Title of article :
Medication Non-adherence Among Pediatric Liver Transplant Recipients
Author/Authors :
Shamsaeefar ، Alireza Abu-Ali Sina Organ Transplant Center - Shiraz University of Medical Sciences , Motazedian ، Nasrin Transplant Research Center - Shiraz University of Medical Sciences , Sayadi ، Mehrab Cardiovascular Research Centre - Shiraz University of Medical Sciences , Mashhadiagha ، Amirali Transplant Research Center - Shiraz University of Medical Sciences , Kazemi ، Azar Department of Medical Informatics - Mashhad University of Medical Sciences , Dehghani ، Mohsen Transplant Research Center - Shiraz University of Medical Sciences , Afshinnia ، Farsad Division of Nephrology, Department of Internal Medicine - University of Michigan , Kazemi ، Kourosh Abu-Ali Sina Organ Transplant Center - Shiraz University of Medical Sciences , Malekhosseini ، Ali Abu-Ali Sina Organ Transplant Center - Shiraz University of Medical Sciences
From page :
1
To page :
7
Abstract :
Background: More and more children are undergoing liver transplantation and reaching adolescence, even though they must take immunosuppressant drugs for their entire lives. Objectives: This study aimed to determine the non-adherence rate in liver transplant recipients and identify its potential etiologies. Methods: A cross-sectional survey was performed to assay medication adherence among pediatric liver transplant recipients in Shiraz, Iran. The patients demographic, socioeconomic, and clinical characteristics were collected via interviews. Medication adherence was assessed using a validated Morisky 8-item Medication Adherence Questionnaire (MMAS-8). Results: A total of 157 patients with a mean age of 12.73 ± 4.02 participated in this study. Based on the Morisky adherence scores, 12.1% (n = 19), 25.5% (n = 40), and 62.4% (n = 98) were categorized as low, moderate, and high adherence groups, respectively. Among all studied variables, and follow-up time after transplant were significantly associated with adherence among children after liver transplantation in Iran. Conclusions: The rate and reported causes of non-adherence are similar to those found in previous studies, which is quite remarkable. Proper instruction, financial aid, and recruitment of new technologies are among the strategies to overcome non-adherence.
Keywords :
Medication Adherence , Adolescent , Liver Transplantation
Journal title :
Iranian Journal of Pediatrics
Journal title :
Iranian Journal of Pediatrics
Record number :
2758078
Link To Document :
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