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Phototherapy Adherence Among Patients With Different Indications.

Kaan Gündüz1, Nihal Kundakcı1

  • 1Department of Dermatology, Ankara University Faculty of Medicine, Ankara, Turkey.

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|December 19, 2025
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Summary

This study reveals that higher education and income improve phototherapy adherence, while longer travel distances and psoriasis decrease it. Understanding these factors can enhance patient compliance and treatment success.

Keywords:
compliancephototherapy adherencetreatment adherence

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Area of Science:

  • Dermatology
  • Phototherapy Research
  • Patient Adherence Studies

Background:

  • Phototherapy is a long-standing dermatological treatment.
  • Patient adherence studies are scarce, particularly regarding primary adherence.
  • Existing research primarily focuses on secondary adherence.

Purpose of the Study:

  • To investigate factors influencing primary and secondary treatment adherence in phototherapy patients.
  • To identify barriers and facilitators for patient compliance in phototherapy.
  • To provide insights for improving phototherapy outcomes through enhanced adherence.

Main Methods:

  • Prospective study conducted at Ankara University's Department of Dermatology.
  • Sociodemographic, disease-related, and treatment-related factors were assessed.
  • Data collected on reasons for treatment rejection and patient follow-up for secondary adherence.

Main Results:

  • Higher education and income correlated with better primary adherence.
  • Longer travel distances, psoriasis, and longer disease duration (>10 years) reduced adherence.
  • Primary adherence was 63.8%, secondary adherence was 91.3%, and overall adherence was 53%.

Conclusions:

  • This is the first study to investigate primary treatment adherence in phototherapy.
  • Factors like education, income, travel distance, and disease characteristics significantly impact adherence.
  • Findings offer insights into enhancing treatment compliance and success in phototherapy.