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Therapeutic alliance is associated to treatment adherence in children with juvenile idiopathic arthritis.
Lohse, Anne; Lemelle, Irène; Pillet, Pascal; Duquesne, Agnès; Ballot, Claire; Tran, Tu-Anh; Sparsa, Laetitia; Goumy, Laurence; Reumaux, Héloïse; Rossi, Linda; Solau-Gervais, Elisabeth; Arbault, Anais; Alleyrat, Camille; Guillemin, Francis; Devauchelle-Pensec, Valérie.
Afiliación
  • Lohse A; Rheumatology, Nord Franche-Comté Hospital, 100, route de Moval, CS10499, 90015 Belfort, France. Electronic address: anne.lohse@hnfc.fr.
  • Lemelle I; Paediatric onco-haematology, University Hospital of Nancy - Brabois Hospital, Vandoeuvre-Lès-Nancy, France.
  • Pillet P; Paediatrics, Rheumatology and Paediatric Internal Medicine, Children's Hospital, Bordeaux, France.
  • Duquesne A; Nephrology-rheumatology-paediatric dermatology-Rheumatology, Mother and Child Hospital, University Hospital of Lyon, Bron, France.
  • Ballot C; Paediatric haematology, Jean-Minjoz Hospital, Besançon, France.
  • Tran TA; Paediatric haematology, CHU of Nîmes, Nîmes, France.
  • Sparsa L; Rheumatology, Emile Muller Hospital, Mulhouse, France.
  • Goumy L; Paediatrics, CHU d'Angers, Angers, France.
  • Reumaux H; Paediatric Rheumatology, Lille University Hospital, Lille, France.
  • Rossi L; Paediatric Rheumatology Service, Reference Centre for Auto-inflammatory Diseases and Amylosis, Bicêtre Hospital, Kremlin-Bicêtre, France.
  • Solau-Gervais E; Rheumatology, University Hospital of Poitiers, Poitiers, France.
  • Arbault A; Rheumatology Department, Dijon University Hospital, Dijon, France.
  • Alleyrat C; Inserm CIC-1433 Clinical Epidemiology, CHRU of Nancy, University of Lorraine, Nancy, France.
  • Guillemin F; Inserm CIC-1433 Clinical Epidemiology, CHRU of Nancy, University of Lorraine, Nancy, France.
  • Devauchelle-Pensec V; Rheumatology department, Cavale Blanche Hospital and Brest University, INSERM UMR 1227, Brest, France.
Joint Bone Spine ; 88(4): 105151, 2021 Jul.
Article en En | MEDLINE | ID: mdl-33561531
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Juvenil / Alianza Terapéutica Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Joint Bone Spine Asunto de la revista: REUMATOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Juvenil / Alianza Terapéutica Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Joint Bone Spine Asunto de la revista: REUMATOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Francia