Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions

Kahana, Shoshana; Drotar, Dennis; Frazier, Tom

doi:10.1093/jpepsy/jsm128

Cited by 334Medication Adherence and ComplianceAdolescent and Pediatric HealthcareDiabetes Management and Education

Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions

Kahana, Shoshana, Drotar, Dennis, Frazier, Tom·2008·Journal of Pediatric Psychology

DOI 10.1093/jpepsy/jsm128

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Abstract

OBJECTIVE: To estimate the effectiveness of adherence-promoting psychological interventions for pediatric populations with chronic health conditions. METHODS: A meta-analysis was conducted on 70 adherence-promoting psychological intervention studies among chronically ill youth using a weighted least squares approach and random effect model. RESULTS: Medium effects sizes were found for the behavioral (mean d =.54, 95% confidence interval [CI] = 0.34-0.73, n = 10) and multi-component interventions (mean d =.51, 95% CI = 0.45-0.57, n = 46), while educational interventions displayed a small effect size with adherence (mean d =.16, 95% CI = 0.10-0.22, n = 23). Study designs incorporating pre-post comparisons yielded effect sizes approaching the medium range (mean d =.42, 95% CI = 0.36-0.48, n = 30). CONCLUSIONS: Behavioral and multi-component interventions appear to be relatively potent in promoting adherence among chronically ill youth. Recommendations for future research and methodological issues are presented.

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From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [34]

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Authors: Kahana, S., Drotar, D., & Frazier, T.
Affiliations: National Institutes of Health (US)
Cincinnati Children's Hospital Medical Center (US)
Venue: Journal of Pediatric Psychology
Publisher: Oxford University Press (OUP)
Published: 2008-01-11
Volume: 33
Issue: 6
Pages: 590-611
ISSN: 0146-8693 (ISSN-L)
1465-735X
DOI: 10.1093/jpepsy/jsm128
OpenAlex: W2095711133
Cited by: 334
References: 113
Citations by year: 2026: 2 · 2025: 11 · 2024: 10 · 2023: 9 · 2022: 16 · 2021: 11 · 2020: 27 · 2019: 25 · 2018: 24 · 2017: 28 · 2016: 22 · 2015: 22 · 2014: 34 · 2013: 22 · 2012: 12
FWCI: 2.30
Type: journal article
Language: en
Open access: closed
Locations: Journal of Pediatric Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Keywords: medication adherence, psychological intervention, behavioral interventions, multicomponent intervention, educational intervention, intervention effectiveness
MeSH terms: Behavior Therapy, Mental Disorders, Child, Chronic Disease, Health Status, Humans, Patient Compliance

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Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions

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