{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:53:13Z","timestamp":1788893593304,"version":"build-2803163510"},"reference-count":65,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T00:00:00Z","timestamp":1487116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Few studies have identified the psychosocial characteristics of those children and their families associated with future non\u2010adherence to immunosuppressive medications following a heart or lung transplant. <jats:styled-content style=\"fixed-case\">UNOS<\/jats:styled-content> data and medical records information were used to test the association between patient and family psychosocial characteristics and medication adherence. Medication adherence outcomes were obtained using the physician assessments in the <jats:styled-content style=\"fixed-case\">UNOS<\/jats:styled-content> data and measured through patient\u2010level standard deviation scores of immunosuppressive medication blood levels. Complete data were collected on 105 pediatric heart and lung transplant recipients and their families. Multivariate, stepwise analyses were conducted with each adherence outcome. Physician reports of adherence were associated with age of the child at transplantation, parental education, two\u2010parent families, significant psychosocial problems, and the pretransplant life support status of the child. The resulting model (\u03c7<jats:sup>2<\/jats:sup>=28.146, <jats:italic>df<\/jats:italic>=5, <jats:italic>P<\/jats:italic>&lt;.001) explained approximately 39.5% of the variance in physician reports of adherence (Nagelkerke <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>=.395). Blood level standard deviation scores were predicted by age at transplant (<jats:italic>F<\/jats:italic>=5.624, <jats:italic>P<\/jats:italic>=.02, <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>=.05). Results point to the difficulties experienced by children and families when undergoing a heart or lung transplantation. Efforts to develop standardized and evidence\u2010based pretransplant psychosocial assessments in pediatric populations are suggested, especially those surrounding familial risk factors.<\/jats:p>","DOI":"10.1111\/petr.12899","type":"journal-article","created":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T06:38:49Z","timestamp":1487140729000},"source":"Crossref","is-referenced-by-count":37,"title":["Psychosocial predictors of medication adherence in pediatric heart and lung organ transplantation"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2287-9007","authenticated-orcid":false,"given":"Michael O.","family":"Killian","sequence":"first","affiliation":[{"name":"School of Social Work University of Texas at Arlington  Arlington TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2007.01878.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2005.00451.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2007.00809.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2010.01299.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050531"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2007.00864.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2013.03.008"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181b2a0e0"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2005.00356.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0b013e32833d3115"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsm128"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050335"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3046.2001.00027.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-2498(03)00215-8"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3046.2001.005004246.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2006.00554.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpdn.2003.41"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70096-1"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000092524.75807.84"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3046.2001.00030.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1399-3046.2003.00121.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2008.00940.x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsq025"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2010.01.013"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12117"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2006.00543.x"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2001.115067"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2007.01966.x"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/11589-010"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2005.00358.x"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S69209"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsm064"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1009545319673"},{"key":"e_1_2_9_35_1","volume-title":"Adherence to Pediatric Medical Regimens","author":"Rapoff MA","year":"2009"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12064"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2008.00901.x"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.4.825"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.2.e29"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0b013e32834a8c89"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12260"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2007.00811.x"},{"key":"e_1_2_9_43_1","unstructured":"United Network for Organ Sharing.Data collection2010[Available from:https:\/\/www.unos.org\/data\/. 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