Open AccessThe Development of a Screening Tool to Identify and Classify Nonadherence in Inflammatory Bowel Disease
Author(s) -
Aria Zand,
AnhThu Nguyen,
Zack Stokes,
Welmoed K. van Deen,
Courtney Reynolds,
M Dimitrova,
Ariela Khandadash,
Miriam Dvorsky,
Jenny Sauk,
Eric Esrailian,
Daniël W. Hommes
Publication year - 2019
Publication title -
crohn's and colitis 360
Language(s) - English
Resource type - Journals
ISSN - 2631-827X
DOI - 10.1093/crocol/otz035
Subject(s) - medicine , inflammatory bowel disease , psychological intervention , disease , inflammatory bowel diseases , intensive care medicine , psychiatry
Background Medication nonadherence is a challenge in chronic disease management. Tools that can both determine adherence levels and analyze patient-specific reasons for nonadherence are lacking. Methods Our tool was developed using 23 patient-reported items and its predictive performance was compared with the most widely used instrument in the literature. Results One hundred thirty-three IBD patients were included, 44 (33%) were nonadherent and 89 (67%) were adherent. Our screening question, with 87% sensitivity and 64% specificity, was followed by a 9-item survey for patients qualified as nonadherent. Conclusions Quantifying reasons for nonadherence can lead to more effective and personalized interventions for nonadherent patients.