{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T02:10:08Z","timestamp":1769652608497,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background\/Purpose<\/jats:title>\n Phototherapy has a long history in dermatology, but studies on patient adherence are scarce. Existing research mainly covers secondary adherence, lacking data on primary adherence. This study investigates factors influencing primary and secondary treatment adherence in phototherapy patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study was conducted at Ankara University's Department of Dermatology. While investigating compliance with primary adherence, sociodemographic, disease\u2010related characteristics, and reasons for rejection of patients who refused treatment were noted. Secondary compliance was investigated by following the patients who accepted the treatment; additionally, treatment\u2010related factors and center\u2010related aspects were questioned.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Higher education and income levels correlated with better primary treatment adherence. Longer travel distances and durations reduced adherence. Adherence was lowest among psoriasis patients. Longer disease duration, particularly over 10\u2009years, increased rejection rates. Disease in exposed areas increased primary adherence; conversely, facial involvement decreased secondary adherence. Higher life quality scores correlated with better primary but lower secondary adherence. Being treatment\u2010naive or appearance\u2010focused increased primary adherence. Irregular past topical\/systemic treatments reduced primary\/secondary adherence. Distance and work\u2010related issues were common refusal reasons. Side effects occurred in 19.2%: hyperpigmentation\/lentigo (9.6%), erythema (5.8%), and dryness\/itching (4.8%). Treatment adherence rates were 63.8% (primary), 91.3% (secondary), and 53% (overall).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n According to our understanding, this is the first study in the literature investigating primary treatment adherence in phototherapy. With its prospective design, the study also facilitated the collection of follow\u2010up data and covers various indications, offering insights into factors enhancing treatment compliance and success in phototherapy patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/phpp.70069","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T04:44:40Z","timestamp":1766205880000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Phototherapy Adherence Among Patients With Different Indications"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0722-2661","authenticated-orcid":false,"given":"Kaan","family":"G\u00fcnd\u00fcz","sequence":"first","affiliation":[{"name":"Department of Dermatology Ankara University Faculty of Medicine Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nihal","family":"Kundakc\u0131","sequence":"additional","affiliation":[{"name":"Department of Dermatology Ankara University Faculty of Medicine Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2010.05.004"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15913"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.22.2880"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2016.1181256"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-0073"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2016.05.007"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.113944"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2014.07.046"},{"issue":"4","key":"e_1_2_10_10_1","first-page":"198","article-title":"Phototherapy Treatment Guideline","volume":"18","author":"Turkish Society of Dermatology","year":"2018","journal-title":"Turkish Journal of Dermatology"},{"issue":"8","key":"e_1_2_10_11_1","first-page":"426","article-title":"Primary Nonadherence to Medications in an Integrated Healthcare Setting","volume":"18","author":"Shin J.","year":"2012","journal-title":"American Journal of Managed Care"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.140.4.408"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.5070\/D3242038188"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000018390"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2009.382"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S230921"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(99)80057-7"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.13377"},{"issue":"23","key":"e_1_2_10_19_1","first-page":"11294","article-title":"Analysis of Treatment Adherence in Patients Undergoing Phototherapy","volume":"27","author":"O\u011fuz I. 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