A Quality Improvement Initiative to Improve Patient Adherence to Vitamin Supplementation in Cystic Fibrosis

J Pediatr Gastroenterol Nutr. 2017 Feb;64(2):292-295. doi: 10.1097/MPG.0000000000001273.

Abstract

Objectives: Patients with cystic fibrosis (CF) and pancreatic insufficiency are prescribed fat-soluble vitamins, although compliance remains low. Our objective was to identify patient and caregiver knowledge deficits regarding vitamin supplementation, provide targeted education, and examine serum vitamin levels pre-and posteducation.

Methods: This prospective quality improvement study involved 118 patients. A vitamin knowledge survey was given to patients/caregivers during a clinic visit, education was provided targeting knowledge deficits, and the survey was re-administered at the next clinic visit. Serum vitamin levels were collected at pre- and postsurvey.

Results: Results showed significant pre-post increases for patient and caregiver knowledge scores, and significant decreases in self-reported nonadherence to vitamin use and number of reported barriers affecting adherence. A significant change in vitamin E level to therapeutic range post-education was demonstrated.

Conclusions: Our brief, targeted educational interventions regarding vitamin supplementation showed utility in a routine clinic setting.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biomarkers / blood
  • Child
  • Child, Preschool
  • Cystic Fibrosis / blood
  • Cystic Fibrosis / drug therapy*
  • Dietary Supplements*
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant
  • Male
  • Medication Adherence / statistics & numerical data*
  • Middle Aged
  • Patient Education as Topic*
  • Prospective Studies
  • Quality Improvement*
  • Self Report
  • Vitamins / blood
  • Vitamins / therapeutic use*
  • Young Adult

Substances

  • Biomarkers
  • Vitamins