• Dr.Buddhi Raj Pandey
• Dr.Vikash Poudel
• Dr Sobhana Jha

BACKGROUND Patient adherence to treatment is important for successful treatment and compliance. Non-adherence is a serious problem and major preventable cause of dermatological morbidity. The objective of this study was to identify patients with treatment non-adherence and associated factors among chronic dermatological conditions. MATERIALS AND METHODS This was descriptive,cross-sectional study in 208 patients with chronic dermatological conditions attending dermatology OPDof National Medical College. Non-probability sampling technique was utilized for study. A preformed questionnaire form was given to the patients. Non-adherence was assessed using MMAS-8 and non-adherence was categorized accordingly. RESULTS Out of 208 respondents, majority were male (58.65%). Most of them (64.42%) were Hindus. One fourth of them were illiterate and 90% had low income. Non-adherence among patients were found due to factors related to patient, drugs and physicians. More than half of them used drugs not prescribed by any dermatologist, took error dosages and mistake in timing. The contributing factors were in-affordability (73.08%), poly pharmacy (74.52%), side effects (45.19%), inconvenience in application (75%), unavailability of dermatological health services (74.04%), excessive time taken (>4hrs) to reach for an appointment (48.12%), dissatisfaction with hospital services (25.96%). Similarly, doctor related factors were inaccessibility to doctor (14.42%), less times spent (42%), hostile attitude (13%), language barrier (49.04%) and incompetency (9.62%). The MMAS-8 score revealed the low adherence score. CONCLUSION The study revealed multiple factors contributed for treatment non adherence. Early identification of those factors could prevent non-adherence. A holistic approach close monitoring is required to deal with this issue and of the patient’s self-treatment.

Key Words: Adherence; Compliance; Chronic dermatological disorders; Non-adherence; Non-compliance

"Factors Associated With Non-adherence in Treatment of Chronic Dermatological Disorders", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 11, page no.623-632, November-2019, Available :http://www.jetir.org/papers/JETIR1912083.pdf

"Factors Associated With Non-adherence in Treatment of Chronic Dermatological Disorders", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 11, page no. pp623-632, November-2019, Available at : http://www.jetir.org/papers/JETIR1912083.pdf