Opportunities for cystic fibrosis care teams to support treatment adherence

Kristin A. Riekert; Michelle N. Eakin; Andrew Bilderback; Alana K. Ridge; Bruce C. Marshall

doi:10.1016/j.jcf.2014.10.003

Opportunities for cystic fibrosis care teams to support treatment adherence

Kristin A. Riekert, Michelle N. Eakin, Andrew Bilderback, Alana K. Ridge, Bruce C. Marshall

School of Medicine

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

Background: 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. Methods: 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. Results: 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. Conclusions: 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.

Original language	English (US)
Pages (from-to)	142-148
Number of pages	7
Journal	Journal of Cystic Fibrosis
Volume	14
Issue number	1
DOIs	https://doi.org/10.1016/j.jcf.2014.10.003
State	Published - Jan 1 2015

Keywords

Adherence
Barriers
Counseling
Education
Provider

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Pulmonary and Respiratory Medicine

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10.1016/j.jcf.2014.10.003

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title = "Opportunities for cystic fibrosis care teams to support treatment adherence",

abstract = "Background: 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. Methods: 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. Results: 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. Conclusions: 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.",

keywords = "Adherence, Barriers, Counseling, Education, Provider",

author = "Riekert, {Kristin A.} and Eakin, {Michelle N.} and Andrew Bilderback and Ridge, {Alana K.} and Marshall, {Bruce C.}",

note = "Funding Information: Funding was provided by Cystic Fibrosis Foundation Therapeutics, Inc. (CFFT grant number RIEKER08A0 ). CFFT was involved in the development of the survey and recruiting participants, but was not involved in the collection, analysis, and interpretation of data. CFFT was involved in the review of the manuscript and in the decision to submit the manuscript for publication. Publisher Copyright: {\textcopyright} 2014 European Cystic Fibrosis Society.",

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doi = "10.1016/j.jcf.2014.10.003",

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AU - Riekert, Kristin A.

AU - Eakin, Michelle N.

AU - Bilderback, Andrew

AU - Ridge, Alana K.

AU - Marshall, Bruce C.

N1 - Funding Information: Funding was provided by Cystic Fibrosis Foundation Therapeutics, Inc. (CFFT grant number RIEKER08A0 ). CFFT was involved in the development of the survey and recruiting participants, but was not involved in the collection, analysis, and interpretation of data. CFFT was involved in the review of the manuscript and in the decision to submit the manuscript for publication. Publisher Copyright: © 2014 European Cystic Fibrosis Society.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background: 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. Methods: 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. Results: 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. Conclusions: 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.

AB - Background: 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. Methods: 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. Results: 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. Conclusions: 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.

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KW - Counseling

KW - Education

KW - Provider

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Opportunities for cystic fibrosis care teams to support treatment adherence

Abstract

Keywords

ASJC Scopus subject areas

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