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A Validated Measure of Adherence to Antibiotic Prophylaxis in Children With Sickle Cell Disease

key information

source: Patient Prefer Adherence

year: 2016

authors: Natalie A Duncan, William G Kronenberger, Kisha C Hampton, Ellen M Bloom, Angeli G Rampersad, Christopher P Roberson, Amy D Shapiro

summary/abstract:

Antibiotic prophylaxis is a mainstay in sickle cell disease management. However, adherence is estimated at only 66%. This study aimed to develop and validate a Sickle Cell Antibiotic Adherence Level Evaluation (SCAALE) to promote systematic and detailed adherence evaluation.

Methods:

A 28-item questionnaire was created, covering seven adherence areas. General Adherence Ratings from the parent and one health care provider and medication possession ratios were obtained as validation measures.

Results:

Internal consistency was very good to excellent for the total SCAALE (α=0.89) and four of the seven subscales. Correlations between SCAALE scores and validation measures were strong for the total SCAALE and five of the seven subscales.

Conclusion:

The SCAALE provides a detailed, quantitative, multidimensional, and global measurement of adherence and can promote clinical care and research.

organization: Indiana University School of Medicine, USA

DOI: 10.2147/PPA.S103874

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