Importance of Adherence in the Outcome of Juvenile Idiopathic Arthritis

Importance of Adherence in the Outcome of Juvenile Idiopathic Arthritis

Author Len, Claudio Arnaldo Autor UNIFESP Google Scholar
Miotto e Silva, Vanessa B. Autor UNIFESP Google Scholar
Terreri, Maria Teresa R. A. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Medical treatment of juvenile idiopathic arthritis (JIA) has advanced in the last decade, and improved prognosis is a reality in daily clinical practice. Despite this improvement in the quality of treatment, the outcome can still be compromised by modifiable factors, including delayed referral to a specialist, delayed drug treatment, poor adherence to treatment, and early interruption of drug treatment. in this review we discuss the most relevant aspects related to adherence to treatment in JIA, with emphasis on: factors that affect adherence to treatment; effect of poor adherence to treatment on JIA prognosis; when to suspect and how to assess poor adherence to treatment; and strategies to promote adherence to treatment, with an emphasis on information-reinforcement education. Besides presenting the findings of other authors, we also try to report our experience of this subject, which is still a challenge for health professionals.
Keywords Juvenile idiopathic arthritis
Adherence
Treatment
Outcome
Medication
Physical disability
Chronic disease
Rheumatic diseases
Self management
Questionnaire
Health-related quality of life
Language English
Date 2014-04-01
Published in Current Rheumatology Reports. New York: Springer, v. 16, n. 4, 7 p., 2014.
ISSN 1523-3774 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 7
Origin http://dx.doi.org/10.1007/s11926-014-0410-2
Access rights Closed access
Type Article
Web of Science ID WOS:000332766100002
URI http://repositorio.unifesp.br/handle/11600/37604

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