801
PMCPMC6642833
OpenAlexW2937863289

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.