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Opportunities for cystic fibrosis care teams to support treatment adherence
Kristin A Riekert1, Michelle N Eakin1, Andrew Bilderback1
1Johns Hopkins Adherence Research Center, The Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA.
Background:
The purpose of this study was to identify the extent to which pediatric and adult cystic fibrosis (CF) care teams implement best practices in adherence assessment and counseling.
Methods:
All US CF Foundation accredited programs were invited to participate in a web-based survey; 80% (92/115) of pediatric and 40% (38/95) of adult centers participated. Health care providers reported on current approaches and barriers to implementing adherence promotion practices.
Results:
64% discussed adherence at every clinic visit while only 8% used an objective assessment of adherence. Most centers reported frequent use of strategies to increase knowledge; behavioral and support strategies were used less regularly. Several barriers to adherence promotion were reported.
Conclusions:
Many opportunities exist for care teams to improve consistency in adherence practices and integrate a greater repertoire of effective counseling strategies into clinic visits. Adherence promotion practices should be considered for quality improvement (QI) projects.
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