title: Medication adherence patterns in adult renal transplant recipients.
abstract: Patient adherence to immunosuppressive medications adherence is crucial to survival of the patient and a transplanted kidney, yet adherence is variable. Using a prospective, descriptive design, immunosuppressive medication adherence of 44 renal transplant recipients was followed for 6 months at a Midwestern transplant center using electronic monitoring. Four medication adherence patterns emerged from a hierarchical cluster analysis: those who took medications on time, those who took medications on time with late/missed doses, those who rarely took medications on time and who were late with morning and/or evening doses, and those who missed doses. This study is a step toward developing and implementing interventions targeted to specific patterns of poor adherence.
authors.affiliation: The John A. Hartford Foundation and Atlantic Philanthropies, Building Academic Geriatric Nursing Capacity, Fellow University of Missouri-Columbia, Sinclair School of Nursing S423, Columbia, Missouri 65211, USA.
authors.forename: Cynthia L
authors.initials: CL
authors.lastname: Russell
authors.forename: Vicki S
authors.initials: VS
authors.lastname: Conn
authors.forename: Catherine
authors.initials: C
authors.lastname: Ashbaugh
authors.forename: Richard
authors.initials: R
authors.lastname: Madsen
authors.forename: Karen
authors.initials: K
authors.lastname: Hayes
authors.forename: Gilbert
authors.initials: G
authors.lastname: Ross
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D004334:Drug Administration Schedule; D016903:Drug Monitoring; D004349:Drug Packaging; D005260:Female; D006085:Graft Survival; D006301:Health Services Needs and Demand; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D016030:Kidney Transplantation / Q000276:immunology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D015404:Nursing Methodology Research; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D017216:Telemedicine; D013997:Time Factors
chemical_list: D007166:Immunosuppressive Agents