Abstract:
OBJECTIVES:To identify predictors of attention-deficit/hyperactivity disorder (ADHD) medication continuity, hypothesizing greater continuity among children with (1) greater child acceptance of treatment, (2) parent belief in longer time course for ADHD, (3) positive differential between parent-perceived need for and concerns about medication, and (4) greater parent-perceived alliance with their child's doctor. METHODS:We conducted a prospective longitudinal cohort of 89 children aged 6 to 10 years old newly treated for ADHD by 1 of 44 pediatricians in 11 practices. Parents completed validated surveys on their beliefs about ADHD and medicine. We audited charts and obtained pharmacy dispensing records. In our analyses, we examined the relationship between predictor variables (eg, sociodemographic and clinical characteristics, quality of care, and belief measures) and short-term (first 90 days after starting medication) and long-term (91-450 days) medication continuity as defined by the number of days covered with medication. RESULTS:Children had a median of 81% of days covered over 0 to 90 days and 54% of days covered over 91 to 450 days after starting medicine. In the first 90 days, medication coverage related to child age, satisfaction with information about medicine, medication titration, symptom reduction, parent beliefs about control over symptoms, uncertainty about treating with medicine, and working alliance. Long-term medication continuity related to child acceptance of treatment and differential between parent-perceived need for and concerns about medication at 3 months, not baseline factors. CONCLUSIONS:Adherence is a process that can change over time in response to experiences with treatment. Interventions are needed to promote productive interactions between pediatricians and families in support of continuity.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Brinkman WB,Sucharew H,Majcher JH,Epstein JNdoi
10.1542/peds.2017-2580subject
Has Abstractpub_date
2018-06-01 00:00:00issue
6eissn
0031-4005issn
1098-4275pii
peds.2017-2580journal_volume
141pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract::National guidelines for the diagnosis and management of hypertension in children have been available for nearly 40 years. Unfortunately, knowledge and recognition of the problem by clinicians remain poor. Prevalence estimates are highly variable because of differing standards, populations, and blood pressure (BP) meas...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2015-3616
更新日期:2016-08-01 00:00:00
abstract::Visual training continues to be used as a remediation technique for reading disabilities despite consistent evidence that it does not provide effective treatment. A review of the ophthalmologic, optometric, and psychological literature relating to the assumption that a relationship exists between reading failure and p...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1984-06-01 00:00:00
abstract:OBJECTIVE:To determine parents' knowledge and attitudes of medicolegal issues affecting adolescent medical care. DESIGN:An anonymous, mailed survey with 16 questions concerning Minnesota consent and confidentiality laws that affect adolescents' medical care. SETTING:A community of >70 000 in rural, southeastern Minne...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.3.582
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:To analyze, in extremely low birth weight infants, associations between peak bilirubin concentration and evidence of brain damage, and between peak bilirubin concentration and blindness attributable to retinopathy of prematurity. METHODS:Retrospective study of 128 infants of =800 g birth weight and =27 ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.102.6.1426
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:We sought to document gender differences in lymphocyte subsets and plasma RNA levels in a pediatric cohort with presumed minimal hormonal differences (on the basis of age). METHODS:Blood samples from antiretroviral therapy-treated, HIV-infected children (n = 158) and HIV-uninfected children (n = 1801) who we...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2005-0294
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Bacteremia is now an uncommon presentation to the children's emergency department (ED) but is associated with significant morbidity and mortality. Its evolving etiology may affect the ability of clinicians to initiate timely, appropriate antimicrobial therapy. METHODS:A retrospective time series analysis of...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-2061
更新日期:2015-04-01 00:00:00
abstract::Epidemiologic and clinical features of Kawasaki disease in 106 patients seen between 1980 and 1986 at The New York Hospital in midtown Manhattan were compared with those in large series from the United States, Canada, and Japan. Dissimilarities in our Kawasaki disease experience included ethnic heterogeneity of our pa...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract:BACKGROUND:This is the first peer-reviewed study to quantify diaper need, propose a method to measure diaper need, and explore psychosocial variables associated with diaper need in a large sample of urban, low-income families. METHODS:Data were derived from a cross-sectional study in 877 pregnant and parenting women. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-0597
更新日期:2013-08-01 00:00:00
abstract::Patients with cystic fibrosis are known to have pancreatic disorganization with associated pancreatic exocrine insufficiency. Endocrine hormonal secretion is also affected but diminution in insulin secretion is rarely accompanied by overt diabetes. We studied seven patients with cystic fibrosis to determine their carb...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract::A 17-year-old girl presented with malaise, weakness, palpitations, dysphagia, myalgias, and weight loss of 1 month's duration. Within 24 hours of admission to the hospital, she had hypotension unresponsive to medical management, intractable congestive heart failure, and arrhythmias; she died. Several empty bottles of ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract::Withdrawal of steroid medications from patients who have been receiving them for management of chronic disease carries the risk of certain serious complications. An understanding of adrenal physiology, coupled with a rational plan for evaluating the individual patient, when necessary, and for protecting against certai...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-02-01 00:00:00
abstract:BACKGROUND:Pediatric emergency department (PED) overcrowding and prolonged boarding times (admission order to PED departure) decrease quality of care. Timely transfer of patients from the PED to inpatient units is a key driver that relieves overcrowding. In 2015, PED boarding time at our hospital was 10% longer than th...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-1477
更新日期:2020-06-01 00:00:00
abstract::Serum apolipoprotein A-I (apo A-I) and apolipoprotein B (apo B) profiles were examined in 2,854 children, 5 to 17 years of age, from a total biracial community. Black boys had higher apo A-I levels than white boys (P less than .001), whereas girls showed no such race-related difference. Black-white difference in apo A...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Although opioid pain relievers are commonly prescribed in pregnancy, their association with neonatal outcomes is poorly described. Our objectives were to identify neonatal complications associated with antenatal opioid pain reliever exposure and to establish predictors of neonatal abstinence s...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-3299
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence of pacifier use and whether this habit adversely affects the health of 6-month-old infants. DESIGN:Data collected via self-completion questionnaires from mothers forming part of the prospective, population-based Avon Longitudinal Study of Pregnancy and Childhood. METHODS:The mothers...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.3.e34
更新日期:1999-03-01 00:00:00
abstract::We report 2 life-threatening cases of Burkholderia cepacia sepsis caused by infusate contamination during compounding. Bacterial isolates from the patients' blood cultures and the infusate were indistinguishable by pulsed-field gel electrophoresis. Proper quality controls at a local and national level are important fo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-2617
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Little published information is available regarding the proportion of hospitals that offer pediatric services at specified levels, or the actual utilization of such services. OBJECTIVE:To determine if an existing national accreditation process created for educational purposes identifies hospitals with a dis...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.111.5.1068
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:A variety of methods are used to assess the length of infants at hospital admission. A tape-measure technique is commonly used; however, this measure is potentially inaccurate. We aimed to assess accuracy of tape measurement of infant lengths by comparison with the more accurate length-board technique. METHO...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.109.6.1108
更新日期:2002-06-01 00:00:00
abstract::To distinguish spermatic cord torsion from other intrascrotal pathology, scrotal ultrasound and radionuclide scanning have been highly recommended on the basis of both clinical and experimental studies. We review the data from six patients in whom ultrasound or nuclear medicine examination was misleading. We emphasize...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract:BACKGROUND:Noncigarette tobacco products are increasingly popular among youth, especially cigarette smokers. Understanding multiple tobacco product use is necessary to assess the effects of tobacco products on population health. This study examines multiple tobacco product use and associated risk factors among US youth...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2014-3202
更新日期:2015-03-01 00:00:00
abstract::The appropriate determination of adequate tissue perfusion and the best approach to treatment of perceived abnormalities in blood pressure in the neonate remain controversial. There is no consensus regarding the actual definition of hypotension in the neonate or how best to raise perceived low blood pressure. In addit...
journal_title:Pediatrics
pub_type:
doi:10.1542/peds.2005-0620F
更新日期:2006-03-01 00:00:00
abstract::Our specific aim was to examine the efficacy and safety of long-term cholesterol-lowering diet and bile acid-binding resin therapy in 73 children heterozygous for familial hypercholesterolemia (FH). We prospectively followed accretion of height and weight in 40 FH children for 5.8 years on diet alone and in 33 FH chil...
journal_title:Pediatrics
pub_type: 杂志文章,收录出版
doi:
更新日期:1986-08-01 00:00:00
abstract::Pediatricians should be familiar with the principles of antenatal diagnosis and how they should be applied to specific problems in genetic counseling, diagnosis, and management in clinical practice. At the same time, pediatricians should be familiar with the resources for the new technology available to them in their ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-06-01 00:00:00
abstract:OBJECTIVE:To examine trends in multiple births conceived using assisted reproductive technology (ART) in the United States between 1997 and 2000 and to estimate the proportion of all US multiple births attributable to ART use. METHODS:We analyzed population-based data of 109 519 live-born infants who were conceived in...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To present longitudinal data on the psychological profile of a cohort of girls with and without Turner syndrome (TS) treated for 3 years with growth hormone (GH). METHODS:Among a sample of 283 children with short stature, 37 girls with TS were recruited at 27 US medical centers. Of the original cohort, 22 gi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:Frequent violent behavior among adolescents has been found to be associated with previous exposure to violence, personal victimization, depression, hopelessness, and older age. Although young adolescents engage in less severe violent behavior than older adolescents, their perceived normative expectations to u...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::All very low-birth-weight infants live-born to residents of an urban southern Ontario county were studied before (1964 to 1969) and after (1973 to 1977) the introduction of neonatal intensive care. Mortality at hospital discharge decreased from 89.4% to 77.6% among infants whose birth weights were 500 to 999 gm and fr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1982-05-01 00:00:00
abstract::This article, written by a group of experienced parents of children with medical complexity (CMC), provides an overview of the demands of managing care from their unique perspective. The article articulates why attention to understanding the challenges that families of CMC face with a fragmented health care system, in...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2017-1284D
更新日期:2018-03-01 00:00:00
abstract::Articles in this issue show clearly the enormous impact that the use of health information technology can have on the quality of health care for children. However, they also point out the challenges that need to be overcome to realize fully the potential of health information technology to improve the quality and effi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1755B
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Inflicted traumatic brain injury (iTBI) is the leading cause of death from TBI in infants. Misdiagnosis of iTBI is common and results in increased morbidity and mortality. Biomarkers may be able to assist in screening infants who are at high risk for iTBI and whose injury might otherwise be missed. We investi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0711
更新日期:2006-02-01 00:00:00