Browsing by Subject "Pediatric patients"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Adherence to oral antidiabetic medications in the pediatric population with type 2 diabetes(2011-05) Adeyemi, Ayoade Olayemi; Rascati, Karen L.; Strassels, Scott A.; Lawson, Ken A.The present study involved the analyses of the Texas Medicaid prescription claims data. The population studied was made up of subjects between 10 and 18 years who had at least 2 prescriptions of the same oral antidiabetic (OAD) medication from January 1, 2006 through December 31, 2009. Twelve months’ data for each subject were analyzed. The main aim of the study was to describe OAD medication use patterns in the study population, assess trends in Medication Possession Ratio (MPR) and persistence in the study population and determine the relationship between age and MPR and between age and persistence while controlling for covariates. Results of the descriptive statistics, multiple and logistic regression analyses are reported. The average age (± SD) of the 3,109 eligible subjects was 14 (± 2) years; minority populations made up the majority (87%) of the population; 67% of the population were females; and 91% were on the OAD metformin. The overall mean MPR (± SD) for the population was 45% (± 27). A significant negative relationship between MPR and age was reported while controlling for covariates (p<0.0001). Among the covariates, white race and male were significantly associated with a higher MPR, holding other variables constant. When adherence was dichotomized (MPR < 80% and MPR >= 80%), logistic regression analysis also found that age was significantly and negatively related to MPR (p < 0.0001). In addition, the white race and male were again significantly related to a higher level of adherence, holding other variables constant. The overall mean days to non-persistence (± SD) was 108 days (± 86). Persistence was significantly and negatively associated with age, holding other variables constant (p < 0.0001). Among the covariates, white race was significantly related to longer persistence. In conclusion, adherence and persistence are generally low in the study population. Age, gender and race were significantly associated with adherence. Being younger, male, and white were significantly associated with a higher level of adherence, while being younger and white were significantly associated with longer persistence. Healthcare providers therefore need to intensify efforts to improve adherence in pediatric patients especially those at the brink of adulthood.Item THE ROLE OF ALTERED WINDOW VIEWS ON FEELINGS AND PREFERENCES OF PEDIATRIC PATIENTS AND PARENTS(2013-05) Pinson, Michelle; Gaines, Kristi; Pati, Debajyoti; Colwell, Malinda J.While research pertaining to hospitalized patients is available, the majority of the information pertains to preferences and opinions of adult patients. In regards to pediatric patients, most existing research is gathered from the opinions of the guardians or the pediatric floor nurses. In terms of total research, a small percentage of data is actually gathered from hospitalized children. Existing research has shown that children perceive the hospital environment as stressful, which can lead to negative physiological and psychological effects. Currently, there is a fair amount of research available exploring what specifically within the built environment causes the patient to feel stress and what can reduce the perceived stress of the patient, but mostly relating to adult patients. One design feature that has been shown to reduce the perceived patient stress and improve the overall hospital experience is positive distractions, which can include access to nature and art. The purpose of this study is to explore altered window views, feelings the altered views evoke, and preferences of the patients and parents. Decals featuring representational nature scenes were applied to windows of a local pediatric hospital to create the altered window view. Surveys were administered evaluating the preferences and opinions of both the patient and their parent. The rooms featuring the window decals were found to have a promote positive feelings for both the patients and the parents. A majority of the parents in the rooms with the decals believed that the decals had a positive influence on their feelings and their child's feelings, and almost all would prefer to have a room using decals again in the future. The patients in the rooms without the window decals appeared to have a less positive experience and appeared to only moderately like the view from their window, which were identical. Most of the parents in the rooms without decals did not believe that their child enjoyed the view from their patient room. This study should provide a greater understanding on ways that positive distractions, such as altered window views, can influence a patient's experience. The findings could lead to enhanced window views as well as future research to better understand the impact of the application of decals.