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ESPERIENZE DERMATOLOGICHE

A Journal on Dermatology


Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
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Esperienze Dermatologiche 2016 September-December;18(3-4):178-82

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: Italian

Flashcard esplicative per favorire la compliance di pazienti con acne trattati con adapalene 0,1%/benzoil-perossido 2,5%

Gabriella FABBROCINI, Marianna DONNARUMMA, Giuseppe RUSSO, Giuseppe MONFRECOLA

Division of Clinical Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy


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BACKGROUND: Acne is a common skin disease affecting approximately up to 85% of 11- to 30-year-olds, and it has a considerable psychosocial impact. Several therapies are currently available to treat it, but since they are usually long-term, compliance is often poor. Fixed combinations (such as benzoyl peroxide and adapalene) can target more pathogenic factors than individual monotherapies, and they are also easier to apply compared to two separated medications. However, both adapalene and benzoyl peroxide may alter the integrity of the skin barriers, thus causing erythema, dryness and peeling. This may have an impact on compliance.
METHODS: Sixty patients with mild to severe acne were enrolled in this open randomized prospective pilot study at our acne-specific outpatient service. Patients were randomly allocated in a 1:1 ratio to two groups. In the first group (the flashcard group), patients received on their mobile informative flashcards illustrating the temporary side effects of the drugs administered and providing instructions about the management of side effects and the application of the product. In the second group (control group), the patients were administered the same therapy but received no flashcards. Before starting the study and at 12 weeks, the following evaluation tools were used: digital photographs, Global Acne Grading System, Dermatology Life Quality Index, Cardiff Acne Disability Index, Patient-Doctor Depth-of-Relationship Scale, and compliance self-reporting (in days/week).
RESULTS: Our results suggest that correct information and efficient communication with patients by using tools such as electronic flashcards is a good strategy to improve adherence to therapy.
CONCLUSIONS: Patients who get adequately informed with electronic flashcards about the possible side effects of the therapy they are being administered tend to have better compliance and, consequently, better therapeutic outcomes.

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Fabbrocini G, Donnarumma M, Russo G, Monfrecola G. Flashcard esplicative per favorire la compliance di pazienti con acne trattati con adapalene 0,1%/benzoil-perossido 2,5%. Esperienze Dermatol 2016 September-December;18(3-4):178-82. 

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