Barriers to Care-Seeking and Treatment Adherence Among Dermatology Patients: A Cross-Sectional National Survey Study

Venkatesh, Kaushik P.; Brito, Gabriel; Nelson, Kamaria; Friedman, Adam

doi:10.36849/jdd.6903

Cited by 6 publications

(8 citation statements)

References 3 publications

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“…11,12 A more recent crosssectional analysis revealed that 22.7% of patients reported nonadherence to general dermatologist treatment recommendations. 16 The high adherence rates reported in this study may indicate that surgical dressing changes are less cumbersome and complex than the application of topical medications or the management of widespread burns. Contrary to previous dermatological adherence studies, these findings indicate that MMS patients demonstrated high adherence with postoperative wound care.…”

Section: Discussionmentioning

confidence: 75%

Wound Care Adherence in Mohs Micrographic Surgery: A Prospective Cohort Study

et al. 2023

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BACKGROUND Patients undergoing Mohs micrographic surgery (MMS) are given detailed wound care instructions to prevent postoperative complications. Previous studies have revealed low treatment adherence in general dermatology, but adherence to postoperative wound care and its potential association with poor surgical outcomes remain largely unstudied. OBJECTIVE To determine the frequency and causes of wound care nonadherence in patients who underwent MMS. MATERIALS AND METHODS A questionnaire containing a modified Eight-Item Morisky Medication Adherence Measure Scale was administered to Mohs patients at their 1 to 2 weeks postoperative visit. RESULTS Sixty-three patients were solicited and consented to completing the questionnaire. The average modified Eight-Item Morisky Medication Adherence Measure Scale score was 7.4 of 8, indicating high adherence. Old age and wound care assistance were associated with increased adherence. Factors contributing to nonadherence included feeling well, being too busy, wound care causing discomfort, and being with friends or family. One patient (1.6%) with high adherence developed an epidermal inclusion cyst within the scar. No other complications were observed. CONCLUSION Most MMS patients demonstrated high adherence to wound care instructions, and nonadherence was not associated with postoperative complications.

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Section: Discussionmentioning

confidence: 75%

Wound Care Adherence in Mohs Micrographic Surgery: A Prospective Cohort Study

et al. 2023

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“…Specific to the field of dermatology, females are more likely to adhere to primary prevention and skin self‐exam practices 36 . However, being a female is associated with increased avoidance of seeing a dermatologist, and exhibits a strong association with avoidance behaviours comparable to other patient‐centred factors such as financial and logistical challenges 29 . Furthermore, adults who identify as female are more likely to exhibit poorer adherence to atopic dermatitis (AD) and psoriasis treatments.…”

Section: Resultsmentioning

confidence: 99%

“…The adjusted odds ratios for patient adherence to dermatologic treatments amongst individuals with a high school diploma or equivalent, associate degree and bachelor's degree are 0.53, 0.50 and 0.43, respectively. 29 This pattern likely exists due to high levels of social support and health literacy that are associated with an advanced level of education. 30 Providing patients with educational materials tailored to their personal comprehension levels, ideally with supplemental illustrations, may help increase adherence.…”

Section: Patient-centred Factorsmentioning

confidence: 99%

“…36 However, being a female is associated with increased avoidance of seeing a dermatologist, and exhibits a strong association with avoidance behaviours comparable to other patient-centred factors such as financial and logistical challenges. 29 Furthermore, adults who identify as female are more likely to exhibit poorer adherence to atopic dermatitis (AD) and psoriasis treatments. Though not entirely possible to justify, current explanations for this pattern include a desire to avoid restrictive skin care regimens among those identifying as female.…”

Section: Patient-centred Factorsmentioning

confidence: 99%

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Adherence to treatment in dermatology: Literature review

Lo,

Lovell,

Greenzaid

et al. 2024

JEADV Clinical Practice

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Poor adherence to therapies in dermatology remains a prevalent issue associated with treatment failure, poor clinical outcomes, and reduced quality of life. The aim of this review is to summarize the current literature on medical adherence specifically in dermatology, including ways to measure treatment adherence, factors contributing to nonadherence, interventions to increase adherence, and the impact of adherence on patient outcomes. We conducted a MEDLINE search between the years 2006 and 2023 using the following term: [adherence AND dermatology AND treatment]. The search was limited to English article types: clinical study, clinical trial, observational study, and randomized controlled trials in human subjects. The literature search yielded 323 articles. 52 of these articles met the inclusion criteria and were reviewed to define, measure, understand, and suggest means to increase adherence in dermatology. Additional articles were added from in text citations. Adherence can be measured using subjective and objective methods. Patient‐, treatment‐, and disease‐centered factors are important to consider when prescribing medications and implementing interventions to increase adherence. Reducing treatment adverse reactions, simplifying treatment regimens, and eHealth, education, communication, and psychological interventions are associated with improved adherence and disease outcomes. Understanding and enhancing adherence is crucial because of its impact on costs, treatment efficacy, and healthcare outcomes.

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“…As HS is associated with low socioeconomic status, individuals may face barriers accessing dermatologic care due to financial and insurance challenges. 1,2 A qualitative study of HS participants noted that frustrations with delays in care may drive patients to use the Internet to learn about HS. 3 This study further evaluates barriers to dermatologic care and the use of internet sources amongst those with HS.…”

Section: Introductionmentioning

confidence: 99%