Parental Attitudes and Medication Adherence in Groups of Adolescents After Liver and Kidney Transplantations

• Published in: Transplantation proceedings Vol. 50; no. 7; pp. 2145 - 2149
• Main Authors: Jakubowska-Winecka, A., Biernacka, M.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-09-2018
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2018.05.007

The objective of the study was to determine the connection between parental attitudes and medication adherence and the selected aspects of treatment in groups of adolescents after kidney and liver transplantations, in comparison with adolescents with diabetes and inflammatory bowel disease. Attitudes were assessed using M. Plopa's Parental Attitudes Scale, which distinguishes 5 types of attitudes. Medication adherence was evaluated on the basis of the Morisky Medication Adherence Scale (MMAS-8), used with the author's consent. With the 4-item scale developed by the authors, the following aspects of treatment were assessed: the patient's level of knowledge about the disease, treatment effects, and physician's satisfaction with patient cooperation. In both groups of adolescents after transplantation, 2 types of parental attitudes were found to correlate with medication adherence: the Accepting Attitude and the Overly Protective Attitude. The results of other studied aspects varied in terms of gender, age, and chronic disease type.
•The average level of adherence in adolescents has been demonstrated.•Unfavorable parental attitudes weaken the adolescent's involvement in the treatment.•Monitoring of parental attitudes may improve the teen's compliance with treatment.