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Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children

OBJECTIVE: The aim of the study was to examine the relationship between perceived treatment adherence and health-related quality of life (HRQOL) in children with arthritis, from both parent and child perspectives. METHODS: Patients and their parents, who attended the juvenile idiopathic arthritis (J...

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Autores principales: April, Karine Toupin, Feldman, Debbie Ehrmann, Zunzunegui, Maria Victoria, Duffy, Ciarán M
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770382/
https://www.ncbi.nlm.nih.gov/pubmed/19920952
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author April, Karine Toupin
Feldman, Debbie Ehrmann
Zunzunegui, Maria Victoria
Duffy, Ciarán M
author_facet April, Karine Toupin
Feldman, Debbie Ehrmann
Zunzunegui, Maria Victoria
Duffy, Ciarán M
author_sort April, Karine Toupin
collection PubMed
description OBJECTIVE: The aim of the study was to examine the relationship between perceived treatment adherence and health-related quality of life (HRQOL) in children with arthritis, from both parent and child perspectives. METHODS: Patients and their parents, who attended the juvenile idiopathic arthritis (JIA) clinic at the Montreal Children's Hospital, completed the Juvenile Arthritis Quality of Life Questionnaire (JAQQ), and either the Child Adherence Report Questionnaire (CARQ) or the Parent Adherence Report Questionnaire (PARQ). Linear regression models examined the associations between perceived treatment adherence and HRQOL while adjusting for age, severity, duration of the disease, and complexity of the medical regimen. RESULTS: Perceived adherence to medications was associated with a better HRQOL total score from the children’s perspective (β = −0.02, 95% confidence interval [CI] = −0.03, −0.004), particularly with respect to gross motor (β = −0.03, 95% CI = −0.05, −0.01) and psychosocial functions (β = −0.03, 95% CI = −0.04, −0.01). According to parents, perceived adherence to exercises was associated with fewer symptoms (β = −0.01, 95% CI = −0.03, 0.000) and better psychosocial functioning (β = −0.01, 95% CI = −0.03, −0.002). CONCLUSION: Perceived adherence to medications is associated with an improved HRQOL according to children. According to parents, adherence to exercises may be associated with an improved HRQOL.
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spelling pubmed-27703822009-11-17 Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children April, Karine Toupin Feldman, Debbie Ehrmann Zunzunegui, Maria Victoria Duffy, Ciarán M Patient Prefer Adherence Original Research OBJECTIVE: The aim of the study was to examine the relationship between perceived treatment adherence and health-related quality of life (HRQOL) in children with arthritis, from both parent and child perspectives. METHODS: Patients and their parents, who attended the juvenile idiopathic arthritis (JIA) clinic at the Montreal Children's Hospital, completed the Juvenile Arthritis Quality of Life Questionnaire (JAQQ), and either the Child Adherence Report Questionnaire (CARQ) or the Parent Adherence Report Questionnaire (PARQ). Linear regression models examined the associations between perceived treatment adherence and HRQOL while adjusting for age, severity, duration of the disease, and complexity of the medical regimen. RESULTS: Perceived adherence to medications was associated with a better HRQOL total score from the children’s perspective (β = −0.02, 95% confidence interval [CI] = −0.03, −0.004), particularly with respect to gross motor (β = −0.03, 95% CI = −0.05, −0.01) and psychosocial functions (β = −0.03, 95% CI = −0.04, −0.01). According to parents, perceived adherence to exercises was associated with fewer symptoms (β = −0.01, 95% CI = −0.03, 0.000) and better psychosocial functioning (β = −0.01, 95% CI = −0.03, −0.002). CONCLUSION: Perceived adherence to medications is associated with an improved HRQOL according to children. According to parents, adherence to exercises may be associated with an improved HRQOL. Dove Medical Press 2008-02-02 /pmc/articles/PMC2770382/ /pubmed/19920952 Text en © 2008 Toupin April et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
April, Karine Toupin
Feldman, Debbie Ehrmann
Zunzunegui, Maria Victoria
Duffy, Ciarán M
Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
title Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
title_full Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
title_fullStr Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
title_full_unstemmed Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
title_short Association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
title_sort association between perceived treatment adherence and health-related quality of life in children with juvenile idiopathic arthritis: perspectives of both parents and children
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770382/
https://www.ncbi.nlm.nih.gov/pubmed/19920952
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