Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Monday, March 11, 2019 at 4:00 PM to 4:30 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?


Currently submitted to: Interactive Journal of Medical Research

Date Submitted: Dec 31, 2018
Open Peer Review Period: Jan 1, 2019 - Feb 3, 2019
(closed for review but you can still tweet)

NOTE: This is an unreviewed Preprint

Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note “no longer under consideration” will appear above).

Peer-review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a “Peer-Review Me” button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.

Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).

Final version: If our system detects a final peer-reviewed “version of record” (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.

Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.

Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.

Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey

  • Kathryn Volpicell Leonard; 
  • Courtney Robertson; 
  • Amrita Bhowmick; 
  • Leslie Beth Herbert


Approximately 50% of patients are nonadherent to prescribed medications. Patient perception regarding medication effectiveness has been linked to better adherence. However, how patients perceive effectiveness is poorly understood.


We aimed to elucidate factors associated with perceived treatment satisfaction and effectiveness among patients with chronic health conditions.


We conducted an online survey of participants with migraine, multiple sclerosis (MS), or rheumatoid arthritis (RA). Descriptive statistics, correlations, and comparison tests were used to examine outcomes.


Data were collected from 1,820 patients: 567 with migraine, 717 with MS, and 536 with RA. The majority of participants were female (90.9%), >40 years old (79.9%), and diagnosed >5 years ago (65.2%). Treatment satisfaction and perceived medication effectiveness were highly correlated (r = 0.90, P < .0001). Three temporal factors were positively correlated with satisfaction and perceived effectiveness: time on current medication (satisfaction rs = 0.22, P < .0001; effectiveness rs = 0.25, P < .0001); time since diagnosis (satisfaction rs = 0.07, P = .004; effectiveness rs = 0.09, P =.0003); and time on treatment (effectiveness rs = 0.08, P = .002).


Findings validated the strong relationship between treatment satisfaction and perceived effectiveness. Understanding the (1) positive relationship between “time” and treatment satisfaction and effectiveness and (2) factors associated with determining medication effectiveness can help clinicians better understand the mindset of patients in regard to treatment. Clinicians may be better prepared to elicit patient beliefs, which influence adherence to medication for people diagnosed with chronic health conditions.


Please cite as:

Leonard KV, Robertson C, Bhowmick A, Herbert LB

Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey

JMIR Preprints. 31/12/2018:13029

DOI: 10.2196/preprints.13029


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.