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Adherence, the Fourth Dimension in the Geometry of Dermatological Treatment
Bridgit V. Nolan, BA;
Steven R. Feldman, MD, PhD
Arch Dermatol. 2009;145(11):1319-1321.
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In this issue of the Archives, Armstrong et al1 describe a fascinating study that used electronic monitors to determine the effect of text message reminders on sunscreen use. Armstrong et al1 document that even people who know they are being monitored do not use their sunscreen well. Their study has profound implications for how we view our patients' use of sunscreen and other treatments.
When considering how patients respond to our recommendations, there may be a tendency to think in 3 dimensions. These dimensions include the treatment plan, the patient's disease, and how these 2 entities interact over time. When patients are not responding to treatment as expected, we often think their disease must be recalcitrant and that a different treatment is needed. When there are more adverse effects than usual, we conclude that the medication must be particularly irritating . . . [Full Text of this Article]
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RELATED ARTICLE
Text-Message Reminders to Improve Sunscreen Use: A Randomized, Controlled Trial Using Electronic Monitoring
April W. Armstrong, Alice J. Watson, Maryanne Makredes, Jason E. Frangos, Alexandra B. Kimball, and Joseph C. Kvedar
Arch Dermatol. 2009;145(11):1230-1236.
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