Evidence map›Paper›PMID 36173365›Full record

ArticleJournal of pediatric psychology2023

Pediatric Hematopoietic Stem Cell Transplant Medication Adherence Facilitators and Strategies: A Qualitative Study.

Marie L Chardon, Kimberly L Klages, Naomi E Joffe, Ahna L H Pai

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Marie L ChardonDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, USA.ORCID 0000-0002-9128-1009
Kimberly L KlagesDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, USA.
Naomi E JoffeDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, USA.ORCID 0000-0002-3785-9068
Ahna L H PaiDivision of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, USA.ORCID 0000-0002-5958-4157
Cincinnati Children's Hospital Medical Center · US

Funding

NICHD NIH HHS T32 HD 68233-7
6 · The paper itself

Abstract

objectiveTaking medications as prescribed after hematopoietic stem cell transplant (HCT) is key for ensuring children's survival; however, suboptimal medication adherence is common. Development of evidence-based interventions to improve medication adherence post-HCT is contingent upon understanding what adherence facilitators (i.e., unique traits, characteristics, or resources inherent to the individual, medical treatment, or healthcare team) and strategies (i.e., tools caregivers or medical providers intentionally use) promote medication adherence in this population. Therefore, this study examined caregiver-perceived medication facilitators post-HCT.

methodsSemi-structured qualitative interviews and demographic questionnaires were completed by 29 caregivers of children (≤12 years) who had received an HCT within the past 2 years.

resultsThematic analysis guided by grounded theory revealed 14 saturated themes that were grouped into 4 categories: family facilitators, medication facilitators, caregiver strategies, and multidisciplinary treatment team strategies.

conclusionsOverall, findings suggest that caregivers of children who received an HCT are highly resourceful and independently develop many strategies to assist them with medication management after their child's HCT. These facilitators and strategies varied between caregivers and over time. Despite prevalent facilitators and strategies, caregiver burden associated with medication adherence remains high. Caregivers may benefit from the multidisciplinary treatment team providing individualized and multicomponent (educational and behavioral) medication adherence supports to ease this burden particularly shortly after hospital discharge.

Indexed as

Hematopoietic Stem Cell TransplantationMedication AdherenceCaregiversChildHumansQualitative ResearchSurveys and Questionnairescaregiverhematopoietic stem cell transplantationmedication adherencepediatricsupport

Identifiers

PMID36173365
PMCPMC10199727
OpenAlexW4297965527

What OpenQuestion holds

Textmetadata
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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.