Adherence to immune-mediated inflammatory diseases (IMIDs) treatment is essential to optimize treatment outcomes. Improving patient’s adherence is crucial to understand the balance between pts beliefs (need for medication) and potential side effect´s concerns. Objective of ALIGN study was to describe beliefs and concerns of pts with chronic IMIDs, towards their systemic medication (TNFis and/or conventional treatment). We report results of ALIGN study for overall population and Portuguese subpopulation.Adherence to immune-mediated inflammatory diseases (IMIDs) treatment is essential to optimize treatment outcomes. Improving patient’s adherence is crucial to understand the balance between pts beliefs (need for medication) and potential side effect´s concerns. Objective of ALIGN study was to describe beliefs and concerns of pts with chronic IMIDs, towards their systemic medication (TNFis and/or conventional treatment). We report results of ALIGN study for overall population and Portuguese subpopulation.Methods: Cross-sectional, multi-country, non-interve