{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T03:17:14Z","timestamp":1776309434381,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>For people with severe bleeding disorders (PwBD) who are prescribed home treatment, treatment logs are an important part of the management of their care. Treatment logs provide a clinical picture of the home treatment regimen and can serve as a communication tool between the medical team and the person with a bleeding disorder. Most importantly, treatment logs allow for the adjustment of the treatment dose and frequency to prevent bleeding episodes. Yet, a large number of PwBD do not complete treatment logs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to develop and implement interventions to increase adherence rates of treatment log completion in PwBD on a home treatment regimen by at least 20% over 2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a quality improvement initiative from 2019\u20132022 involving developing and implementing interventions that were guided by the application of the Information\u2010Motivation\u2010Behavioural Skills Model. Examples of interventions included: the development of educational materials on the different methods of log completion and interactive discussions that involved a patient\u2010driven decision of selecting a treatment log method. Data on the implementation of the theoretically\u2010based interventions as well as outcome data on the success of treatment log completion was reviewed monthly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Following the application of the Information\u2010Motivation\u2010Behavioural Skills Model on the designed and implemented interventions, there was a 20% increase in individuals\u2019 adherence with treatment logs completion (N\u00a0=\u00a068).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Treatment logs are an important piece of a PwBDs\u2019 prescribed home treatment regimen. Quality improvement interventions promoted increased treatment log adherence for PwBDs'prescribed prophylactic home treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14701","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T15:53:17Z","timestamp":1669737197000},"page":"180-185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving bleeding disorder treatment log adherence: An application of the information\u2010motivation\u2010behavioral skills model"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0340-0045","authenticated-orcid":false,"given":"Lisa","family":"Littner","sequence":"first","affiliation":[{"name":"Division of Hematology Cancer and Blood Disease Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan","family":"Thomas","sequence":"additional","affiliation":[{"name":"Division of Hematology Cancer and Blood Disease Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Doyle","sequence":"additional","affiliation":[{"name":"Division of Hematology Cancer and Blood Disease Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Hendrickson","sequence":"additional","affiliation":[{"name":"Division of Hematology Cancer and Blood Disease Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Adkins","sequence":"additional","affiliation":[{"name":"Hemophilia Foundation of Michigan Ypsilanti Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Mooney","sequence":"additional","affiliation":[{"name":"Division of Hematology Cancer and Blood Disease Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0283-9972","authenticated-orcid":false,"given":"Cristina","family":"Tarango","sequence":"additional","affiliation":[{"name":"Division of Hematology Cancer and Blood Disease Institute Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA"},{"name":"University of Cincinnati College of Medicine Cincinnati Ohio 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