Pawin Henry, Beylot Claire, Chivot Martine, Faure Michel, Poli Florence, Revuz Jean, Dréno Brigitte
Cabinet privé, Paris, France.
Dermatology. 2009;218(1):26-32. doi: 10.1159/000165628. Epub 2008 Oct 22.
Acne is a disorder in which adherence has a major impact on treatment outcome.
To create an easy-to-use tool to assess treatment adherence, based on a questionnaire that can be used on a daily basis by dermatologists.
First, we evaluated adherence by comparing responses to a self-administered questionnaire with the dermatologist's prescription. Second, concordance was assessed between adherence and each question of a dermatologist-directed questionnaire (DDQ) administered during the consultation. Third, DDQ questions were combined to construct a mini-questionnaire, and these combinations were tested to maximize specificity.
The study included 246 patients, who were prescribed topical treatment alone, combined treatment (excluding oral isotretinoin) or oral isotretinoin alone. The mini-questionnaires for oral and topical treatments had 89% specificity for detecting poor adherence. An inappropriate answer to one question classified the patient as a probable poor compliance.
Our mini-questionnaires provide dermatologists with specific tools to rapidly identify poor compliance.
痤疮是一种治疗依从性对治疗结果有重大影响的疾病。
基于皮肤科医生可每日使用的问卷，创建一种易于使用的工具来评估治疗依从性。
首先，我们通过将自我管理问卷的回答与皮肤科医生的处方进行比较来评估依从性。其次，评估在咨询期间给予的皮肤科医生指导问卷（DDQ）的依从性与每个问题之间的一致性。第三，将DDQ问题进行组合以构建一个迷你问卷，并对这些组合进行测试以最大化特异性。
该研究纳入了246名患者，他们分别接受单独的局部治疗、联合治疗（不包括口服异维A酸）或单独的口服异维A酸治疗。口服和局部治疗的迷你问卷在检测依从性差方面具有89%的特异性。对一个问题的不恰当回答将患者归类为可能依从性差。
我们的迷你问卷为皮肤科医生提供了快速识别依从性差的特定工具。
