Patterns of dosage regimen instructions regarding topical medicines: how is the information perceived by patients?

BACKGROUND: The communication of dosage regimen instructions by physicians is of utmost importance on treatment adherence. Few studies until now have approached the topical treatment adherence subject. OBJECTIVE: This study aims the characterization of dosage regimen instructions given by physicians and the assessment of chronic dermatological patients' perception regarding these instructions. METHODS: Two instruments one for physicians (PHYSDOSAGE) and one for patients (PATIENTDOSAGE) were developed and applied in a cross-sectional, descriptive and exploratory study to two independent samples composed by 91 physicians and 43 patients. RESULTS: Most of physicians reported to provide dosage regimen instructions. When cross checking information from both studied samples, physicians and patients, it was concluded that physicians reported to provide more frequently oral and written treatment instructions, e.g. electronic prescription, than patients reported having received it. Also, physicians claimed to often provide information about the duration of treatment and the frequency of topical medicines' application, which was not acknowledged by patients. CONCLUSIONS: Contradictory results were found between the physicians' information input and the patients' perception about dosage regimen instructions provided during the consultation. These findings could negatively influence the treatment adherence and the clinical outcomes. Thus, it is of paramount importance the implementation of strategies to improve optimal communication of dosage regimen instructions for topical medicines.

Cyber and Offline Dating Abuse in a Portuguese Sample: Prevalence and Context of Abuse.

The increasing use of information and communication technologies (ICT) and networking has promoted the occurrence of different forms of victimization, specifically in terms of interpersonal interaction (e.g., cyberbullying or online risk-taking behaviour), which also includes cyber dating abuse (CDA). Some studies report that CDA is an extension of offline dating abuse (ODA). Because Portuguese studies in this area are scarce, this study aims to bridge this knowledge gap, seeking to investigate the extent and the context of CDA occurrence, and the relationship between CDA and all forms of ODA, i.e., physical, verbal-emotional and control. A convenience sample of 173 Portuguese adolescents and young adults was studied. This sample is mostly female (86.7%), has a mean (M) age of 25.36 years old and a standard deviation (SD) of 6.88 years of age. The results show that CDA and ODA among the Portuguese are very prevalent and related. Control (31.8 vs. 20.8%) and verbal-emotional ODA (26.7 vs. 20.2%) as well as control CDA (38.2 vs. 43.4%) were the most prevalent forms of abuse, either in terms of victimization or in terms of perpetration. The results also showed that CDA usually appears in a context of jealousy, also explaining control CDA and CDA direct aggression. A significant relationship between control CDA and CDA direct aggression and physical, verbal-emotional and control ODA was found. Experiencing control and verbal-emotional ODA are the main risk factors of control CDA victimization. This study allows to lay the groundwork for further research on dating victimization and perpetration through ICT, and has important practical implications at the level of Portuguese prevention strategies and intervention policies, thus emphasizing the role of the official authorities and the law itself.

Psychopathological Symptoms and Loneliness in Adult Internet Users: A Contemporary Public Health Concern.

There are different concepts that translate abusive Internet use. Almost all these concepts converge on excessive time spent online, which can trigger the emergence of problematic situations. Most of the studies reported in the literature, both nationally and internationally, focused on a young population and found negative consequences of this Internet misuse. The objective of this study consists of associating the time spent using the Internet-in years, times per week, and hours per day-with psychopathological symptoms, as well as assessing the perception of loneliness, in an adult Portuguese population. A quantitative approach, based on a survey application, was conducted in a convenience sample composed by 418 participants (64.4% female), with a mean age of 29.9 years old (SD = 9.26), ranging from 18 to 73 years. The results suggest that maladaptive patterns of Internet use found in young people seem to be replicated in the adult population. A relationship between time spent on the Internet and psychopathological symptoms, and an association between loneliness and the number of hours spent on the Internet, were also identified. In an individualized and disconnected offline world, Internet impact in individuals' well-being results must be highlighted, since it should be understood as a public health issue. The novelty of this study lies in the target population: Portuguese Internet users over 18 years of age, for which there is no specific study on the subject, thus emphasizing the transverse nature of the problem.