Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey
Date Submitted: Dec 31, 2018
Open Peer Review Period: Jan 1, 2019 - Feb 26, 2019
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.