Journal
JOURNAL OF PEDIATRIC PSYCHOLOGY
Volume 41, Issue 4, Pages 406-418Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/jpepsy/jsv084
Keywords
adherence; children; meta-analysis; sickle cell disease; systematic review
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Funding
- National Institutes of Health [T32HD068223]
- National Heart, Lung, and Blood Institute at the National Institutes of Health [K07HL108720]
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ObjectiveaEuro integral To provide a comprehensive summary (systematic review) of medication adherence rates by assessment method and medication type for pediatric patients with sickle cell disease (SCD), as well as identify important correlates for future research.aEuro integral MethodsaEuro integral Articles assessing medication adherence and published between 1982 and February 2015 (n = 49) were identified using electronic databases. A meta-analysis of 14 studies examining demographic, medical, and psychosocial factors and medication adherence was conducted.aEuro integral ResultsaEuro integral Adherence rates ranged from 12% to 100% across all medications. Approximately 30% of studies reported associations between adherence and key demographic, medical, and psychosocial correlates. Mean effect sizes were small to moderate (r = .02-.53).aEuro integral ConclusionsaEuro integral The wide range of adherence rates reported in the literature may be because of, in part, the use of variable assessment strategies. Future studies examining pediatric SCD adherence should incorporate key correlates with the goal of replication.
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