Johns Hopkins Adherence Research Center, The Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA.
Cystic Fibrosis Foundation, 6931 Arlington Road, Suite 200, Bethesda, MD 20814, USA.
J Cyst Fibros. 2015 Jan;14(1):142-8. doi: 10.1016/j.jcf.2014.10.003. Epub 2014 Oct 24.
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.
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.
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.
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.
本研究旨在确定儿科和成人囊性纤维化 (CF) 护理团队在多大程度上实施了遵医行为评估和咨询方面的最佳实践。
邀请所有美国 CF 基金会认可的项目参加基于网络的调查；80%（92/115）的儿科中心和 40%（38/95）的成人中心参与了调查。医疗保健提供者报告了当前实施遵医促进实践的方法和障碍。
64%的中心在每次就诊时讨论遵医行为，而只有 8%的中心使用客观的遵医评估。大多数中心报告经常使用增加知识的策略；行为和支持策略的使用则不那么频繁。报告了一些遵医促进的障碍。
护理团队有很多机会可以提高遵医实践的一致性，并将更多有效的咨询策略整合到就诊中。应将遵医促进实践纳入质量改进 (QI) 项目。
