A Quality Improvement Initiative to Improve Patient Adherence to Vitamin Supplementation in Cystic Fibrosis.

*Department of Pharmacy, WVUMedicine†Department of Psychology, West Virginia University, Morgantown‡Départ. de Psychologies et Cliniques des Systèmes humains, Université de Liegè, Belgium§Department of Pediatrics, West Virginia University, Morgantown.

Journal of pediatric gastroenterology and nutrition. 2017;(2):292-295

Abstract

OBJECTIVES Patients with cystic fibrosis (CF) and pancreatic insufficiency are prescribed fat-soluble vitamins, although compliance remains low. Our objective was to identify patient and caregiver knowledge deficits regarding vitamin supplementation, provide targeted education, and examine serum vitamin levels pre-and posteducation. METHODS This prospective quality improvement study involved 118 patients. A vitamin knowledge survey was given to patients/caregivers during a clinic visit, education was provided targeting knowledge deficits, and the survey was re-administered at the next clinic visit. Serum vitamin levels were collected at pre- and postsurvey. RESULTS Results showed significant pre-post increases for patient and caregiver knowledge scores, and significant decreases in self-reported nonadherence to vitamin use and number of reported barriers affecting adherence. A significant change in vitamin E level to therapeutic range post-education was demonstrated. CONCLUSIONS Our brief, targeted educational interventions regarding vitamin supplementation showed utility in a routine clinic setting.

Methodological quality

Publication Type : Clinical Trial

Metadata

MeSH terms : Medication Adherence