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识别青少年移植受者药物依从性的障碍。

Identifying barriers to medication adherence in adolescent transplant recipients.

作者信息

Simons Laura E, Blount Ronald L

机构信息

Pain Treatment Service, Children's Hospital Boston, Boston, Massachusetts 02130, USA.

出版信息

J Pediatr Psychol. 2007 Aug;32(7):831-44. doi: 10.1093/jpepsy/jsm030. Epub 2007 May 23.

Abstract

OBJECTIVE

To create Parent and Adolescent Medication Barriers Scales (PMBS and AMBS) for assessing perceived barriers to medication adherence in adolescent transplant recipients.

METHODS

These scales were developed and initially validated with 78 families. Participants responded to questions concerning perceived barriers to medication adherence. To assess validity, data on contextual factors (e.g., family functioning) and adherence measures were collected.

RESULTS

A principal components factor analysis resulted in the following subscales for the PMBS and AMBS: (a) Disease Frustration/Adolescent Issues, (b) Regimen Adaptation/Cognitive Issues, (c) Ingestion Issues, and (d) Parent Reminder (PMBS only). Significant associations were found between barrier scale scores, contextual factors, and adherence.

CONCLUSIONS

The PMBS and AMBS are brief and psychometrically promising scales for assessing perceived barriers to adherence in adolescent transplant recipients.

摘要

目的

创建父母与青少年药物治疗障碍量表(PMBS和AMBS),用于评估青少年移植受者在药物治疗依从性方面所感知到的障碍。

方法

开发这些量表并在78个家庭中进行初步验证。参与者回答有关药物治疗依从性方面所感知到的障碍的问题。为评估效度,收集了有关背景因素(如家庭功能)和依从性测量的数据。

结果

主成分因子分析得出了PMBS和AMBS的以下子量表:(a)疾病挫折感/青少年问题,(b)治疗方案适应/认知问题,(c)服药问题,以及(d)父母提醒(仅适用于PMBS)。在障碍量表得分、背景因素和依从性之间发现了显著关联。

结论

PMBS和AMBS是用于评估青少年移植受者在依从性方面所感知到的障碍的简短且在心理测量学上有前景的量表。

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