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Treatment adherence in systemic sclerosis: A cross-sectional study
Jan Brijs1, Seher Arat2, Rene Westhovens2
1Faculty of Medicine, University Hospitals Leuven, KU Leuven, Belgium.
Musculoskeletal Care
|October 10, 2018
Summary
Systemic sclerosis patients show low treatment adherence, with no clear demographic or clinical links. Poor adherence may stem from believing the chronic illness won
Area of Science:
- Rheumatology
- Pharmacoeconomics
- Psychology
Background:
- Treatment adherence is crucial but understudied in systemic sclerosis (SSc).
- Understanding adherence factors in SSc is vital for improving patient outcomes and healthcare economics.
Purpose of the Study:
- To evaluate treatment adherence in patients with systemic sclerosis (SSc).
- To identify factors associated with both good and poor adherence to treatment in SSc.
Main Methods:
- A monocentric, cross-sectional, observational study was conducted.
- Treatment adherence was measured using the Compliance Questionnaire of Rheumatology (CQR).
- Beliefs about medicines (BMQ-S) and illness perceptions (IPQ-R) were assessed.
Main Results:
- 71.2% of 66 SSc patients exhibited poor adherence (CQR score ≤80%).
- Adherence was not significantly linked to demographic, clinical, or psychological factors, except for the IPQ 'timeline acute/chronic' subscale.
- Patients perceived high treatment necessity but had moderate concerns; subjective adherence was reported as high.
Conclusions:
- Systemic sclerosis patients demonstrate low treatment adherence rates.
- Beliefs about the chronic, un improving nature of the disease may correlate with poor adherence.
- Symptom relief is a key motivator for medication adherence in SSc.
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