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Updated: Jan 31, 2026

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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
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Impact of Shared Decision Making on Disease-Modifying Drug Adherence in Multiple Sclerosis
International Journal of MS Care
|December 21, 2018
Summary
Shared decision making (SDM) in multiple sclerosis (MS) care improves patient adherence to treatment plans. New strategies like patient engagement and home monitoring enhance adherence and optimize disease management.
Area of Science:
- Neurology
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision making (SDM) and treatment adherence are crucial in multiple sclerosis (MS) care.
- SDM involves patients, providers, and networks in treatment choices.
- Adherence to disease-modifying therapies in MS is a persistent challenge due to the chronic nature of the disease.
Purpose of the Study:
- To review the literature on the impact of SDM on treatment adherence in MS.
- To identify novel strategies for optimizing adherence in MS patients.
Main Methods:
- A narrative review was conducted.
- Searched using terms like 'decision-making', 'adherence', 'shared decision-making', 'compliance', and 'patient-centered care'.
Main Results:
- SDM between patients and clinicians enhances adherence to MS treatment plans.
- Proactive SDM emphasizes patient preferences, education, and engagement.
- Accurate information sources are vital for patient engagement.
- Home monitoring, digital tools, and active patient involvement are emerging strategies.
Conclusions:
- SDM interventions positively influence patient adherence to disease-modifying drugs in MS.
- Emerging strategies offer potential for improved MS disease management.
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