Parental Factors Associated with Child or Adolescent Medication Adherence: A Systematic Review
Clarisse Roswini Kalaman1, Norhayati Ibrahim1,2, Vinorra Shaker3
1Center for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Healthcare (Basel, Switzerland)
|February 25, 2023
Summary
Parental factors significantly impact medication adherence in children with psychiatric disorders. Addressing parental socioeconomic status, family dynamics, attitudes, and mental health can improve treatment outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Health
- Systematic Review Methodology
Background:
- Medication adherence is a critical challenge in treating pediatric psychiatric disorders.
- Nonadherence significantly impacts treatment efficacy and patient outcomes.
Purpose of the Study:
- To systematically review parental factors associated with medication adherence in pediatric psychiatric populations.
- Identify specific parental characteristics that positively or negatively influence adherence.
Main Methods:
- Systematic literature search of PubMed, Scopus, and MEDLINE (inception–December 2021).
- Included 23 studies with 77,188 participants.
- Adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Main Results:
- Nonadherence rates varied widely (8%–69%).
- Key parental factors identified: socioeconomic background, family functioning, attitudes toward medication, and parental mental health.
- These factors significantly correlate with child medication adherence.
Conclusions:
- Parental characteristics are crucial determinants of pediatric psychiatric medication adherence.
- Targeted interventions focusing on parents can enhance adherence rates.
- Improving parental support and addressing parental factors is vital for effective pediatric mental healthcare.
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