Factors Associated with Treatment Adherence in Children with Malnutrition in Turkey

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dc.contributor.authorOzdener F.
dc.contributor.authorKirbiyik F.
dc.contributor.authorDogan A.E.
dc.contributor.authorBaygul A.
dc.date.accessioned2024-03-13T10:01:21Z
dc.date.available2024-03-13T10:01:21Z
dc.date.issued2020
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractAims: Malnutrition (MN) is associated with an increased mortality rate in infants and children and is an important comorbidity. Adherence to MN treatment is critical for a successful outcome, as are early diagnosis and administration of an appropriate treatment regimen. This study aimed to identify the factors pediatricians perceive to be associated with adherence to MN treatment in children. Materials and Methods: This mixed-methods study employed both qualitative and quantitative methods. The study included 136 pediatricians from various geographical regions of Turkey. Data were obtained via face-to-face interview, questionnaire, and group discussion. Results: Physicians perceived that among the patients that were diagnosed with MN, 66% underwent enteral nutrition therapy and that the treatment adherence rate was 59%. Patient-related factors associated with adherence to MN treatment were treatment tolerability, the severity of MN, and comorbidities. Nutritional product-related factors associated with treatment adherence were cost and flavor. Family-related factors associated with treatment adherence were parental level of education, economic status, and the level of confidence in the treatment modality. Use of an unflavored pediatric oral nutritional product increased the treatment adherence in patients aged 18-24 months (60% vs. 40%), whereas flavored varieties increased the treatment adherence rate after 2 years of age. Conclusion: The prevalence of MN is high in Turkey and non-adherence to MN treatment is common. Increasing awareness of the factors that contribute to adherence to MN treatment among physicians, the general public, and government are important for improving the rate of adherence to MN treatment. © 2020 International Journal of Nutrition, Pharmacology, Neurological Diseases Published by Wolters Kluwer-Medknow.en_US
dc.identifier.doi10.4103/ijnpnd.ijnpnd_18_20
dc.identifier.endpage111en_US
dc.identifier.issn2231-0738
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85095430826
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage105en_US
dc.identifier.urihttps://doi.org/10.4103/ijnpnd.ijnpnd_18_20
dc.identifier.urihttps://hdl.handle.net/20.500.12662/3130
dc.identifier.volume10en_US
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofInternational Journal of Nutrition, Pharmacology, Neurological Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectmalnutritionen_US
dc.subjectpediatricianen_US
dc.subjecttreatment adherenceen_US
dc.titleFactors Associated with Treatment Adherence in Children with Malnutrition in Turkeyen_US
dc.typeArticleen_US

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