Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease

Background: In this study, we investigated several socioeconomic, clinical, and psychological factors associated with medication adherence in a sample of Iranian patients with inflammatory bowel disease (IBD). Materials and Methods: This study was conducted on 110 IBD patients from 2013 to 2014 in I...

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Autores principales:	Zohre Forouzan, Ali Gholamrezaie, Hasan Nasimi, Mohammad Faramarzi, Amin Bagheri-Ghalehsalimi, Seyed-mohammadamin Nourian, Mahboobeh Fereidan-Esfahani, Mohammadhasan Emami
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	adherence inflammatory bowel disease nonadherence treatment Medicine R
Acceso en línea:	https://doaj.org/article/c64afc83410549dca0c38fb74647a8ac
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spelling	oai:doaj.org-article:c64afc83410549dca0c38fb74647a8ac2021-11-12T10:25:23ZFactors associated with adherence to treatment in Iranian patients with inflammatory bowel disease1735-19951735-713610.4103/jrms.JRMS_866_16https://doaj.org/article/c64afc83410549dca0c38fb74647a8ac2021-01-01T00:00:00Zhttp://www.jmsjournal.net/article.asp?issn=1735-1995;year=2021;volume=26;issue=1;spage=92;epage=92;aulast=Forouzanhttps://doaj.org/toc/1735-1995https://doaj.org/toc/1735-7136Background: In this study, we investigated several socioeconomic, clinical, and psychological factors associated with medication adherence in a sample of Iranian patients with inflammatory bowel disease (IBD). Materials and Methods: This study was conducted on 110 IBD patients from 2013 to 2014 in Isfahan, Iran. The patients were invited to complete three anonymous questionnaires including the Hospital and Anxiety Depression Scale (HADS) for assessing the levels of anxiety and depression; IBD Questionnaire-Short Form (IBDQ-9) for the quality of life; and a visual analog scale assessing the medication adherence. A self-assessment adherence rate of more than 80% was considered “appropriate adherence.” Results: Overall, 99 patients completed the questionnaires. Among them, 77.8% reportedly adhered to their medications. There was no statistical difference between adherence and nonadherence rates in terms of gender, educational status, disease type, disease severity, and family history of IBD. Conversely, single patients (100% vs. 74.1%; P = 0.03), nonsmokers (79.4% vs. 0.0%; P = 0.04), patients receiving immunosuppressive drugs (100% vs. 71.9%; P = 0.01), and corticosteroids (95.1% vs. 65.5%; P = 0.01) were more likely to be adhered than their counterparts. No differences emerged in terms of the mean HADS scores in either of the sexes. The mean IBDQ-9 score was significantly higher in adhered patients only in females (31.08 ± 11.6 vs. 24.7 ± 9.1; P = 0.04) but not in males. Conclusion: The adherence rate in our study is almost similar to developed countries. Single marital status, not smoking, receiving corticosteroids and immunosuppressive drugs, and higher IBDQ-9 score in females are associated with higher adherence rate.Zohre ForouzanAli GholamrezaieHasan NasimiMohammad FaramarziAmin Bagheri-GhalehsalimiSeyed-mohammadamin NourianMahboobeh Fereidan-EsfahaniMohammadhasan EmamiWolters Kluwer Medknow Publicationsarticleadherenceinflammatory bowel diseasenonadherencetreatmentMedicineRENJournal of Research in Medical Sciences, Vol 26, Iss 1, Pp 92-92 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adherence inflammatory bowel disease nonadherence treatment Medicine R
spellingShingle	adherence inflammatory bowel disease nonadherence treatment Medicine R Zohre Forouzan Ali Gholamrezaie Hasan Nasimi Mohammad Faramarzi Amin Bagheri-Ghalehsalimi Seyed-mohammadamin Nourian Mahboobeh Fereidan-Esfahani Mohammadhasan Emami Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease
description	Background: In this study, we investigated several socioeconomic, clinical, and psychological factors associated with medication adherence in a sample of Iranian patients with inflammatory bowel disease (IBD). Materials and Methods: This study was conducted on 110 IBD patients from 2013 to 2014 in Isfahan, Iran. The patients were invited to complete three anonymous questionnaires including the Hospital and Anxiety Depression Scale (HADS) for assessing the levels of anxiety and depression; IBD Questionnaire-Short Form (IBDQ-9) for the quality of life; and a visual analog scale assessing the medication adherence. A self-assessment adherence rate of more than 80% was considered “appropriate adherence.” Results: Overall, 99 patients completed the questionnaires. Among them, 77.8% reportedly adhered to their medications. There was no statistical difference between adherence and nonadherence rates in terms of gender, educational status, disease type, disease severity, and family history of IBD. Conversely, single patients (100% vs. 74.1%; P = 0.03), nonsmokers (79.4% vs. 0.0%; P = 0.04), patients receiving immunosuppressive drugs (100% vs. 71.9%; P = 0.01), and corticosteroids (95.1% vs. 65.5%; P = 0.01) were more likely to be adhered than their counterparts. No differences emerged in terms of the mean HADS scores in either of the sexes. The mean IBDQ-9 score was significantly higher in adhered patients only in females (31.08 ± 11.6 vs. 24.7 ± 9.1; P = 0.04) but not in males. Conclusion: The adherence rate in our study is almost similar to developed countries. Single marital status, not smoking, receiving corticosteroids and immunosuppressive drugs, and higher IBDQ-9 score in females are associated with higher adherence rate.
format	article
author	Zohre Forouzan Ali Gholamrezaie Hasan Nasimi Mohammad Faramarzi Amin Bagheri-Ghalehsalimi Seyed-mohammadamin Nourian Mahboobeh Fereidan-Esfahani Mohammadhasan Emami
author_facet	Zohre Forouzan Ali Gholamrezaie Hasan Nasimi Mohammad Faramarzi Amin Bagheri-Ghalehsalimi Seyed-mohammadamin Nourian Mahboobeh Fereidan-Esfahani Mohammadhasan Emami
author_sort	Zohre Forouzan
title	Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease
title_short	Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease
title_full	Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease
title_fullStr	Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease
title_full_unstemmed	Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease
title_sort	factors associated with adherence to treatment in iranian patients with inflammatory bowel disease
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/c64afc83410549dca0c38fb74647a8ac
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_version_	1718431017186885632

Factors associated with adherence to treatment in Iranian patients with inflammatory bowel disease

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