dc.contributor.author | Rahmetulla, Rukhsana | |
dc.date.issued | 2019 | |
dc.description.abstract | Hematopoietic stem cell transplant is an effective treatment and curative therapy for
many oncological, hematological, and immunological diseases. Following hematopoietic stem
cell transplant, the management of the prescribed complex treatment regimen may be
overwhelming for adolescents and young adults and their caregivers, resulting in non-adherence.
In this patient population, adherence to the daily prescribed treatment regimen is estimated at 33
to 73%. Non-adherence to a prescribed medication regimen can lead to reduced treatment
efficacy, resulting in suboptimal clinical outcomes and increased healthcare expenditure. The
purpose of this evidence-based practice project was to determine if the implementation of
adherence promoting interventions combined with the MedActionPlan PRO application and
checklist over 12 weeks fosters treatment adherence and self-management of the prescribed
medication regimen. Two adolescents and young adults, ages 12 -20 years, who underwent
hematopoietic stem cell transplant were enrolled with their caregiver through convenience
sampling from the bone marrow transplant unit in a tertiary care pediatric hospital in the
Midwest. The intervention included a multicomponent intervention package and a
MedActionPlan PRO checklist. The project demonstrated 100 % attendance for adherence
focused intervention sessions. Medication adherence through self-report from baseline to post
intervention remained unchanged. One participant showed acceptability for intervention sessions
as indicated in self-report and endorsed that intervention sessions improved personal
organization. Both participants reported feasibility and acceptability of the MedActionPlan PRO
checklist. | eng |
dc.identifier.uri | https://hdl.handle.net/10355/73564 | |
dc.publisher | University of Missouri -- Kansas City | eng |
dc.rights | Open Access (fully available) | |
dc.rights.holder | Copyright retained by author | |
dc.subject | pediatric hematopoietic stem cell transplant | |
dc.subject | adolescents and young adults | |
dc.subject | non- adherence | |
dc.subject | adherence-focused interventions | |
dc.subject | MedActionPlan PRO checklist | |
dc.subject | self-management | |
dc.title | Medication Adherence in Adolescent and Young Adult after Hematopoietic Stem Cell Transplant | eng |
dc.type | Paper | eng |
thesis.degree.discipline | Nursing (UMKC) | |
thesis.degree.grantor | University of Missouri--Kansas City | |
thesis.degree.level | Doctoral | |
thesis.degree.name | D.N.P. | |