Evidence map›Paper›PMID 40887014›Full record

ArticleThe Journal of pediatrics2026

A Qualitative Exploration of Adherence to Methotrexate in Juvenile Idiopathic Arthritis.

Dori Abel, Nellie Butler, Anyun Chatterjee, Samantha Tavlin, Katherine Kellom, Joyce C Chang, Sabrina Gmuca

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Dori AbelDivision of Rheumatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address: doriabel@gmail.com.
Nellie ButlerDivision of Rheumatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA; PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, PA.
Anyun ChatterjeePolicyLab, The Children's Hospital of Philadelphia, Philadelphia, PA.
Samantha TavlinPolicyLab, The Children's Hospital of Philadelphia, Philadelphia, PA.
Katherine KellomPolicyLab, The Children's Hospital of Philadelphia, Philadelphia, PA.
Joyce C ChangBoston Children's Hospital, Harvard Medical School, Boston, MA; The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Sabrina GmucaDivision of Rheumatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA; PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, PA; The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Funding

Cardiovascular health assessment & outcomes of systemic lupus erythematosus: bridging pediatric and adult-onset diseaseK23HL148539 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI CHANG, JOYCE CHUN-LING · 2020 to 2024
$973k
A Pilot Randomized Controlled Trial of Resilience Coaching for Adolescents with Chronic Musculoskeletal PainK23AR081409 · NIAMS · CHILDREN'S HOSP OF PHILADELPHIA · PI SABRINA ANDREA GMUCA · 2022 to 2026
$955k
AHRQ HHS T32 HS026116NHLBI NIH HHS K23 HL148539NIAMS NIH HHS K23 AR081409
6 · The paper itself

Abstract

objectiveTo identify barriers and facilitators of adherence to methotrexate (MTX) in juvenile idiopathic arthritis (JIA). STUDY

designWe conducted a qualitative cross-sectional study employing semistructured interviews of 20 adolescents with JIA with varying levels of MTX adherence, determined by pharmacy dispense data. We used grounded theory to identify common themes, which we organized into barriers and facilitators, subdivided into World Health Organization adherence domains.

resultsThe sample had equal representation of adherent and nonadherent patients, and of those prescribed oral and injectable MTX. The most common barriers were patient- or medication-related, including anticipatory nausea, anxiety, busy schedules, side effects, and the color, taste, and odor of MTX. Common facilitators included patient-related (reminders, routines, calming techniques, family, autonomy, time since diagnosis) and medication-related factors (autoinjectors, folic acid), as well as some health care system-related (positive clinic experiences), and socioeconomic factors (community medical knowledge).

conclusionsThrough interviews with adolescents on MTX for JIA and using the World Health Organization's framework, we gained valuable insight on the most salient barriers and facilitators of MTX adherence. These findings can inform interventions to improve medication adherence and optimize patients' quality of life.

Indexed as

Antirheumatic AgentsArthritis, JuvenileMedication AdherenceMethotrexateAdolescentChildCross-Sectional StudiesFemaleHumansInterviews as TopicMaleQualitative ResearchAntirheumatic AgentsMethotrexatehealth behaviorspediatric rheumatologypsychosocial factorsquality of lifesemistructured interviews

Identifiers

PMID40887014
PMCPMC12673932

What OpenQuestion holds

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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.