Enhancing adherence through education.
The treatment of multiple sclerosis (MS) has advanced greatly since the introduction of disease-modifying therapies (DMTs) in the early 1990s. Although the DMTs have exhibited significant efficacy in relapsing-remitting MS and other forms of the disease, the degree of benefit depends heavily on patient adherence to recommended regimens. This article addresses some of the most pressing areas of unmet need in educating advanced-practice nurses, neurologists, patients, and support care partners regarding strategies that can overcome obstacles to adherence. The observations presented here are based on clinical experience with real-life cognitive, psychosocial, and cultural impediments to adherence. The article also explores the ways in which adherence may be affected by emerging therapies for MS (such as oral agents) as well as the educational needs that will arise with the further evolution of MS care.
Ft. Lauderdale MS Center, Pompano Beach, FL, USA. jsmrtka.fusionhealth@gmail.com
Jennifer
J
Smrtka
Christina
C
Caon
Carol
C
Saunders
Brenda L
BL
Becker
Nancy
N
Baxter
D000223:Adaptation, Psychological; D000284:Administration, Oral; D057179:Advanced Practice Nursing / Q000193:education / Q000458:organization & administration; D018501:Antirheumatic Agents / Q000627:therapeutic use*; D003142:Communication; D004645:Empathy; D005190:Family / Q000523:psychology; D006293:Health Promotion / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D007279:Injections, Subcutaneous / Q000009:adverse effects / Q000451:nursing / Q000523:psychology; D055118:Medication Adherence / Q000523:psychology*; D009103:Multiple Sclerosis / Q000188:drug therapy / Q000451:nursing / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D010353:Patient Education as Topic / Q000458:organization & administration*; D012944:Social Support
D018501:Antirheumatic Agents