Journal Article

Vitamin and Mineral Supplement Adherence in Pediatric Inflammatory Bowel Disease

Rachel Neff Greenley, Kaila A. Stephens, Eve U. Nguyen, Jennifer Hauser Kunz, Lynn Janas, Praveen Goday and Jennifer Verrill Schurman

in Journal of Pediatric Psychology

Volume 38, issue 8, pages 883-892
Published in print September 2013 | ISSN: 0146-8693
Published online July 2013 | e-ISSN: 1465-735X | DOI: http://dx.doi.org/10.1093/jpepsy/jst037
Vitamin and Mineral Supplement Adherence in Pediatric Inflammatory Bowel Disease

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  • Child and Adolescent Psychiatry
  • Psychology

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Objective Although vitamin and mineral supplementation for nutritional deficiencies is a common component of pediatric inflammatory bowel disease (IBD) management, little is known about supplement adherence in this group. This study described adherence to multivitamin, iron, and calcium supplements among 49 youth aged 11–18 years with IBD. Additionally, the study examined relationships between supplement knowledge and adherence. Methods Participants completed supplement adherence ratings using a validated interview. Knowledge was assessed using an open-ended question from the same interview; responses were later categorized into 1 of 3 knowledge sophistication categories (low, moderate, or high). Results Mean adherence rates ranged from 32 to 44% across supplements. Youth who did not know the reason for supplementation (approximately 25% of the sample) displayed substantially poorer adherence than did those with moderate or high levels of knowledge, across all supplements. Conclusions Findings highlight the importance of evaluating and addressing nonadherence to vitamin and mineral supplements in youth with pediatric IBD.

Keywords: adherence; adolescence; chronic illness; gastroenterology; inflammatory bowel disease

Journal Article.  5797 words.  Illustrated.

Subjects: Child and Adolescent Psychiatry ; Psychology

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