Skip to main content

Advertisement

SpringerLink
Log in

Perception of accountability decreases with age: observations from a clinical study of patients with rosacea

  • SHORT REPORT
  • Published:
Archives of Dermatological Research Aims and scope Submit manuscript

Abstract

Patient adherence to medications usually increases with age, however, it can also be impacted by other factors. Accountability is a psychosocial construct that is defined as the expectation for an individual to account for their actions. Accountability may also influence patients’ motivation to adhere to their treatments. We assessed the relationship between age and perception of accountability as well as efficacy of interventions to improve accountability in a clinical study of 30 rosacea patients. Accountability was assessed using the validated Accountability Measurement Tool. Interventions to improve accountability included a digital interaction group and a digital skin analysis group. All patients were given ivermectin cream 1% and informed to apply it daily for 3-months. There was a negative association between age and AMT scores in all intervention groups, including the control group. Younger patients have a baseline greater perception of accountability that responded more to our interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Data availability

The data that support the findings of this study are available from the corresponding author, MKC, upon reasonable request.

References

  1. Gast A, Mathes T (2019) Medication adherence influencing factors—an (updated) overview of systematic reviews. Syst Rev [Internet]. 8:1–17. https://doi.org/10.1186/s13643-019-1014-8. (cited 2022 May 7)

    Article  Google Scholar 

  2. Kim SJ, Kwon OD, Han EB, Lee CM, Oh SW, Joh HK et al (2019) Impact of number of medications and age on adherence to antihypertensive medications: a nationwide population-based study. Medicine (United States) [Internet]. Lippincott Williams and Wilkins 98. https://journals-lww-com.wake.idm.oclc.org/md-journal/Fulltext/2019/12060/Impact_of_number_of_medications_and_age_on.3.aspx. Accessed 7 May 2022

  3. Cohen MJ, Shaykevich S, Cawthon C, Kripalani S, Paasche-Orlow MK, Schnipper JL (2012) Predictors of medication adherence post-discharge: the impact of patient age, insurance status and prior adherence. J Hosp Med [Internet]. NIH Public Access 7:470. /pmc/articles/PMC3575732/ (cited 2022 May 7)

  4. Oussedik E, Cline A, Su JJ, Masicampo EJ, Kammrath LK, Ip E et al (2019) Accountability in patient adherence. Patient Prefer Adherence [Internet]. Dove Press 13:1511. /pmc/articles/PMC6732501/ (cited 2022 May 7)

Download references

Funding

Galderma.

Author information

Authors and Affiliations

  1. Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157-1071, USA

    Madison K. Cook, Katherine A. Kelly, Patrick O. Perche, Rohan Singh, Irma Richardson & Steven R. Feldman

  2. Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Steven R. Feldman

  3. Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Steven R. Feldman

  4. Department of Dermatology, University of Southern Denmark, Odense, Denmark

    Steven R. Feldman

Authors
  1. Madison K. Cook
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Katherine A. Kelly
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Patrick O. Perche
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rohan Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Irma Richardson
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Steven R. Feldman
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors reviewed the manuscript. MC wrote the manuscript. MC, KK, PO, and RS helped with data collection, patient recruitment, and data analysis. MC, KK, and SF helped with editing the manuscript. SF and IR helped with the study design and idea creation.

Corresponding author

Correspondence to Madison K. Cook.

Ethics declarations

Conflict of interest

The authors declare the following potential conflicts. Dr. Steven Feldman has received research, speaking and/or consulting support from a variety of companies including Galderma, GSK/Stiefel, Almirall, Leo Pharma, Baxter, Boeringer Ingelheim, Mylan, Celgene, Pfizer, Valeant, Taro, Abbvie, Cosmederm, Anacor, Astellas, Janssen, Lilly, Merck, Merz, Novartis, Regeneron, Sanofi, Novan, Parion, Qurient, National Biological Corporation, Caremark, Advance Medical, Sun Pharma, Suncare Research, Informa, UpToDate and National Psoriasis Foundation. He is founder and majority owner of www.DrScore.com and founder and part owner of Causa Research, a company dedicated to enhancing patients’ adherence to treatment. Madison K. Cook, Katherine A. Kelly, Patrick O. Perche, Rohan Singh, and Irma Richardson have no conflicts of interest to report.

IRB approval status

Reviewed and approved by Wake Forest IRB; approval # IRB00062694.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cook, M.K., Kelly, K.A., Perche, P.O. et al. Perception of accountability decreases with age: observations from a clinical study of patients with rosacea. Arch Dermatol Res 315, 1809–1811 (2023). https://doi.org/10.1007/s00403-023-02531-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00403-023-02531-7

Keywords

Search

Navigation