Assessing parents' perceived barriers to their child's medication adherence
Loiselle, Kristin Audrey
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Objective: Pediatric solid organ transplant recipients must adhere to complex medical regimens to ensure graft survival. Despite the consequences of inconsistent medication taking, nonadherence is prevalent in this population. Parents serve an important role in supporting adherence; however, there may be factors that interfere with their ability to do so. This study aimed to evaluate a novel measure, Barriers to Pediatric Adherence for Parents (BPAP), for assessing parents’ perceived barriers to facilitating adherence to their child’s medication regimen. Method: Fifty-five parents of solid organ transplant candidates completed the BPAP and measures of psychosocial functioning and medication adherence. Results: Item reduction and principal components analysis revealed a 19-item, unidimensional measure of parents’ perceived barriers. Scores on the BPAP were positively associated with parent internalizing symptoms and perceived impact of the illness on the family, and the presence of aggression in the child. Discussion: The factor structure and validity of the BPAP should undergo further evaluation in other pediatric populations. Addressing endorsed items from the BPAP may be useful to help parents overcome perceived barriers to their child’s medication adherence.