Juvenile Idiopathic Arthritis Clinical Trial
Official title:
Therapeutic Alliance is it Associated With Better Compliance Amongst Children With Juvenile Idiopathic Arthritis ?
to evalute if therapeutic alliance is related to adherence in JIA
The therapeutic alliance is the agreement that is being built between doctor and patient
during the construction process of care. So active collaboration based on a shared assessment
of issues and agreement on possible solutions. Initially described in psychiatry, this
analytical concept has been extended to several chronic diseases in particular requiring more
often a strong link between doctor and patient. His measure is important since it has been
demonstrated by several previous studies that the therapeutic alliance is predictive of the
therapeutic effects of treatment. This alliance, however, was little studied in juvenile
idiopathic arthritis, its connection with the observance or the quality of life has never
been evaluated.
The chronic nature of juvenile idiopathic arthritis (JIA) requires a strong ability of the
child to follow his treatment, where the role of parents going to be important and where the
relationship built with the caregiver is also essential.
Adherence is a complex concept for which there is no ideal measure. Direct evaluation
criteria such as bioassays prove still incomplete and difficult to implement in observational
studies. Indirect measures have been developed through self-administered questionnaires and
literature showed their relatively good correlation with actual catches. The innovative
hypothesis of this research is that a better therapeutic alliance is associated with better
adherence child in JIA.
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