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Multiple sclerosis patients and e-health system in Saudi Arabia

Multiple sclerosis patients and e-health system in Saudi Arabia Multiple sclerosis (MS) is a chronic autoimmune neurological disease. Disease-modifying therapies (DMTs) are mainstay lifelong treatment with no immediate benefits observed. Adherence to treatment is necessary, however, non-adherence is common problem in MS patients. This paper aims to evaluate patient-related factors and satisfactions affecting medication adherence in Saudi MS patients and their rights to discontinue them against medical advice.Design/methodology/approachIn total, 409 patients diagnosed with MS, using self-administered DMT (oral and injectable), were randomly enrolled in a cross-sectional study. Electronic questionnaire was used in data collection.FindingsMost participants (71.1%) did not know about their MS type. Average age of participants when diagnosed with MS was 27.9 ± 8 years (range 7–69), mean disease duration was 8.1 ± 6.6. Most patients received injectable therapy 363 (88%). Overall adherence in our sample was 67%. Age of participants and duration of disease had no impact on treatment adherence. No significant differences found between genders, educational level, marital status, and smoking in relation to treatment adherence. Route of administration did not reach statistical significance despite a higher percentage of adherence reported in patients on oral DMT [33% (n = 15)] versus injectable therapy [29% (n = 104)]. Conversely, there was significant difference between adherent and non-adherent patients according to anxiety (p = 0.002) and family history of MS (p = 0.011).Originality/valueThe results revealed that the age of the participants and the duration of the disease had no impact on adherence to treatment. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Human Rights in Healthcare Emerald Publishing

Multiple sclerosis patients and e-health system in Saudi Arabia

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References (42)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2056-4902
eISSN
2056-4902
DOI
10.1108/ijhrh-01-2021-0007
Publisher site
See Article on Publisher Site

Abstract

Multiple sclerosis (MS) is a chronic autoimmune neurological disease. Disease-modifying therapies (DMTs) are mainstay lifelong treatment with no immediate benefits observed. Adherence to treatment is necessary, however, non-adherence is common problem in MS patients. This paper aims to evaluate patient-related factors and satisfactions affecting medication adherence in Saudi MS patients and their rights to discontinue them against medical advice.Design/methodology/approachIn total, 409 patients diagnosed with MS, using self-administered DMT (oral and injectable), were randomly enrolled in a cross-sectional study. Electronic questionnaire was used in data collection.FindingsMost participants (71.1%) did not know about their MS type. Average age of participants when diagnosed with MS was 27.9 ± 8 years (range 7–69), mean disease duration was 8.1 ± 6.6. Most patients received injectable therapy 363 (88%). Overall adherence in our sample was 67%. Age of participants and duration of disease had no impact on treatment adherence. No significant differences found between genders, educational level, marital status, and smoking in relation to treatment adherence. Route of administration did not reach statistical significance despite a higher percentage of adherence reported in patients on oral DMT [33% (n = 15)] versus injectable therapy [29% (n = 104)]. Conversely, there was significant difference between adherent and non-adherent patients according to anxiety (p = 0.002) and family history of MS (p = 0.011).Originality/valueThe results revealed that the age of the participants and the duration of the disease had no impact on adherence to treatment.

Journal

International Journal of Human Rights in Healthcare – Emerald Publishing

Published: Apr 12, 2022

Keywords: Saudi Arabia; Adherence; Treatment; Ehealth; Multiple sclerosis

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