{"title":"Enhancing Adherence to Health Behaviors Research: Reflections on Current Methods and Future Directions [Response to Letter].","authors":"Siying Ji, Anan Li, Yangfan Nie, Yunying Hou","doi":"10.2147/PPA.S507647","DOIUrl":"10.2147/PPA.S507647","url":null,"abstract":"","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2395-2396"},"PeriodicalIF":2.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Review of Sensor-Based Interventions for Supporting Patient Adherence to Inhalation Therapy.","authors":"Jing Ma, Xu Sun, Bingjian Liu","doi":"10.2147/PPA.S485553","DOIUrl":"10.2147/PPA.S485553","url":null,"abstract":"<p><strong>Purpose: </strong>This review aims to provide a comprehensive overview of sensor technologies employed in interventions to enhance patient adherence to inhalation therapy for chronic respiratory diseases, with a particular emphasis on human factors. Sensor-based interventions offer opportunities to improve adherence through monitoring and feedback; however, a deeper understanding of how these technologies interact with patients is essential.</p><p><strong>Patients and methods: </strong>We conducted a systematic review by searching online databases, including PubMed, Scopus, Web of Science, Science Direct, and ACM Digital Library, spanning the timeframe from January 2014 to December 2023. Our inclusion criteria focused on studies that employed sensor-based technologies to enhance patient adherence to inhalation therapy.</p><p><strong>Results: </strong>The initial search yielded 1563 results. After a thorough screening process, we selected 37 relevant studies. These sensor-based interventions were organized within a comprehensive HFE framework, including data collection, data processing, system feedback, and system feasibility. The data collection phase comprised person-related, task-related, and physical environment-related data. Various approaches to data processing were employed, encompassing applications for assessing intervention effectiveness, monitoring patient behaviour, and identifying disease risks, while system feedback included reminders and alerts, data visualization, and persuasive features. System feasibility was evaluated based on patient acceptance, usability, and device cost considerations.</p><p><strong>Conclusion: </strong>Sensor-based interventions hold significant promise for improving adherence to inhalation therapy. This review highlights the necessity of an integrated \"person-task-physical environment\" system to advance future sensor technologies. By capturing comprehensive data on patient health, device usage patterns, and environmental conditions, this approach enables more personalized and effective adherence support. Key recommendations include standardizing data integration protocols, employing advanced algorithms for insights generation, enhancing interactive visual features for accessibility, integrating persuasive design elements to boost engagement, exploring the advantages of conversational agents, and optimizing experience to increase patient acceptance.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2397-2413"},"PeriodicalIF":2.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina Fischer, Maria Siakavara, Peter Alter, Claus Franz Vogelmeier, Tim Speicher, Hendrik Pott, Henrik Watz, Robert Bals, Franziska Trudzinski, Felix Herth, Joachim H Ficker, Manfred Wagner, Christoph Lange, Krista Stoycheva, Winfried Randerath, Jürgen Behr, Sebastian Fähndrich, Tobias Welte, Isabell Pink, Kathrin Kahnert, Werner Seeger, Stefan Kuhnert, Tobias Gessler, Nina Adaskina, Rudolf A Jörres
{"title":"Association of Patients' Knowledge on the Disease and Its Management with Indicators of Disease Severity and Individual Characteristics in Patients with Chronic Obstructive Pulmonary Disease (COPD): Results from COSYCONET 2.","authors":"Carolina Fischer, Maria Siakavara, Peter Alter, Claus Franz Vogelmeier, Tim Speicher, Hendrik Pott, Henrik Watz, Robert Bals, Franziska Trudzinski, Felix Herth, Joachim H Ficker, Manfred Wagner, Christoph Lange, Krista Stoycheva, Winfried Randerath, Jürgen Behr, Sebastian Fähndrich, Tobias Welte, Isabell Pink, Kathrin Kahnert, Werner Seeger, Stefan Kuhnert, Tobias Gessler, Nina Adaskina, Rudolf A Jörres","doi":"10.2147/PPA.S488165","DOIUrl":"10.2147/PPA.S488165","url":null,"abstract":"<p><strong>Background: </strong>In patients with chronic diseases, including those with chronic obstructive pulmonary disease (COPD), knowledge on the disease and its self-management is considered as relevant for improving disease control and long-term outcome. We studied to which extent components of knowledge depended on potential predictors, such as participation in educational programs and disease severity. For example, the perception of exacerbations or GOLD grade might modulate the content and reliability of COPD understanding.</p><p><strong>Methods: </strong>Data from the German COSYCONET 2 COPD cohort was used, and 13 questions addressing knowledge and self-management were analyzed.</p><p><strong>Results: </strong>Overall, 310 patients with the diagnosis of COPD of GOLD grades 1/2/3/4 as well as the former grade 0 were included (39.7% female, median age 66.0 years). The answers to 3 questions (knowledge of term exacerbation, pursed lip breathing technique, criteria for contacting a doctor) were improved (p < 0.05 each) when patients had had moderate-to-severe exacerbations, and to one question (breathing exercise) when having COPD grade 3/4 versus 0/1/2. The other 9 responses did not depend on disease severity, but most of the knowledge was improved when having participated in an educational COPD program. This was particularly true for knowledge that also depended on exacerbations, or if the treating physician was a pulmonary specialist. In some responses, the proportion of correct answers was significantly reduced in males compared to females. The dependence on education level, existence of a treatment plan, self-reported level of risk aversion and low depression score was weak and heterogeneous.</p><p><strong>Conclusion: </strong>These findings suggest that part of the disease-related knowledge in patients with COPD was reinforced by the experience of exacerbations, especially knowledge regarding criteria on contacting a physician. These observations might help in focusing education on those parts of knowledge that are considered as important by patients based on their own experience.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2383-2393"},"PeriodicalIF":2.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing Adherence to Health Behaviors Research: Reflections on Current Methods and Future Directions [Letter].","authors":"Zhongqiu Tang, Lu Zeng, Zhaohui Tang","doi":"10.2147/PPA.S505760","DOIUrl":"10.2147/PPA.S505760","url":null,"abstract":"","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2381-2382"},"PeriodicalIF":2.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdullah M Aloraini, Abdurahman Khalid Addweesh, Mohammed Basem Beyari, Munib Nader Alkhateb, Maram Basem Beyari, Majd Nader Alkhateeb, Reham Abdulrahman Al Ahmed, Abdullah Thamar Alotaibi, Abdulmajeed Altoijry
{"title":"Public Perceptions of Surgeon Attire in Saudi Arabia.","authors":"Abdullah M Aloraini, Abdurahman Khalid Addweesh, Mohammed Basem Beyari, Munib Nader Alkhateb, Maram Basem Beyari, Majd Nader Alkhateeb, Reham Abdulrahman Al Ahmed, Abdullah Thamar Alotaibi, Abdulmajeed Altoijry","doi":"10.2147/PPA.S488725","DOIUrl":"10.2147/PPA.S488725","url":null,"abstract":"<p><strong>Introduction: </strong>Surgeon attire significantly affects patients' perceptions and can improve patient-surgeon relationships, which are crucial for patient comfort, experience, satisfaction, and treatment adherence. Understanding patient preferences for surgeon attire is essential, particularly in Saudi Arabia, for establishing appropriate dress codes in healthcare institutions. This national cross-sectional study aimed to fill this gap by assessing patient preferences for surgeon attire and its impact on patients' confidence in their surgeons across various medical settings.</p><p><strong>Methods: </strong>The study used a questionnaire with 16 questions and images of surgeons in different attire styles, focusing on trust, care, approachability, and comfort ratings. The questionnaire included options like scrubs with a white coat, formal attire, and traditional Saudi attire for male surgeons, and various options including niqab and skirts for female surgeons. The survey had four sections covering ratings, attire preferences, opinions on white coats, and demographic data.</p><p><strong>Results: </strong>A total of 612 patients completed the questionnaires, mainly aged 35-54 (33%). Skirt and niqab and white coat attire for females received the highest ratings. Attire other than scrubs, especially jeans and heels with a white coat, had significantly lower ratings. Scrubs and white coats were the most preferred attire for male (23.7%) and female (17%) surgeons. Additionally, 71.24% of participants agreed that surgeons should wear white coats.</p><p><strong>Conclusion: </strong>In Saudi Arabia, male surgeons are preferred in scrubs and white coats, while female surgeons are preferred in skirts with white coats and niqabs. These preferences reflect notions of formality, professionalism, and cultural influences. Jeans received the lowest ratings, possibly due to perceptions of informality. Patients favor scrubs and white coats for hygiene benefits and conveying dedication and expertise. Future research should validate these findings across diverse cultures and medical fields.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2373-2380"},"PeriodicalIF":2.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wentao Ge, Wei Bian, Lu Wang, Lizhen Duan, Jiaying Guo, Lihua Wang
{"title":"Development and Testing of a Multi-Component Intervention to Improve Medication Literacy in Glaucoma Patients.","authors":"Wentao Ge, Wei Bian, Lu Wang, Lizhen Duan, Jiaying Guo, Lihua Wang","doi":"10.2147/PPA.S481013","DOIUrl":"10.2147/PPA.S481013","url":null,"abstract":"<p><strong>Objective: </strong>To develop a medication literacy intervention program for glaucoma and test its effects on medication literacy, medication self-efficacy and medication adherence.</p><p><strong>Methods: </strong>The intervention was constructed according to the Information-Motivation-Behavioral skills Model and the Health Belief Model. Preliminary protocols were revised through expert group meetings and pre-experiments to form a formal intervention plan. Subsequently, 66 patients with glaucoma were enrolled and randomly assigned to the control and intervention groups. The control group was received with routine follow-up and education for glaucoma patients, while the intervention group was given an 8-weeks medication literacy intervention for glaucoma patients. Before the implementation of the intervention and at the end of the 8th week of the intervention, the Chinese Version of the Medication Literacy Scale, the Short Version of the Glaucoma Medication Self-Efficacy Questionnaire and the Chinese version of the Morisky Medication Adherence Scale-8 were used to evaluate the medication literacy level, medication self-efficacy and medication adherence of glaucoma patients in the intervention group and the control group.</p><p><strong>Results: </strong>We developed an 8-weeks multi-component medication literacy intervention for glaucoma. Before the start of the intervention, there were no statistically significant differences in the scores of medication literacy, medication self-efficacy and medication adherence between the control group and the intervention group. After the intervention, the medication literacy, medication self-efficacy, and medication adherence of the intervention patients were significantly better than those of the control group (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>The 8-weeks multi-component intervention for glaucoma patients can improve their medication literacy, medication self-efficacy, and medication adherence.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2347-2357"},"PeriodicalIF":2.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Palanisamy Amirthalingam, Abdulrahman Sulaiman Alruwaili, Omar Ahmed Albalawi, Fayez Mohammed Alatawi, Saleh F Alqifari, Ahmed D Alatawi, Ahmed Aljabri
{"title":"Comparing Patient Satisfaction with Automated Drug Dispensing System and Traditional Drug Dispensing System: A Cross-Sectional Study.","authors":"Palanisamy Amirthalingam, Abdulrahman Sulaiman Alruwaili, Omar Ahmed Albalawi, Fayez Mohammed Alatawi, Saleh F Alqifari, Ahmed D Alatawi, Ahmed Aljabri","doi":"10.2147/PPA.S492802","DOIUrl":"10.2147/PPA.S492802","url":null,"abstract":"<p><strong>Introduction: </strong>The adoption of automated drug dispensing systems (ADDS) in hospital pharmacies is a global trend, driven by its potential to reduce dispensing errors, minimize prescription filling time, and ultimately, improve patient care services. However, a significant research gap exists in the field, as a comprehensive assessment of patient satisfaction with ADDS is currently lacking. This study, with its comprehensive approach, aims to fill this gap by comparing patient satisfaction between hospital pharmacies implementing ADDS and traditional drug dispensing systems (TDDS).</p><p><strong>Patients and methods: </strong>The cross-sectional study was conducted in hospitals adopting ADDS and TDDS. All the outpatients aged 18 or above who visited the pharmacy were included, and severely ill patients were excluded from the study. A 17-item, 5-point Likert scale questionnaire assessed the participant's satisfaction. The questionnaire has four domains: pharmacy administration, dispensing practice, patient education, and dispensing system.</p><p><strong>Results: </strong>The demographics of the study participants were normally distributed between ADDS and TDDS according to chi-square analysis. The mean participant satisfaction was significantly (P<0.05) higher in ADDS than in TDDS regarding all the items of dispensing practice and dispensing system domains. Three items related to the pharmacy administration domain showed significant participant satisfaction with ADDS. However, the participants' satisfaction showed no significant difference (p=0.176) between ADDS and TDDS in terms of the cleanliness of the pharmacy. Also, the participant's satisfaction between ADDS and TDDS was not statistically significant regarding the pharmacist's explanation of the side effects (p=0.850) and provision of all necessary information to the patient (p=0.061) in the patient education domain.</p><p><strong>Conclusion: </strong>Patient satisfaction was higher in the ADDS participants than in TDDS regarding pharmacy administration, patient education, dispensing practice, and systems. However, pharmacists in ADDS need to be motivated to transfer the advantages of ADDS to patient care, including comprehensive patient education, particularly on side effects.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2337-2345"},"PeriodicalIF":2.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chen Zhao, Dan Wang, Junxiao Zhang, Shaowen Ge, Zhaojun Zhan, Li Xu, Shengkai Liao
{"title":"Associations of Social Psychological Factors and OHRQoL in Periodontitis Patients: A Structural Equation Modeling Study.","authors":"Chen Zhao, Dan Wang, Junxiao Zhang, Shaowen Ge, Zhaojun Zhan, Li Xu, Shengkai Liao","doi":"10.2147/PPA.S492070","DOIUrl":"10.2147/PPA.S492070","url":null,"abstract":"<p><strong>Background and purpose: </strong>Periodontitis is the leading cause of tooth loss in adults worldwide. The functional loss, nutritional deficiencies, and psychological barriers it causes, as well as its impact on overall health and quality of life, are all significant. The prevalence of periodontal disease is high in China. Our study aimed to determine the intricate relationship between periodontal disease status, dental anxiety, self-rated oral health (SROH), self-efficacy for oral care, perceived social support, socioeconomic status (SES), and the oral health-related quality of life (OHRQoL) among periodontitis patients.</p><p><strong>Methods: </strong>This cross-sectional study used purposive sampling to identify 247 patients with periodontitis who entered the First Affiliated Hospital of Bengbu Medical University between October 2022 and October 2023. 247 participants underwent a periodontal clinical examination combined with imaging, adhering to the \"2018 world new classification of periodontal and peri⁃implant diseases and conditions\". Participants also completed a detailed questionnaire in paper format, which included OHRQoL, sociodemographic details, dental anxiety, SROH, self-efficacy in oral care, perceived social support, and subjective SES.</p><p><strong>Results: </strong>Dental anxiety, self-efficacy for oral care, and SROH all had a direct and significant effect on OHRQoL. OHRQoL was indirectly related to SROH mediated by dental anxiety and subjective SES, perceived social support and self-efficacy for oral care, respectively. SROH was directly related to subjective SES, and at the same time, they had a direct effect on dental anxiety. Furthermore, patient's age, gender, annual household income, and education level were significantly associated with the degree of periodontal disease.</p><p><strong>Conclusion: </strong>OHRQoL and periodontal status was influenced by socio-demographics characteristics, dental anxiety, SROH, self-efficacy for oral care, perceived social support, subjective SES in periodontitis patients. These insights underscore the importance of adopting a holistic approach in the management and treatment of periodontal diseases.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2359-2372"},"PeriodicalIF":2.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Flu Vaccination Among Patients with Noncommunicable Diseases: A Survey About Awareness, Usage, Gaps and Barriers in Europe.","authors":"Laura Colombo, Sanjay Hadigal","doi":"10.2147/PPA.S484302","DOIUrl":"10.2147/PPA.S484302","url":null,"abstract":"<p><strong>Purpose: </strong>People with noncommunicable diseases (NCDs) have a high risk of contracting flu and suffering from its associated complications; however, in many countries flu vaccine uptake in this group is sub-optimal. This survey assessed the knowledge, attitudes, and gaps toward vaccination in general and flu in particular among adults with NCDs in Europe.</p><p><strong>Patients and methods: </strong>The survey was conducted in France, Italy, Spain, Germany, Poland, Belgium, Portugal, and the Czech Republic. A structured web-based questionnaire was administered to the subjects.</p><p><strong>Results: </strong>In total, 1106 subjects were enrolled, with 61% aged between 41 and 60 years. The main reasons for getting vaccinated were disease prevention and healthcare practitioner recommendations. Protection against infection and the risks of not receiving a vaccination was the most common vaccine information received, followed by information about possible side effects, duration of protection, and need for a booster dose. In the unvaccinated group, there was a lack of belief in the need for a flu vaccine, with a lack of recommendation from treating practitioners, and the experience of mild severity of flu being the main barriers against the vaccine. The physician remained the most preferred and tapped resource for information followed by dedicated websites. Understanding of flu vaccine benefits was particularly widespread among vaccinated patients, yet >50% wanted to know more about them. There was less clarity of the benefits of flu vaccine among unvaccinated patients; however, approximately 50% of them wanted to know more about it. Between January 2021 and December 2022, about 30% and 36% of the vaccinated and unvaccinated individuals, respectively, reported having suffered from flu.</p><p><strong>Conclusion: </strong>Healthcare practitioners are the key influencers for people to get vaccinated. The dissemination of information about the importance of flu vaccines needs to be increased, and clear and explanatory messaging based on country-specific characteristics is important.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2311-2324"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Montserrat Masip, Neus Pagès-Puigdemont, Anna López-Ferrer, Héctor David de Paz, Esther Serra-Baldrich, Lluís Puig, Pau Riera
{"title":"Defining the Care Pathway in Patients with Psoriasis and Atopic Dermatitis.","authors":"Montserrat Masip, Neus Pagès-Puigdemont, Anna López-Ferrer, Héctor David de Paz, Esther Serra-Baldrich, Lluís Puig, Pau Riera","doi":"10.2147/PPA.S489731","DOIUrl":"10.2147/PPA.S489731","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to map the clinical pathway for psoriasis and atopic dermatitis (AD) in a tertiary hospital to better understand patient needs and experiences, thereby suggesting improvements in patient-centered care.</p><p><strong>Methods: </strong>A mixed-method approach was utilised involving a literature review, a questionnaire for healthcare professionals (HCPs), and two focus groups (one with HCPs and the other with patients with psoriasis or AD). Ethical approvals were obtained, and informed consent was acquired from all participants.</p><p><strong>Results: </strong>Patients and HCPs identified significant delays in the pre-diagnosis phase, extending up to five years for psoriasis and three years for AD, adversely affecting the timely initiation of effective treatment. In addition, there were reported difficulties in obtaining appointments during flares, a lack of dermatologic emergencies, a need to increase human resources and physical space, and a need for telematic consultations for urgent cases. Discrepancies between HCPs' perceptions and patients' experiences highlighted unmet needs, particularly in primary care settings and emergency departments. Several strengths were also identified, including satisfactory experience in dermatology, the hospital's high level of specialisation in the management of complex patients, optimal communication between services, consideration of patient preferences, and proper advice on hospital pharmacy care and administration support of treatment and adherence monitoring.</p><p><strong>Conclusion: </strong>The findings underscore the necessity for interventions to reduce wait times and improve treatment immediacy and effectiveness post-diagnosis. The insights from this study can direct enhancements in patient management and satisfaction for individuals with psoriasis and AD.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"2325-2335"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}