Medication Adherence In Children & Adolescents With ADHD In Hawaii: A Secondary Data Analysis Of An Insured Population

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2005-08
Authors
Hassanin, Hanan
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Problem: Compliance with child & adolescent psychiatric medications is a major issue that affects the mental health and general well being of children and adolescents, the prognosis of psychiatric illness, the use of restrictive treatment modalities, hospitalization rates as well as emergency room psychiatric visits. Purpose and Objectives: To study psychiatric medication compliance in children and adolescents in Hawaii, as evidenced by prescription being filled in a timely manner and to explore relationships between compliance, patient characteristics, ex (age, sex), provider characteristics, and geographical location (rural vs. urban areas.) Design. Sample, Methods and Analysis Methods: Secondary Data Analysis of Child & Adolescent Insurance Data for the State of Hawaii. Study Population: Children & adolescents population under 18 years old insured through the largest third- party insurance company in the state of Hawaii. The size of the insured population allowed detection of variables with a significant power to influence outcome Findings. Conclusions & Recommendations: Compliance with stimulants varied dependent on patient characteristics, provider characteristics, and island. Secondary data analysis of insurance data has been helpful in understanding variations in compliance with stimulants medications in children & adolescents with ADHD on the Hawaiian islands. Possibilities to explore in future research include studying Correlation between Compliance & Psychiatric hospitalization as well as ER Visits. It would also be interesting to study Variation in Compliance with Psychiatric Diagnosis, Therapeutic Modalities.
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Theses for the degree of Master of Science (University of Hawaii at Manoa). Biomedical Sciences ; no. 3985
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