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Importance of adherence in the outcome of juvenile idiopathic arthritis

Claudio A Len1, Vanessa B Miotto e Silva, Maria Teresa R A Terreri

  • 1Pediatric Rheumatology Unit, Allergy, Immunology and Rheumatology Division, Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, Brazil, claudiolen@gmail.com.

Current Rheumatology Reports
|February 8, 2014
PubMed

Insights

Adherence to treatment is crucial for juvenile idiopathic arthritis (JIA) outcomes. Addressing factors affecting adherence, like delayed treatment and poor patient education, can improve prognosis for children with JIA.

Area of Science:

  • Pediatric Rheumatology
  • Clinical Practice
  • Patient Adherence

Background:

  • Juvenile idiopathic arthritis (JIA) treatment has advanced, improving patient prognosis.
  • However, modifiable factors like delayed referrals and poor adherence can negatively impact outcomes.
  • Adherence remains a significant challenge in managing JIA.

Purpose of the Study:

  • To review key aspects of treatment adherence in JIA.
  • To identify factors affecting adherence and their impact on prognosis.
  • To discuss assessment and strategies for promoting adherence in JIA patients.

Main Methods:

  • Literature review of adherence to treatment in JIA.
  • Discussion of factors influencing adherence.
  • Analysis of the impact of poor adherence on JIA prognosis.
  • Exploration of assessment and intervention strategies.

Main Results:

  • Delayed referrals, drug treatment initiation, and poor adherence compromise JIA outcomes.
  • Information-reinforcement education is highlighted as a key strategy.
  • Assessing and addressing adherence barriers are critical for health professionals.

Conclusions:

  • Improving adherence to treatment is essential for optimizing juvenile idiopathic arthritis prognosis.
  • Multifaceted strategies, including enhanced patient education, are needed.
  • Addressing adherence challenges requires a concerted effort from healthcare providers.

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