Article ; Online: Creation of a tool to assess adherence to treatments for acne.
Dermatology (Basel, Switzerland)
2009 Volume 218, Issue 1, Page(s) 26–32
Abstract: Background: Acne is a disorder in which adherence has a major impact on treatment outcome.: Objective: To create an easy-to-use tool to assess treatment adherence, based on a questionnaire that can be used on a daily basis by dermatologists.: ... ...
Abstract | Background: Acne is a disorder in which adherence has a major impact on treatment outcome. Objective: To create an easy-to-use tool to assess treatment adherence, based on a questionnaire that can be used on a daily basis by dermatologists. Methods: First, we evaluated adherence by comparing responses to a self-administered questionnaire with the dermatologist's prescription. Second, concordance was assessed between adherence and each question of a dermatologist-directed questionnaire (DDQ) administered during the consultation. Third, DDQ questions were combined to construct a mini-questionnaire, and these combinations were tested to maximize specificity. Results: The study included 246 patients, who were prescribed topical treatment alone, combined treatment (excluding oral isotretinoin) or oral isotretinoin alone. The mini-questionnaires for oral and topical treatments had 89% specificity for detecting poor adherence. An inappropriate answer to one question classified the patient as a probable poor compliance. Conclusions: Our mini-questionnaires provide dermatologists with specific tools to rapidly identify poor compliance. |
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MeSH term(s) | Acne Vulgaris/drug therapy ; Administration, Cutaneous ; Adolescent ; Adult ; Dermatologic Agents/administration & dosage ; Female ; Humans ; Isotretinoin/administration & dosage ; Male ; Medication Adherence ; Prescriptions ; Quality of Life ; Surveys and Questionnaires/standards ; Treatment Outcome |
Chemical Substances | Dermatologic Agents ; Isotretinoin (EH28UP18IF) |
Language | English |
Publishing date | 2009 |
Publishing country | Switzerland |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 1099692-8 |
ISSN | 1421-9832 ; 1018-8665 |
ISSN (online) | 1421-9832 |
ISSN | 1018-8665 |
DOI | 10.1159/000165628 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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