Medical and psychosocial associates of nonadherence in adolescents with cancer.

TitleMedical and psychosocial associates of nonadherence in adolescents with cancer.
Publication TypeJournal Article
Year of Publication2015
AuthorsHullmann SE, Brumley LD, Schwartz LA
JournalJ Pediatr Oncol Nurs
Volume32
Issue2
Pagination103-13
Date Published2015 Mar-Apr
ISSN1532-8457
Abstract

The current study examined adherence to medication regimens among adolescents with cancer by applying the Pediatric Self-Management Model. Adolescents and their parents reported on adherence to medication, reasons for nonadherence, and patient-, family-, and community-level psychosocial variables. Adolescent- and parent-reported adherence were significantly correlated, with about half of the sample reporting perfect adherence. The majority reported "just forgot" as the most common reason for missed medication. Patient-, family-, and community-level variables were examined as predictors of adherence. With regard to individual factors, adolescents who endorsed perfect adherence reported a greater proportion of future-orientated goals and spent fewer days in outpatient clinic visits. For family factors, adolescents who endorsed perfect adherence reported greater social support from their family and were more likely to have a second caregiver who they perceived as overprotective. The community-level variable (social support from friends) tested did not emerge as a predictor of adherence. The results of this study provide direction for intervention efforts to target adolescent goals and family support in order to increase adolescent adherence to cancer treatment regimens.

DOI10.1177/1043454214553707
Alternate JournalJ Pediatr Oncol Nurs
PubMed ID25366574
PubMed Central IDPMC4410359
Grant ListNCI R03 126337 / / PHS HHS / United States
NCI R25 117865 / / PHS HHS / United States
R03 CA126337 / CA / NCI NIH HHS / United States
R25 CA117865 / CA / NCI NIH HHS / United States