Patients were required to have sufficient cognitive and linguistic abilities, in the opinion of their GP, to complete the study questionnaires on their own, and to provide informed consent. Women participating in clinical trials and those receiving an injectable learn more OSteoporosis treatment (intravenous bisphosphonates and teriparatide) were excluded, as well as patients with severe or progressive

diseases for whom the physician considered participation inappropriate. Data collection Two types of data were collected during the study. Cross-sectional data were collected at the time of the study and retrospective data were derived from the Thalès data. At the time of the study visit, the patients were handed an ADEOS questionnaire and an MMAS questionnaire to be completed PD0332991 on their own and returned to the study centre. Physicians completed an on-line Web-based case report form collecting data on patient demographics,

clinical history and current treatment (medication type, dose, frequency of administration). The physicians also rated whether they considered each patient to be adherent to treatment or not, using a six-point Likert scale (all of the time, most of the time, from time to time, rarely, never or no idea). Retrospective data retrieved from the Thalès database LDN-193189 mw provided information on treatment history and were used to calculate the

MPR. Information was also collected on the age, gender and size of practice of participating GPs to allow comparison with national norms. Development of the ADEOS questionnaire The ADEOS (ADherence Evaluation of OSteoporosis treatment) questionnaire was developed to determine adhesion to osteoporosis treatments. A Scientific Expert Committee was involved with the development of the questionnaire and was consulted between each stage of the development process to ensure the credibility and pertinence of the proposed next steps. The development of the questionnaire followed the following steps. The first step was an exploratory phase aimed at identifying themes potentially important 4��8C to include in the questionnaire. A review of the scientific literature allowed existing instruments for the evaluation of adherence or persistence with osteoporosis treatment to be identified, as well as other relevant concepts that may be interesting to include in the questionnaire. In parallel, a series of face-to-face semi-directive interviews were conducted by an experienced clinical psychologist with ten patients with post-menopausal osteoporosis and experience of treatment, who were proposed by two GPs and a rheumatologist.