Caregiver-Related Correlates of Medication Nonadherence Among Pediatric Liver Transplant Recipients

Claire Dunphy, Fordham University

Abstract

Despite the significant risk of negative medical outcomes including graft rejection and death, medication nonadherence is common among pediatric liver transplant recipients (Molmenti et al., 1999). However, previous studies have focused on determining correlates of nonadherence among adolescent patients (generally ages 12-21) (Annunziato et al., 2007; Berquist et al., 2006). Less is known about younger (or child-age) patients (ages 0-12) who display nonadherence. This study examined possible caregiver-related factors associated with nonadherence among child-age pediatric liver transplant recipients. Thirty-four participants were enrolled; thirty-one participants were included in the analyses. Approximately 35% of were classified as nonadherent to immunosuppressant medication. Child responsibility for illness management was correlated with MLVI. Significant differences in time since transplant, patient age, and REFILS score were found between adherent and nonadherent patients.

Subject Area

Medicine|Clinical psychology

Recommended Citation

Dunphy, Claire, "Caregiver-Related Correlates of Medication Nonadherence Among Pediatric Liver Transplant Recipients" (2017). ETD Collection for Fordham University. AAI10621432.
https://research.library.fordham.edu/dissertations/AAI10621432

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