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Published on: June 12, 2020
Promoting medication adherence in children
1Osher Institute, Harvard Medical School, Boston, Massachusetts 02215, USA. paula_gardiner@hsm.harvard.edu
Insights
Improving pediatric treatment adherence is crucial for clinical success. Strategies include simplified regimens, pleasant formulations, and collaborative treatment planning involving children and parents.
Area of Science:
- Pediatric Medicine
- Clinical Pharmacy
- Patient Adherence Research
Background:
- Pediatric treatment adherence is a significant challenge for healthcare providers, impacting overall clinical outcomes.
- Patient adherence to medical regimens is a critical factor in achieving successful treatment results.
Purpose of the Study:
- To outline effective strategies for enhancing treatment adherence in pediatric patients.
- To provide physicians with actionable methods to improve children's compliance with medical plans.
Main Methods:
- Review of established and innovative adherence-enhancing strategies for pediatric populations.
- Emphasis on communication, patient education, and shared decision-making between physicians, children, and parents.
Main Results:
- Simplified drug regimens (e.g., once-daily dosing) and non-pill formulations improve adherence.
- Patient education, counseling, reminders, and individualized attention are effective.
- Collaborative treatment plan development, with child participation, significantly boosts adherence.
Conclusions:
- A multifaceted approach incorporating simplified regimens, patient-centered communication, and shared decision-making is key to improving pediatric adherence.
- Physician-parent-child collaboration in treatment planning fosters better compliance and clinical success.
Abstract:
The problem of getting children to follow a treatment regimen is widespread and is frustrating for physicians. The extent to which any patient adheres to a medical regimen is an essential determinant of clinical success. Strategies to improve adherence in children include using simplified drug regimens (e.g., once-daily dosing), pleasant-tasting medicines, liquid or other nonpill formulations, regular phone contact between parents and physicians, reminders, information counseling, self-management plans, and other forms of individualized supervision or attention. Physicians also can encourage adherence by providing a dearly written explanation or patient information sheets that list generic and brand names, dosage, schedule, duration, and common side effects and practical ways of coping with them. Physicians, children, and parents should develop a mutually agreed-upon treatment plan. Having the child participate in devising the plan improves adherence.
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