Medication beliefs and perceived barriers in adolescent renal transplant patients and their parents

Pediatric Nephrology volume 26, pages953–959(2011)Cite this article

Abstract

Understanding patient beliefs about medications and perceived barriers is important for optimal medical management. Differentiating adolescent views from parents’ perceptions would enhance care by increasing communication about regimens and reducing obstacles. This study explored beliefs about medications and perceived barriers among 40 adolescent kidney transplant patients and their parents. Younger adolescents reported greater concern about medication harmfulness (t(38) = 2.190, p < 0.05) and more barriers, particularly for practical problems including forgetfulness, organization, and coordination (t(38) = 2.049, p < 0.05). Fathers with a lower education reported their children having greater challenges with medications due to taste and size (t(37) = 2.933, p < 0.01). Families with incomes in the low and high levels expressed that their children need more medication reminders (F (2, 35) = 7.815, p < 0.005), and adolescents from lower-income families perceived medication to be more harmful (F (2, 36) = 3.815, p < 0.05). Adolescents expressed challenges with practical aspects of medication taking, whereas parents were more focused on medications being necessary for their health. Adolescent renal patients experience challenges to medication management that may differ from their parents, findings that can help tailor interventions to improve medication management.

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Affiliations

  1. Pediatrics, The Children’s Hospital of Philadelphia, Psychology, La Salle University, Philadelphia, PA, USA

    Nataliya Zelikovsky

  2. Psychology, La Salle University, Philadelphia, PA, USA

    Tracey Dobson & Jessica Norman

Authors
  1. Nataliya Zelikovsky
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  2. Tracey Dobson
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  3. Jessica Norman
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Correspondence to Nataliya Zelikovsky.

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Zelikovsky, N., Dobson, T. & Norman, J. Medication beliefs and perceived barriers in adolescent renal transplant patients and their parents. Pediatr Nephrol 26, 953–959 (2011). https://doi.org/10.1007/s00467-011-1805-1

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Keywords

  • Medication beliefs
  • Barriers
  • Renal transplant
  • Adolescents