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Predictors of medical adherence following a bowel management program for youth and young adults with Spina Bifida

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Topic overview

This study examines factors affecting bowel regimen adherence in youth with Spina Bifida after completing a bowel management program. Neighborhood socioeconomic disadvantage emerged as the strongest predictor of non-adherence, suggesting that area deprivation index scores could help identify high-risk patients for proactive intervention.

Key takeaways

  • Neighborhood disadvantage (ADI) strongly predicts bowel regimen non-adherence in youth with Spina Bifida after bowel management programs.
  • Each decile increase in neighborhood disadvantage associated with 48% decreased odds of adherence (OR=0.52, p=.005).
  • Community socioeconomic factors outweighed individual demographics in predicting adherence outcomes.
  • 15.5% non-adherence rate observed in pediatric SB population (mean age 8 years) following structured bowel management intervention.
  • ADI screening may identify high-risk patients needing proactive adherence support and tailored follow-up interventions.

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How to cite: GlobalCastMD. Predictors of medical adherence following a bowel management program for youth and young adults with Spina Bifida. GlobalCastMD Medical Library. 2024-07-15. https://dev.library.globalcastmd.com/article/8857?via_space=staycurrentmd

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