„Despre comunicare si aderenta la tratament”
Studii si articole:
Do automated text messages increase adherence to acne therapy? Results of a randomized, controlled trial.
Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9069, USA.
Conclusions: Electronic reminders in the form of daily, customized text messages were not associated with significant differences in adherence to topical medications in patients with mild to moderate acne and had no significant effect on therapeutic response.
Text-message reminders to improve sunscreen use: a randomized, controlled trial using electronic monitoring.
Arch Dermatol. 2009 Nov;145(11):1230-6. doi: 10.1001/archdermatol.2009.269.
Teledermatology Program, Department of Dermatology, University of California-Davis Health System, 3301 C St, Ste1400, Sacramento, CA 95816, USA.
Conclusions: Despite awareness of the benefits of sunscreen, adherence is low, even in this population, for whom adherence was knowingly monitored. Short-term data demonstrate that using existing cellular telephone text-message technology offers an innovative, low-cost, and effective method of improving adherence to sunscreen application. The use of ubiquitous communications technology, such as text messaging, may have implications for large-scale public health initiatives.
Simplifying regimens promotes greater adherence and outcomes with topical acne medications: a randomized controlled trial.
Cutis. 2010 Aug;86(2):103-8.
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1071, USA.
Conclusion: The use of a once daily combination product has the advantage of promoting better adherence and clinical outcomes.
Internet survey may increase medication aderence for teenagers with acne
Steve Feldman, MD, PhD, of the Center for Dermatology Research
Conclusion: In both groups, medication adherence was monitored with electronic devices that recorded the date and time that the medication container was opened. The mean adherence rate in the Internet group was 89% and 33% in the control group. Acne severity was assessed with a rating scale and a lesion count of both inflammatory and non-inflammatory lesions; these ratings took place at the beginning of the study and again at weeks 6 and 12.
“Adolescents are savvy users of the Internet and other newer technologies, and we found they responded well to the online survey,” Dr. Feldman said. “We believe the weekly survey may have served as a ‘virtual office visit.’ Increasing our understanding of what is needed to get teens to use the medication as prescribed will provide better treatment outcomes for patients.”
Improving acne treatment outcomes
Cheryl J. Gustafson, MD, and Brad A. Yentzer, MD
Adherence Optimization in Acne Management
Bjorn Thomas, MBBS1,2 and Jerry K. L. Tan, MD, FRCPC3,4,5
Conclusion: Achieving adherence in acne patients often represents an ongoing challenge. In order to realize therapeutic objectives, pharmacologic initiatives must be accompanied by patient education. Time devoted to counseling patients on avoiding aggravating factors, medication use, and the importance of maintaining proper skin care routines can contribute to increased adherence. Finally, efforts aimed at early detection and mitigation of poor treatment follow-through signs will improve the outcome of therapeutic strategies.
Patient perception of involvement in medical care: relationship to illness attitudes and outcomes.
J Gen Intern Med. 1989 Nov-Dec;4(6):506-11
Section of General Internal Medicine, Temple University School of Medicine, Philadelphia, PA 19140.
Active patients also reported less concern with their illnesses (p = 0.04), a greater sense of control of their illnesses (p = 0.04), and more satisfaction with their physicians (p = 0.02) one day after the visit. (…) Patients’ perceptions about their involvement in care appeared to be related to their attitudes about their illnesses as well as to recovery.