Understanding of chemoprophylaxis and concordance in inflammatory bowel disease

Table 1 The percentage of patients who agreed with three proposed methods of improving concordance with chemoprophylaxis

Proposed method to improve concordance	Agree (%)	Disagree (%)
Given evidence 5-ASA/UDCA reduces CRC risk	94	6
Once a day preparation	92	8
Clear explanation from Health Professional	87	13

5-ASA: 5-aminosalicylic acid; UDCA: Ursodeoxycholic acid; CRC: Colorectal carcinoma.

Table 2 Some comments written by patients, including possible reasons for poor concordance and suggestions for improving concordance

Difficult to remember when feeling well. Reminders would be useful

Unaware of reasons for taking the medication

Need reassurance regarding side effects

Full explanation, counselling and education on condition

Newsletters and workshops on developments in research and treatment

Re-enforcement about why on treatment when it has been started and stopped in the past

Unfortunately you cannot teach common sense if they do not stick to the prescribed dose there is not a lot you can do

Smaller, easier to take tablets