Internet-based survey intervention improves adherence to methotrexate among psoriasis patients

Cline, Abigail; Unrue, Emily L; Cardwell, Leah A.; Alinia, Hossein; Tull, Rechelle; Feldman, Steven R.; Huang, William W.

doi:10.1080/09546634.2022.2071821

Cited by 4 publications

(7 citation statements)

References 31 publications

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“…Another study evaluated the effect of a weekly emailed survey that required patients taking methotrexate to report whether they took the drug or not. Patients in the intervention group who received the weekly survey did not have a difference in improvement of BSA, PGA and DLQI compared to the control group, even though the intervention group had better adherence 59 …”

Section: Resultsmentioning

confidence: 86%

“…58 The use of weekly surveys also improved patient dosing. 58,59 In another study of psoriasis patients on methotrexate, 77.1% of patients took their medication correctly when reporting their medication use through a weekly survey as compared to 64% of the control group (p < 0.0001). 59 Text message reminders have a varied impact on adherence, especially among patients with acne.…”

Section: Ehealth Interventionsmentioning

confidence: 99%

“…58,59 In another study of psoriasis patients on methotrexate, 77.1% of patients took their medication correctly when reporting their medication use through a weekly survey as compared to 64% of the control group (p < 0.0001). 59 Text message reminders have a varied impact on adherence, especially among patients with acne. Two studies using once-or twice-daily text reminders increased adherence among patients with acne; 43 while another study of acne patients with twice-daily customized text messages did not increase adherence to topical medication in patients with mild to moderate acne.…”

Section: Ehealth Interventionsmentioning

confidence: 99%

“…45,65,66 Strategic scheduling of office visits Patient adherence to oral and topical medications improves around the time of doctor office visits. 12,56,59,67 For example, in an 8-week study of 26 AD patients treated with 0.1% triamcinolone ointment, adherence was higher on or near office visit days but decreased rapidly over the ensuing few days. 56 This phenomenon has been described by the phrase 'white coat compliance'.…”

Section: Education and Effective Communicationmentioning

confidence: 99%

“…Patients in the intervention group who received the weekly survey did not have a difference in improvement of BSA, PGA and DLQI compared to the control group, even though the intervention group had better adherence. 59 Other adherence programmes work to improve communication between physicians, nurses and patients. For example, 92 patients with psoriasis treated with topical medications were randomized to either receive monthly clinic meetings or telephone calls with dermatologic nurses or receive standard care.…”

Section: Psoriasismentioning

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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Section: Resultsmentioning

confidence: 86%

Section: Ehealth Interventionsmentioning

confidence: 99%

Section: Ehealth Interventionsmentioning

confidence: 99%

Section: Education and Effective Communicationmentioning

confidence: 99%

Section: Psoriasismentioning

confidence: 99%

See 3 more Smart Citations

Adherence to treatment in dermatology: Literature review

Lo,

Lovell,

Greenzaid

et al. 2024

JEADV Clinical Practice

Self Cite

View full text Add to dashboard Cite

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Adherence to Psoriasis Therapies

Aoki,

Wong,

Duong

et al. 2024

Dermatologic Clinics

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Psoriasis/Psoriatic Arthritis Patients’ Long-term Treatment Patterns and Adherence to Systemic Treatments Monitoring Recommendations

et al. 2023

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Limited information exists regarding treatment of patients with psoriasis/psoriatic arthritis in primary care. The aim of this study is to assess treatment patterns, adherence, persistence, and compliance in newly diagnosed patients with psoriasis/psoriatic arthritis from 2012 to 2018 in Stockholm, Sweden. In addition, laboratory monitoring before initiation of treatment and at recommended intervals was quantified for patients prescribed methotrexate or biologics. A total of 51,639 individuals were included, with 39% initiating treatment with topical corticosteroids and < 5% receiving systemic treatment within 6 months post-diagnosis. During a median (interquartile range) follow-up of 7 (4–8) years, 18% of patients received systemic treatments at some point. Overall, 5-year persistence rates were 32%, 45% and 19% for methotrexate, biologics, and other systemic treatments, respectively. Pre-initiation laboratory tests, as recommended by guidelines, were performed in approximately 70% and 62% of methotrexate and biologics users, respectively. Follow-up monitoring at recommended time intervals occurred in 14–20% and 31–33% of patients prescribed methotrexate and biologics, respectively. These findings highlight gaps in the pharmacological care of patients with psoriasis/psoriatic arthritis, including suboptimal adherence/persistence and inadequate laboratory monitoring.

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Internet-based survey intervention improves adherence to methotrexate among psoriasis patients

Cited by 4 publications

References 31 publications

Adherence to treatment in dermatology: Literature review

Adherence to treatment in dermatology: Literature review

Adherence to Psoriasis Therapies

Psoriasis/Psoriatic Arthritis Patients’ Long-term Treatment Patterns and Adherence to Systemic Treatments Monitoring Recommendations

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