Outcomes associated with matching patients' treatment preferences to physicians' recommendations: study methodology

Umar, Nasir; Litaker, David; Schaarschmidt, Marthe‐Lisa; Peitsch, Wiebke K.; Schmieder, Astrid; Terris, Darcey D.

doi:10.1186/1472-6963-12-1

Cited by 287 publications

(337 citation statements)

References 22 publications

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“…Recent analysis from clinical trials demonstrates the benefit of treatment goals across various fields of medicine, including psoriasis [43]. A mismatch between physicians' and patients' treatment preferences has been reported on several occasions and may result in patients receiving treatment they are dissatisfied with, which may also affect adherence to treatment and finally patient outcomes [44]. As efficacious treatments are introduced to this patient population, concurrent efforts in advocacy and education are needed to ensure that these medications are accessible to those most likely to benefit and that patients are properly informed of the benefit-risk profiles [29].…”

Section: Discussionmentioning

confidence: 99%

Treatment Satisfaction in Psoriasis: Development and Use of the PsoSat Patient Questionnaire in a Cross-Sectional Study

Radtke¹,

Spehr²,

Reich³

et al. 2016

Dermatology

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Introduction: Evidence supports the potential value of matching patient preferences to treatment recommendations. The aim of the study was to design and validate a questionnaire on treatment satisfaction for clinical decision-making. Methods: We performed a comprehensive literature search identifying measurable indicators. The complete item pool was condensed to a core set by a multidisciplinary expert panel and tested in a multicentre, observational, cross-sectional study. Results: The questionnaire consisted of 8 questions, rated on a 5-point Likert scale. In total, 213 dermatology centres included 2,084 patients. The mean disease duration was 19 years. A majority of patients (82.8%) was moderately to very satisfied. 108 patients (5.8%) felt to be bothered by side effects, and 32.1% ascertained that the current therapy had been conducted for too long without success. Discussion: The PsoSat Questionnaire was shown to be a reliable and valid instrument for measuring therapy-related satisfaction. Further research on its implementation in clinical decision-making is necessary to finally evaluate the benefit of this tool.

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Section: Discussionmentioning

confidence: 99%

Treatment Satisfaction in Psoriasis: Development and Use of the PsoSat Patient Questionnaire in a Cross-Sectional Study

Radtke¹,

Spehr²,

Reich³

et al. 2016

Dermatology

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“…It is a reflection of the patient's experience with attributes of the therapeutic process, such as treatment duration, and therapeutic outcome, such as treatment benefit [21][22][23][24][25][26][27][28]. Clinicians and researchers have developed treatment satisfaction "instruments" or "measures" to evaluate patient experiences with the therapeutic process and outcome [20,21].…”

Section: Introductionmentioning

confidence: 99%

“…Incorporating treatment satisfaction instruments into therapeutic decision-making promotes patient-centered care and improves long-term compliance [27,28]. Determining the measurement properties of these instruments is paramount to the advancement of the field of dermatology, both in research and in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Are Your Patients Satisfied A Systematic Review of Treatment Satisfaction Measures in Psoriasis

et al. 2018

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Treatment satisfaction is paramount to the field of dermatology. Treatment dissatisfaction directly impacts patient outcomes and health care delivery. A critical need exists for standardized, validated treatment satisfaction measures in dermatology. Comprehensive evaluation of the performance of treatment satisfaction instruments used in psoriasis is lacking. We sought to critically appraise the literature on measurement properties of treatment satisfaction instruments used in psoriasis. We performed a systematic review to identify treatment satisfaction instruments used in psoriasis and corresponding studies on their measurement properties. We followed the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology to inform a best evidence synthesis. Eleven instruments were identified. Six achieved positive content validity ratings, 2 achieved positive reliability and structural validity ratings, and 1 achieved a positive internal consistency rating. The REFlective evaLuation of psoriasis Efficacy of Treatment and Severity (REFLETS) and the Spanish Satisfaction With Treatment of Psoriasis Questionnaire (SSWTPQ) had the highest overall performance. Measurement property data for treatment satisfaction instruments were found to be insufficient in identifying a single best treatment satisfaction instrument for psoriasis. Additional studies are required to better characterize the measurement properties of treatment satisfaction measures and allow for standardized assessments across psoriasis clinical trials and clinical practice.

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“…The most important element contributing to this satisfaction is effectiveness of the administered therapy, which should be accompanied by good contact with medical personnel, active participation of the patient in taking therapeutic decisions, his/her sufficient knowledge of the disease, skin care methods and potential adverse effects of administered medication [2][3][4][5][6][7][8][9][10][11][12][13]. Studies of adult psoriasis patients confirm that there is a significant correlation between treatment satisfaction and satisfaction with life in general [14,15], self-perception and perception of the world [15], and the role of emotions in the way of the patient's acting and thinking [16].…”

mentioning

confidence: 99%

Satisfaction with treatment of atopic dermatitis in children

Maciejewska-Franczak¹,

Majak²,

Kaczmarek³

et al. 2016

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Introduction. Atopic dermatitis is a frequent chronic skin disease in children. The major clinical manifestations include itching and dryness of the skin. The pathomechanism of skin changes results from an interaction of genetic and environmental factors as well as impairments of skin barrier function and immune response. Despite chronic treatment the disease is characterized by exacerbation and remission periods and lowers the quality of life of patients and their families. Objective. To evaluate treatment satisfaction in children with atopic dermatitis, identify components of medical care which contribute to treatment satisfaction, and evaluate the relationship between satisfaction and adherence to a doctor's recommendations. Material and methods. One hundred and nineteen children (6 months to 12 years old, mean age 4.9 years) with atopic dermatitis were enrolled in the study. The doctor performed physical examinations and history taking and filled in questionnaires evaluating the course and exacerbation of the disease, the type of administered therapy and diagnostics. The patients' parents completed two questionnaires: a questionnaire assessing satisfaction with the therapy (the type of recommended therapy, adherence to recommendations, contact with the doctor, obtained information, degree of psychological support, role of parents in taking decisions regarding the therapy) and a quality of life questionnaire. Results. The authors observed that 56% of parents were dissatisfied with the administered treatment, and 40% failed to adhere to at least one therapeutic recommendation. Parents of children with mild atopic dermatitis significantly more often stop using emollients. It was also observed that lack of treatment satisfaction in children with severe atopic dermatitis whose parents are insufficiently educated contributes to decreased adherence. The authors identified independent factors of lack of treatment satisfaction: failure to obtain enough psychological support (OR = 20.00), failure to obtain reliable information on the disease (OR = 5.91), failure to actively get engaged in the treatment procedure (OR = 5.31), dissatisfaction with the contact with the doctor (OR = 4.9), dissatisfaction with the diagnostics (OR = 4.93) and severe course of the disease (OR = 2.82). Conclusions. Elimination of risk factors of dissatisfaction with the treatment might potentially improve the adherence to chronic treatment in atopic dermatitis. atopic dermatitis, satisfaction with treatment. Wprowadzenie. Atopowe zapalenie skóry (AZS) jest częstą przewlekłą chorobą skóry u dzieci. Głównymi objawami klinicznymi są suchość skóry i świąd. Patomechanizm zmian skórnych jest wynikiem interakcji między czynnikami genetycznymi, środowiskowymi, zaburzeniami funkcjonowania bariery skórnej a odpowiedzią immunologiczną. Pomimo stosowania przewlekłego leczenia choroba przebiega z okresami zaostrzeń i remisji, obniża jakość życia pacjentów i ich rodzin. Cel pracy. Próba zdefiniowania składowych opieki medycznej, które mają wpływ n...

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Outcomes associated with matching patients' treatment preferences to physicians' recommendations: study methodology

Cited by 287 publications

References 22 publications

Treatment Satisfaction in Psoriasis: Development and Use of the PsoSat Patient Questionnaire in a Cross-Sectional Study

Treatment Satisfaction in Psoriasis: Development and Use of the PsoSat Patient Questionnaire in a Cross-Sectional Study

Are Your Patients Satisfied A Systematic Review of Treatment Satisfaction Measures in Psoriasis

Satisfaction with treatment of atopic dermatitis in children

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