Oral and written counseling is a useful instrument to improve short-term adherence to treatment in acne patients: a randomized controlled trial

Navarrete‐Dechent, Cristián; Curi-Tuma, Maximiliano; Nicklas, Claudia; Cárdenas, Consuelo; Pérez-Cotapos, María Luisa; Salomone, Claudia

doi:10.5826/dpc.0504a04

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…For effective patient education and counselling on the treatment of chronic disease, various means of information such as reading materials, videos, and reminders may be utilized [ 21 – 23 ]. Recent studies have shown that written counselling significantly improved adherence in acne patients [ 24 ]. Moreover, evidence from an observational study has shown that A/BPO gel leads to good treatment adherence for the majority of patients [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Use of Supplementary Patient Education Material Increases Treatment Adherence and Satisfaction Among Acne Patients Receiving Adapalene 0.1%/Benzoyl Peroxide 2.5% Gel in Primary Care Clinics: A Multicenter, Randomized, Controlled Clinical Study

Myhill¹,

Coulson

Nixon³

et al. 2017

Dermatol Ther (Heidelb)

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IntroductionPoor adherence to acne treatment may lead to unnecessary treatments, increased healthcare costs, and reduced quality of life (QoL). This multicenter study evaluated the effect of supplementary patient education material (SEM) (a short video, information card, and additional information available online) on treatment adherence and satisfaction among acne patients treated with the fixed-dose combination adapalene 0.1%/benzoyl peroxide 2.5% gel (A/BPO) in primary care clinics versus (1) standard-of-care patient education (SOCPE) (package insert and oral instruction) and (2) SOCPE plus more frequent clinic visits.MethodsSubjects with acne were randomized to receive once-daily A/BPO for 12 weeks plus (1) SEM in addition to SOCPE; (2) SOCPE only with two additional visits; or (3) SOCPE only. Other assessments included a subject appreciation questionnaire, a physician questionnaire, and safety.ResultsNinety-seven subjects were enrolled. At baseline, most (87.6%) had mild to moderate acne. Better adherence was observed in the A/BPO + SEM group compared with A/BPO + more visits or A/BPO alone [mean 63.1%, 48.2% (p = 0.0206), and 56.5%, respectively]. The A/BPO + SEM group had more subjects with greater than 75% adherence (45%, 30.4%, and 25%, respectively). According to the subject appreciation questionnaire, the SEM was more helpful to adhere to treatment (56.7%) versus more visits (32.3%) and A/BPO alone (15.2%), better use the product (70%, 61.3%, and 54.5%, respectively), and better manage skin irritation (53.3%, 48.4%, and 36.4%, respectively). All physicians were satisfied with the SEM and 90% would consider using it in their practice. Safety assessment showed fewer treatment-related adverse events in the A/BPO + SEM group.ConclusionUse of the SEM may increase adherence of acne patients treated with once-daily A/BPO gel in primary care, consequently improving treatment and QoL in the long term.FundingNestle Skin Health-Galderma R&D.Trial RegistrationClinicalTrials.gov Identifier: NCT02307266.

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Section: Discussionmentioning

confidence: 99%

Use of Supplementary Patient Education Material Increases Treatment Adherence and Satisfaction Among Acne Patients Receiving Adapalene 0.1%/Benzoyl Peroxide 2.5% Gel in Primary Care Clinics: A Multicenter, Randomized, Controlled Clinical Study

Myhill¹,

Coulson

Nixon³

et al. 2017

Dermatol Ther (Heidelb)

View full text Add to dashboard Cite

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“…Non‐adherence to medicines is also a significant contributor to poor patient outcomes, with up to 15% of adverse drug events relating to non‐adherence . Patient counselling when starting new medicines has been shown to improve patient safety, medication adherence, and patient satisfaction . In addition to improving outcomes there is an ethical and legal requirement for patients to be informed about care .…”

Section: Introductionmentioning

confidence: 99%

“…Studies highlight specific deficiencies in the communication of medicine name, indication for use, how to take the medicine and adverse effects . These deficiencies can be improved with the use of written information for patients . Written medicines information is most effective when combined with verbal counselling and is less effective when used alone as a ‘handout’ …”

Section: Introductionmentioning

confidence: 99%