Poor medication adherence in patients with psoriasis and a successful intervention

Background: The medication adherence of psoriasis patients may be influenced by a series combined internal and external factors. Effective methods for improving adherence could improve treatment outcomes. Objective: To characterize medication adherence in psoriasis patients in China and to test an i...

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Main Authors: Wei Wang, Ying Qiu, Fengying Zhao, Furen Zhang
Format: Article
Language:English
Published: Taylor & Francis Group 2019-08-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2018.1476652
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author Wei Wang
Ying Qiu
Fengying Zhao
Furen Zhang
author_facet Wei Wang
Ying Qiu
Fengying Zhao
Furen Zhang
author_sort Wei Wang
collection DOAJ
description Background: The medication adherence of psoriasis patients may be influenced by a series combined internal and external factors. Effective methods for improving adherence could improve treatment outcomes. Objective: To characterize medication adherence in psoriasis patients in China and to test an intervention to improve psoriasis patients’ adherence. Methods: We investigated 200 patients with psoriasis using questionnaires to determine their medication adherence and the factors that influence adherence. In 117 patients, low medication adherence was identified; we randomized 96 of these patients into intervention group and control groups. The intervention group received health education during 6-month therapy. One-way analysis of variance (one-way ANOVA) was used to analyze the influence factors of medication adherence to further obtain the variables. Logistic regression was used to analyze these data. Results: Adherence of psoriasis patients was poor (41.5%). Factors associated with adherence included sociological characteristics, disease characteristics, medicine type, the cognitive level toward psoriasis, care indicators, and social environment. Patients in the intervention group exhibited greater adherence improvement (83.7%) compared with the control group (6.4%). Conclusions: Medication adherence of the psoriasis patients is poor but can be improved by a health education intervention.
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spelling doaj.art-08b89f93068a43bc99e8e09114a9ecce2023-09-15T14:08:32ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532019-08-0130652552810.1080/09546634.2018.14766521476652Poor medication adherence in patients with psoriasis and a successful interventionWei Wang0Ying Qiu1Fengying Zhao2Furen Zhang3Shandong Provincial Hospital for Skin Diseases, Shandong UniversityJining No. 1 People’s HospitalJining No. 1 People’s HospitalShandong Provincial Hospital for Skin Diseases, Shandong UniversityBackground: The medication adherence of psoriasis patients may be influenced by a series combined internal and external factors. Effective methods for improving adherence could improve treatment outcomes. Objective: To characterize medication adherence in psoriasis patients in China and to test an intervention to improve psoriasis patients’ adherence. Methods: We investigated 200 patients with psoriasis using questionnaires to determine their medication adherence and the factors that influence adherence. In 117 patients, low medication adherence was identified; we randomized 96 of these patients into intervention group and control groups. The intervention group received health education during 6-month therapy. One-way analysis of variance (one-way ANOVA) was used to analyze the influence factors of medication adherence to further obtain the variables. Logistic regression was used to analyze these data. Results: Adherence of psoriasis patients was poor (41.5%). Factors associated with adherence included sociological characteristics, disease characteristics, medicine type, the cognitive level toward psoriasis, care indicators, and social environment. Patients in the intervention group exhibited greater adherence improvement (83.7%) compared with the control group (6.4%). Conclusions: Medication adherence of the psoriasis patients is poor but can be improved by a health education intervention.http://dx.doi.org/10.1080/09546634.2018.1476652psoriasismedication adherenceinfluence factorshealth education
spellingShingle Wei Wang
Ying Qiu
Fengying Zhao
Furen Zhang
Poor medication adherence in patients with psoriasis and a successful intervention
Journal of Dermatological Treatment
psoriasis
medication adherence
influence factors
health education
title Poor medication adherence in patients with psoriasis and a successful intervention
title_full Poor medication adherence in patients with psoriasis and a successful intervention
title_fullStr Poor medication adherence in patients with psoriasis and a successful intervention
title_full_unstemmed Poor medication adherence in patients with psoriasis and a successful intervention
title_short Poor medication adherence in patients with psoriasis and a successful intervention
title_sort poor medication adherence in patients with psoriasis and a successful intervention
topic psoriasis
medication adherence
influence factors
health education
url http://dx.doi.org/10.1080/09546634.2018.1476652
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