کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6013168 | 1185910 | 2013 | 5 صفحه PDF | دانلود رایگان |
Treatment adherence is often suboptimal among adolescents with epilepsy. However, knowledge is lacking regarding factors that affect adherence. Empirical studies and theories of human development suggest that self-management skills, self-efficacy, and sense of control are related to adherence. Eighty-eight adolescents with epilepsy, and their parents, completed standardized measures assessing epilepsy knowledge and expectations, treatment self-management, sense of control, and self-efficacy. Better self-reported parent adherence was correlated with greater epilepsy knowledge/expectations (p < 0.001) and more medications (p = 0.042). Better self-reported adolescent adherence was correlated with fewer siblings (p = 0.003) and higher adolescent epilepsy knowledge/expectations (p < 0.001). Greater adolescent epilepsy knowledge/expectations correlated with parent self-reported adherence (p < 0.001), Powerful others locus of control (p = 0.008), and adolescent/parent discordance regarding epilepsy knowledge/expectations (p < 0.001). Interventions that enhance adolescent's knowledge of epilepsy and their treatment plan, while ensuring that teens and parents are in agreement with regard to epilepsy treatment, might contribute to better adherence.
⺠Treatment adherence is often suboptimal among adolescents with epilepsy. ⺠We assessed predictors of self-reported treatment adherence and epilepsy knowledge. ⺠Better epilepsy knowledge predicted improved self-reported adolescent adherence. ⺠Discordance between parent and adolescent responses predicted poorer adherence. ⺠Enhancing families' knowledge of epilepsy and its treatment may improve adherence.
Journal: Epilepsy & Behavior - Volume 27, Issue 1, April 2013, Pages 59-63