Therapeutic alliance is associated to treatment adherence in children with juvenile idiopathic arthritis - 05/06/21
, Irène Lemelle b, Pascal Pillet c, Agnès Duquesne d, Claire Ballot e, Tu-Anh Tran f, Laetitia Sparsa g, Laurence Goumy h, Héloïse Reumaux i, Linda Rossi j, Elisabeth Solau-Gervais k, Anais Arbault l, Camille Alleyrat m, Francis Guillemin m, Valérie Devauchelle-Pensec nBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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Highlights |
• | Therapeutic alliance is high between JIA children and paediatric rheumatologists. |
• | The level of therapeutic alliance is associated with that of therapeutic observance. |
• | Disease activity influences negatively therapeutic alliance. |
Abstract |
Objectives |
Therapeutic alliance (TA) is the agreement between caregiver and patient during the care process. Therapeutic adherence is a major issue for the management of Juvenile Idiopathic Arthritis (JIA) requiring child's strong ability to follow treatments. The aim of this study was to evaluate the relationship between TA and adherence in patients with JIA.
Methods |
Observational, cross-sectional, multicenter study. Children, with JIA, aged 8-16, were included. Children, parents and physicians completed the Helping Alliance Questionnaire (HAQ-CP) for assessing TA. Adherence was measured using the Child/Parent Adherence Report Questionnaire (CARQ & PARQ). Demographic data, disease characteristics, current treatments and social environment were collected. The univariate relationship between TA and adherence, was studied by Pearson correlation coefficient. The multivariate analysis used a multiple linear regression model.
Results |
A total of 119 patients were included: 68.9% girls, mean age (SD) 12.4 (2.9) years, disease duration 73.1 (48.2) months. JIA was in remission (52%), in low activity (32%) and active (16%). TA scores were high (≥80/100) for children, parents and physicians. HAQCP was highly correlated with CARQ (r=0.31; P<0.001) PARQ (r=0.37; P<0.001). In univariate analysis, disease activity (P<0.05), place of residence (P<0.01) and family status (P<0.01) were associated with child's TA. In multivariate analysis, only the place of residence (P<0.001) and the family status (P<0.05) remained associated with TA.
Conclusion |
TA strongly influences therapeutic adherence and therefore may be important for treatment effectiveness.
El texto completo de este artículo está disponible en PDF.Keywords : Juvenile idiopathic arthritis, Alliance, Adherence, Compliance, Observance, Treatment
Esquema
Vol 88 - N° 4
Artículo 105151- juillet 2021 Regresar al número
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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