title: Adherence behavior in an acute pediatric hand trauma population: A pilot study of parental report of adherence levels and influencing factors.
abstract: BACKGROUND
  Descriptive and cross-sectional study.
  
  
  OBJECTIVE
  The hand is a common site of injury in children; however, little is known regarding adherence to hand trauma management in this population.
  
  
  OBJECTIVE
  This pilot study aimed to describe adherence to plaster slab immobilization, advice regarding return to sport, appointment attendance, and the factors influencing nonadherence.
  
  
  METHODS
  Forty-seven parents of children with hand trauma completed an online questionnaire reporting their child's adherence to the initial medical management.
  
  
  RESULTS
  Parents reported that 34% (16 of 47) of children were adherent to all aspects of management. Nonadherence with plaster slab immobilization was reported by 38% (18 of 47), and 45% (21 of 47) reported nonadherence with advice regarding return to sport. Hygiene, discomfort, and restriction were the most common reasons for plaster removal. Belief that sport would not cause harm and social factors influenced return to sport against medical advice.
  
  
  CONCLUSIONS
  Nonadherence behavior is commonly reported in children with acute hand trauma.
  
  
  METHODS
  4.
authors: The Royal Children's Hospital, Melbourne, Parkville, Victoria, Australia; The University of Derby, Britannia Mill, Derby, United Kingdom; Murdoch Childrens Research Institute, The Royal Children's Hospital, Melbourne, Parkville, Victoria, Australia. Electronic address: t.cole@alfred.org.au.
authors: Tanya
authors: T
authors: Cole
authors: The University of Derby, Britannia Mill, Derby, United Kingdom.
authors: Ann
authors: A
authors: Underhill
authors: The University of Derby, Britannia Mill, Derby, United Kingdom.
authors: Sue
authors: S
authors: Kennedy
mesh_terms: D000293:Adolescent; D002370:Casts, Surgical; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D017102:Fracture Healing; D006230:Hand Injuries / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015438:Health Behavior; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D010290:Parents; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010865:Pilot Projects; D012307:Risk Factors; D057566:Self Report; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014739:Victoria
keywords: Adherence; Hand injury; Pediatric; Plaster wear; Sport