Adherence to oral and topical medication in 445 patients with tinea pedis as assessed by the Morisky medication adherence Scale-8

Yuichiro Tsunemi, Shinya Abe, Miwa Kobayashi, Yuki Kitami, Daisuke Onozuka, Akihito Hagihara, Satoshi Takeuchi, Hiroyuki Murota, Makoto Sugaya, Koji Masuda, Takaaki Hiragun, Sakae Kaneko, Hidehisa Saeki, Yoichi Shintani, Miki Tanioka, Shinichi Imafuku, Masatoshi Abe, Naoko Inomata, Donald E. Morisky, Masutaka FurueNorito Katoh

Research output: Contribution to journalArticle

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Abstract

Background: Adherence is defined as the extent to which a person’s behavior corresponds with recommendations from health care providers. Adherence to treatment is an important factor for a good therapeutic outcome. Objectives: This study aimed to examine the adherence of patients with tinea pedis and to clarify the factors related to it. Materials and methods: We assessed medication adherence for oral and topical drugs using a translated version of the Morisky Medication Adherence Scale-8 (MMAS-8) together with other background factors in 445 Japanese patients with tinea pedis, using a questionnaire in a web-based monitoring system. Results: Overall, high, medium and low adherence rates as assessed by MMAS-8 were 8.7%, 31.7% and 59.6% for oral medication, and 8.6%, 17.4% and 74.0% for topical medication, respectively. The adherence level was significantly higher for oral medication than for topical medication. Subgroup analyses showed that the adherence level for topical medication was significantly higher when topical and oral medications were used in combination than when topical medication was used alone. A low adherence level was shown in employed patients, those for whom their oral medication had not been effective and those with topical medication who had visited their hospital less often than once every six months. Conclusion: Patient adherence to therapy can be effectively improved by selecting highly effective medication while considering the prescription of topical and oral antifungal medications concomitantly, by carefully selecting a therapy plan for employed patients and by encouraging patients to visit their doctor regularly.

Original languageEnglish
Pages (from-to)570-577
Number of pages8
JournalEuropean Journal of Dermatology
Volume25
Issue number6
DOIs
Publication statusPublished - Nov 1 2015

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Tinea Pedis
Medication Adherence
Patient Compliance
Therapeutics
Health Personnel
Prescriptions
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Dermatology

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Adherence to oral and topical medication in 445 patients with tinea pedis as assessed by the Morisky medication adherence Scale-8. / Tsunemi, Yuichiro; Abe, Shinya; Kobayashi, Miwa; Kitami, Yuki; Onozuka, Daisuke; Hagihara, Akihito; Takeuchi, Satoshi; Murota, Hiroyuki; Sugaya, Makoto; Masuda, Koji; Hiragun, Takaaki; Kaneko, Sakae; Saeki, Hidehisa; Shintani, Yoichi; Tanioka, Miki; Imafuku, Shinichi; Abe, Masatoshi; Inomata, Naoko; Morisky, Donald E.; Furue, Masutaka; Katoh, Norito.

In: European Journal of Dermatology, Vol. 25, No. 6, 01.11.2015, p. 570-577.

Research output: Contribution to journalArticle

Tsunemi, Y, Abe, S, Kobayashi, M, Kitami, Y, Onozuka, D, Hagihara, A, Takeuchi, S, Murota, H, Sugaya, M, Masuda, K, Hiragun, T, Kaneko, S, Saeki, H, Shintani, Y, Tanioka, M, Imafuku, S, Abe, M, Inomata, N, Morisky, DE, Furue, M & Katoh, N 2015, 'Adherence to oral and topical medication in 445 patients with tinea pedis as assessed by the Morisky medication adherence Scale-8', European Journal of Dermatology, vol. 25, no. 6, pp. 570-577. https://doi.org/10.1684/ejd.2015.2650
Tsunemi, Yuichiro ; Abe, Shinya ; Kobayashi, Miwa ; Kitami, Yuki ; Onozuka, Daisuke ; Hagihara, Akihito ; Takeuchi, Satoshi ; Murota, Hiroyuki ; Sugaya, Makoto ; Masuda, Koji ; Hiragun, Takaaki ; Kaneko, Sakae ; Saeki, Hidehisa ; Shintani, Yoichi ; Tanioka, Miki ; Imafuku, Shinichi ; Abe, Masatoshi ; Inomata, Naoko ; Morisky, Donald E. ; Furue, Masutaka ; Katoh, Norito. / Adherence to oral and topical medication in 445 patients with tinea pedis as assessed by the Morisky medication adherence Scale-8. In: European Journal of Dermatology. 2015 ; Vol. 25, No. 6. pp. 570-577.
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abstract = "Background: Adherence is defined as the extent to which a person’s behavior corresponds with recommendations from health care providers. Adherence to treatment is an important factor for a good therapeutic outcome. Objectives: This study aimed to examine the adherence of patients with tinea pedis and to clarify the factors related to it. Materials and methods: We assessed medication adherence for oral and topical drugs using a translated version of the Morisky Medication Adherence Scale-8 (MMAS-8) together with other background factors in 445 Japanese patients with tinea pedis, using a questionnaire in a web-based monitoring system. Results: Overall, high, medium and low adherence rates as assessed by MMAS-8 were 8.7{\%}, 31.7{\%} and 59.6{\%} for oral medication, and 8.6{\%}, 17.4{\%} and 74.0{\%} for topical medication, respectively. The adherence level was significantly higher for oral medication than for topical medication. Subgroup analyses showed that the adherence level for topical medication was significantly higher when topical and oral medications were used in combination than when topical medication was used alone. A low adherence level was shown in employed patients, those for whom their oral medication had not been effective and those with topical medication who had visited their hospital less often than once every six months. Conclusion: Patient adherence to therapy can be effectively improved by selecting highly effective medication while considering the prescription of topical and oral antifungal medications concomitantly, by carefully selecting a therapy plan for employed patients and by encouraging patients to visit their doctor regularly.",
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T1 - Adherence to oral and topical medication in 445 patients with tinea pedis as assessed by the Morisky medication adherence Scale-8

AU - Tsunemi, Yuichiro

AU - Abe, Shinya

AU - Kobayashi, Miwa

AU - Kitami, Yuki

AU - Onozuka, Daisuke

AU - Hagihara, Akihito

AU - Takeuchi, Satoshi

AU - Murota, Hiroyuki

AU - Sugaya, Makoto

AU - Masuda, Koji

AU - Hiragun, Takaaki

AU - Kaneko, Sakae

AU - Saeki, Hidehisa

AU - Shintani, Yoichi

AU - Tanioka, Miki

AU - Imafuku, Shinichi

AU - Abe, Masatoshi

AU - Inomata, Naoko

AU - Morisky, Donald E.

AU - Furue, Masutaka

AU - Katoh, Norito

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Background: Adherence is defined as the extent to which a person’s behavior corresponds with recommendations from health care providers. Adherence to treatment is an important factor for a good therapeutic outcome. Objectives: This study aimed to examine the adherence of patients with tinea pedis and to clarify the factors related to it. Materials and methods: We assessed medication adherence for oral and topical drugs using a translated version of the Morisky Medication Adherence Scale-8 (MMAS-8) together with other background factors in 445 Japanese patients with tinea pedis, using a questionnaire in a web-based monitoring system. Results: Overall, high, medium and low adherence rates as assessed by MMAS-8 were 8.7%, 31.7% and 59.6% for oral medication, and 8.6%, 17.4% and 74.0% for topical medication, respectively. The adherence level was significantly higher for oral medication than for topical medication. Subgroup analyses showed that the adherence level for topical medication was significantly higher when topical and oral medications were used in combination than when topical medication was used alone. A low adherence level was shown in employed patients, those for whom their oral medication had not been effective and those with topical medication who had visited their hospital less often than once every six months. Conclusion: Patient adherence to therapy can be effectively improved by selecting highly effective medication while considering the prescription of topical and oral antifungal medications concomitantly, by carefully selecting a therapy plan for employed patients and by encouraging patients to visit their doctor regularly.

AB - Background: Adherence is defined as the extent to which a person’s behavior corresponds with recommendations from health care providers. Adherence to treatment is an important factor for a good therapeutic outcome. Objectives: This study aimed to examine the adherence of patients with tinea pedis and to clarify the factors related to it. Materials and methods: We assessed medication adherence for oral and topical drugs using a translated version of the Morisky Medication Adherence Scale-8 (MMAS-8) together with other background factors in 445 Japanese patients with tinea pedis, using a questionnaire in a web-based monitoring system. Results: Overall, high, medium and low adherence rates as assessed by MMAS-8 were 8.7%, 31.7% and 59.6% for oral medication, and 8.6%, 17.4% and 74.0% for topical medication, respectively. The adherence level was significantly higher for oral medication than for topical medication. Subgroup analyses showed that the adherence level for topical medication was significantly higher when topical and oral medications were used in combination than when topical medication was used alone. A low adherence level was shown in employed patients, those for whom their oral medication had not been effective and those with topical medication who had visited their hospital less often than once every six months. Conclusion: Patient adherence to therapy can be effectively improved by selecting highly effective medication while considering the prescription of topical and oral antifungal medications concomitantly, by carefully selecting a therapy plan for employed patients and by encouraging patients to visit their doctor regularly.

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