Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Javalkar, Karina ; Fenton, Nicole ; Cohen, Sarah ; Ferris, Maria
Javalkar, Karina ; Fenton, Nicole ; Cohen, Sarah ; Ferris, Maria Less -
Description:
Introduction

The objective of our study was to determine the socioecologic factors that predict readiness for self-management and transition from pediatric to adult health care services, adherence to taking medications, and health care utilization among adolescents and young adults with chronic kidney disease.

Methods

We enrolled 52 adolescents and young adults aged 13 to 21 (96.5% participation). Participants were administered measures that examined: socioecologic factors, individualized education plans or 504 plans, readiness for self-management and transition (the University of North Carolina TRxANSITION scale), triangulated measures of adherence to taking medications (parent reported, physician reported, and medication-possession ratios), and health care utilization (number of visits to the emergency department, number of inpatient admissions, and number of inpatient days in the previous year).

Results

Overall, our sample had moderate levels of readiness for self-management and transition, high rates of parent- and physician-reported medication adherence, and high rates of health care utilization. Age was a significant positive predictor of readiness for self-management and transition. Compared with participants who had private health insurance, participants who had public insurance had more emergency department visits, inpatient admissions, and inpatient days, and lower rates of physician-reported medication adherence. Participants who did not have an individualized education plan or 504 plan had significantly more emergency department visits, inpatient admissions, and inpatient days.

Conclusion

Socioecologic factors play an important role in readiness for self-management and transition, medication adherence, and health care utilization in pediatric patients with chronic kidney disease. Age, insurance status, and having an individualized education plan or 504 plan may be key factors.


Subjects:
[+]
Adolescent Adult Continuity Of Patient Care Female Health Knowledge, Attitudes, Practice Health Services Health Transition Hospitalization Humans Insurance Coverage Male Medication Adherence Outcome Assessment, Health Care Patient Compliance Patient Transfer Renal Insufficiency, Chronic/diagnosis Self Care/psychology Socioeconomic Factors Surveys And Questionnaires Young Adult
Source:
Prev Chronic Dis. 11.
Document Type:
Journal Article
Place as Subject:
North Carolina
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:153fa212ff193e8c7c439225304da5bd2c70909be9d3e8628d988f4b0220a113
Download URL:
https://stacks.cdc.gov/view/cdc/24404/cdc_24404_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-11-E117.nxml	txt

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