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Concordance Between Persons with Multiple Sclerosis and Treating Physician on Medication Effects and Health Status
Efrat Neter1, Lea Glass-Marmor2, Loren Haiien2
1Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel.
Background:
As the number of treatment options for multiple sclerosis (MS) has expanded, alignment between physician and patient on effects of medication has emerged as important for medication persistence/discontinuation.
Objective:
To evaluate physician-patient agreement levels on medication effect and health status.
Methods:
Persons with MS (PwMS) (n=71) participated in a cross-sectional study collecting their satisfaction (using the Treatment Satisfaction Questionnaire for Medication), intention to dis/continue treatment and global health perception; physicians assessed response to medication and global health status.
Results:
Concordance between PwMS' assessment of medication effectiveness and physician's assessment on response to medication, health status and EDSS were r s= 0.50, r s= 0.57 and r s= -0.58, respectively.
Conclusion:
The significant concordance attests to physician-patient effective communication and may contribute to improved medication adherence.
Insights
Physician and patient agreement on multiple sclerosis (MS) treatment effects is key for medication adherence. Studies show good communication leads to better treatment persistence.
Area of Science:
- Neurology
- Clinical Research
- Patient-Reported Outcomes
Background:
- Expanding treatment options for multiple sclerosis (MS) necessitate alignment on medication effects.
- Physician-patient agreement is crucial for medication persistence and adherence in MS management.
Purpose of the Study:
- To evaluate the level of agreement between physicians and persons with MS (PwMS) regarding medication effects.
- To assess physician-patient concordance on perceived health status in MS patients.
Main Methods:
- A cross-sectional study involving 71 persons with MS (PwMS).
- Data collected included patient satisfaction (Treatment Satisfaction Questionnaire for Medication), treatment intentions, and global health perception.
- Physicians evaluated medication response and global health status.
Main Results:
- Moderate concordance (rS=0.50) was found between PwMS and physicians on medication effectiveness.
- Strong concordance (rS=0.57) observed for health status, and moderate inverse concordance (rS=-0.58) for EDSS scores.
- These findings indicate significant agreement in patient and physician assessments.
Conclusions:
- Significant concordance highlights effective physician-patient communication in MS care.
- This alignment may positively influence medication adherence and treatment persistence.
- Improved communication strategies can enhance management of multiple sclerosis.
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