Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Dec 31, 2018
Open Peer Review Period: Jan 1, 2019 - Feb 3, 2019
Date Accepted: Dec 27, 2019
(closed for review but you can still tweet)
Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey
ABSTRACT
Background:
Approximately 50% of patients are nonadherent to prescribed medications. Patient perception regarding medication effectiveness has been linked to better adherence. However, how patients perceive effectiveness is poorly understood.
Objective:
We aimed to elucidate factors associated with perceived treatment satisfaction and effectiveness among patients with chronic health conditions.
Methods:
We conducted an online survey of participants with migraine, multiple sclerosis (MS), or rheumatoid arthritis (RA). Descriptive statistics, correlations, and comparison tests were used to examine outcomes.
Results:
Data were collected from 1,820 patients: 567 with migraine, 717 with MS, and 536 with RA. The majority of participants were female (90.9%), >40 years old (79.9%), and diagnosed >5 years ago (65.2%). Treatment satisfaction and perceived medication effectiveness were highly correlated (r = 0.90, P < .0001). Three temporal factors were positively correlated with satisfaction and perceived effectiveness: time on current medication (satisfaction rs = 0.22, P < .0001; effectiveness rs = 0.25, P < .0001); time since diagnosis (satisfaction rs = 0.07, P = .004; effectiveness rs = 0.09, P =.0003); and time on treatment (effectiveness rs = 0.08, P = .002).
Conclusions:
Findings validated the strong relationship between treatment satisfaction and perceived effectiveness. Understanding the (1) positive relationship between “time” and treatment satisfaction and effectiveness and (2) factors associated with determining medication effectiveness can help clinicians better understand the mindset of patients in regard to treatment. Clinicians may be better prepared to elicit patient beliefs, which influence adherence to medication for people diagnosed with chronic health conditions.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.