Which psychosocial factors are related to chelation adherence in thalassemia? A systematic review.

Abstract:

:Good adherence to iron chelation therapy in thalassemia is crucial. Although there is evidence that adherence is related to regimen factors, there has been less emphasis on the relationship between psychosocial (psychological, demographic and social) factors and adherence. We present a systematic review of psychosocial correlates of chelation adherence in thalassemia. Nine studies met the inclusion criteria. Information was extracted regarding the study characteristics and the relationship between psychosocial factors and chelation adherence. Methodological quality was rated. The studies took place in a range of countries, were mostly cross sectional in design, and examined adherence to deferoxamine (DFO) only. Sample sizes ranged from 15 to 1573. A variety of psychosocial variables were examined. Definitions of adherence varied between studies and non adherence rates were also variable (9 to 66%). Older age was consistently associated with lower levels of chelation adherence. There were few other consistent findings. The methodological quality of studies was variable. There is a need for more methodologically sophisticated and theoretically informed studies on psychosocial correlates of chelation adherence. We offer specific suggestions.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Evangeli M,Mughal K,Porter JB

doi

10.3109/03630269.2010.485080

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

305-21

issue

3

eissn

0363-0269

issn

1532-432X

journal_volume

34

pub_type

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