title: Medical adherence to intranasal corticosteroids in adult patients.
abstract: BACKGROUND
  The adherence to medical treatment in allergic rhinitis is poorly evaluated in clinical practice.
  
  
  OBJECTIVE
  To evaluate adherence to intranasal corticosteroids in the treatment of allergic rhinitis patients.
  
  
  METHODS
  This prospective study was conducted on adult patients who were admitted to the outpatient clinic of the otolaryngology department tertiary hospital. Patients diagnosed with moderate to severe persistent AR and who had not used any nasal sprays were enrolled in the study. The patients were provided with mometasone furoate nasal sprays. On the 30th day, all participants filled out a questionnaire regarding the factors that may have influenced their adherence to the treatment. Afterwards, each patient filled out the Turkish-language-validated Morisky Medical Adherence Scale (MMAS-8) form. Each factor that may have affected adherence to the prescribed medication was evaluated according to the MMAS-8 score and all variables were analyzed statistically.
  
  
  RESULTS
  Fifty-nine adult patients with a mean age of 32.5 years (range 21-52 years) were included in the study. The mean overall MMAS-8 score was 3.64. Two factors were significantly related to low adherence: number of dependent children (p=0.001) and benefit from the medication (p=0.001). In addition, patients with higher education levels seemed to be more adherent than the rest of the group.
  
  
  CONCLUSIONS
  Clinicians must keep in mind the factors related to non-adherence in order to achieve better treatment outcomes. Therefore, based on our results, patients must be informed that medications should be taken properly regardless of the benefit, and the treatment should be scheduled with respect to daily activities, particularly for patients caring for more than two children.
authors.affiliation: Kecioren Training and Research Hospital, Department of Otorhinolaryngology, Ankara, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Ocak
authors.affiliation: Kecioren Training and Research Hospital, Department of Otorhinolaryngology, Ankara, Turkey. Electronic address: drbaranacar@gmail.com.
authors.forename: Baran
authors.initials: B
authors.lastname: Acar
authors.affiliation: Kecioren Training and Research Hospital, Department of Otorhinolaryngology, Ankara, Turkey.
authors.forename: Deniz
authors.initials: D
authors.lastname: Kocaöz
mesh_terms: D000281:Administration, Intranasal; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D059085:Nasal Sprays; D011446:Prospective Studies; D065631:Rhinitis, Allergic / Q000188:drug therapy*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D059085:Nasal Sprays
keywords: Adesão; Adherence; Allergic rhinitis; Corticosteroides intranasais; Intranasal corticosteroids; Rinite alérgica; Tratamento; Treatment