Assessment of Drug Compliance using Home Medication Reviews in Pediatric Population: A Community-Based Study
Authors/Creators
- 1. Ex Senior Resident, Department of Pediatrics, All Indian Institute of Medical Sciences, Patna, Bihar, India
- 2. Senior Resident, Department of Dentistry, Gouri Devi Institute of Medical Science, Durgapur, West Bengal, India
- 3. Professor and HOD, Department of Pediatric Medicine, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India
Description
Background: Medication adherence is essential for effective treatment outcomes in pediatric patients. However, maintaining high compliance rates is challenging due to various factors such as complex dosing schedules and the dependency on caregivers. Recent studies highlight the prevalence of medication administration errors at home and the potential of home medication reviews (HMR) to mitigate these issues. This study aims to assess drug compliance in the pediatric population through home medication reviews in a community-based setting, providing insights into adherence rates and identifying factors influencing compliance. Methods: The study involved 180 pediatric patients. Inclusion criteria were patients aged 18 years and below, currently on medication for any illness. Exclusion criteria included patients over 18 years and those without stable housing. Data were collected using a specially designed form, capturing demographic details, medical history, medication regimen, and patient progress. Statistical analysis was performed using Microsoft Excel 2010. Results: The study found an overall compliance rate of 75%. Compliance varied by age group, with higher rates in older children (80% in ages 11-18) compared to younger children (66.7% in ages 0-5). Chronic illness patients exhibited slightly better compliance (78.6%) than those with acute illnesses (72.7%). Common issues identified included incorrect dosing and frequency, particularly with liquid formulations. Conclusion: Home medication reviews significantly enhance drug compliance in pediatric patients. While compliance rates are relatively high, targeted interventions are necessary to further improve adherence, especially among younger children and those on complex regimens. Recommendations: Future strategies should focus on educating caregivers, simplifying medication regimens, and developing more palatable formulations to improve adherence. Continuous support and follow-up through HMR can play a crucial role in maintaining high compliance rates.
Abstract (English)
Background: Medication adherence is essential for effective treatment outcomes in pediatric patients. However, maintaining high compliance rates is challenging due to various factors such as complex dosing schedules and the dependency on caregivers. Recent studies highlight the prevalence of medication administration errors at home and the potential of home medication reviews (HMR) to mitigate these issues. This study aims to assess drug compliance in the pediatric population through home medication reviews in a community-based setting, providing insights into adherence rates and identifying factors influencing compliance. Methods: The study involved 180 pediatric patients. Inclusion criteria were patients aged 18 years and below, currently on medication for any illness. Exclusion criteria included patients over 18 years and those without stable housing. Data were collected using a specially designed form, capturing demographic details, medical history, medication regimen, and patient progress. Statistical analysis was performed using Microsoft Excel 2010. Results: The study found an overall compliance rate of 75%. Compliance varied by age group, with higher rates in older children (80% in ages 11-18) compared to younger children (66.7% in ages 0-5). Chronic illness patients exhibited slightly better compliance (78.6%) than those with acute illnesses (72.7%). Common issues identified included incorrect dosing and frequency, particularly with liquid formulations. Conclusion: Home medication reviews significantly enhance drug compliance in pediatric patients. While compliance rates are relatively high, targeted interventions are necessary to further improve adherence, especially among younger children and those on complex regimens. Recommendations: Future strategies should focus on educating caregivers, simplifying medication regimens, and developing more palatable formulations to improve adherence. Continuous support and follow-up through HMR can play a crucial role in maintaining high compliance rates.
Files
IJPCR,Vol16,Issue5,Article361.pdf
Files
(288.5 kB)
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Additional details
Dates
- Accepted
-
2024-05-15
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article361.pdf
- Development Status
- Active
References
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