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Original Article
Educational Interventions to Enhance Adherence to Prophylactic Treatment in Korean Hemophilia Patients
Clin Pediatr Hematol Oncol 2018;25:38-42.
Published online April 30, 2018
© 2018 Korean Society of Pediatric Hematology-Oncology and Korean Society for Pediatric Neuro-Oncology

Ji Hyun Na, M.D.1, Ki Young Yoo, M.D.2, Ji Yoon Kim, M.D.3, Sang Kyu Park, M.D.4, Soon Ki Kim, M.D.5 , Eun Jin Choi, M.D.1

1Department of Pediatrics, Daegu Catholic University School of Medicine, Daegu, 2Korean Hemophilia Foundation, Seoul, 3Department of Pediatrics, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, 4Department of Pediatrics, University of Ulsan College of Medicine, Ulsan, 5Department of Pediatrics,Inha University College of Medicine, Incheon, Korea
Correspondence to: Eun Jin Choi
Department of Pediatrics, Daegu Catholic University School of Medicine, 33 Duryugongwon-ro 17-gil, Nam-gu, Daegu 42472, Korea
Tel: +82-53-650-4248 Fax: +82-53-622-4240 E-mail:
Received March 25, 2018; Revised April 5, 2018; Accepted April 9, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: A patient’s adherence to prophylactic treatment is one of the most significant factors to achieve desired outcomes, in regards to the quality of life and treatment cost-effectiveness. The aim of this study is to evaluate the effectiveness of educational interventions in enhancing adherence to prophylactic treatment in Korean hemophilia patients.
Methods: The Validated Hemophilia Regimen Treatment Adherence Scale-Prophylaxis (VERITAS-Pro) was used to measure adherence. The study design consisted of two groups. One group was not educated with the education card which presented the morning administration of clotting factor concentrates and self-infusion skill. The other group was educated with the card. The scores of each subscale in the two groups and scores focused on the ‘Timing’ subscale were compared.
Results: Participants were recruited from five hemophilia treatment centers in Korea with 95 eligible patients forming the uneducated group and 123 patients in the educated group. The mean total score was 40.4 and 39.9, respectively. The subscale mean scores of the uneducated group and educated group were 8.43 and 7.90 (Timing), 6.12 and 5.88 (Dosing), 6.43 and 6.33 (Planning), 5.99 and 6.35 (Remembering), 6.22 and 6.25 (Skipping), and 7.23 and 7.24 (Communicating), respectively.
Conclusion: Results showed that education programs on prophylactic treatment for he-mophilia patients need to be well-designed with precise and subject-appropriate contents. Although the mean total scores of VERITAS-Pro could not be improved, the appropriate timing of injection with the educational intervention was administered. Results suggest that this whole process can enhance Korean hemophilia patients’ adherence to prophylactic treatment.
Keywords: Adherence, Prophylaxis, Hemophilia, Education
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April 2019, 26 (1)
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  • Eun Jin Choi