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Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne

Background and Objectives: Acne, an inflammatory disorder of the pilosebaceous unit associated with both physiological and psychological morbidities, should be considered a chronic disease. The application of self-regulation theory and therapeutic patient education has been widely utilized in differ...

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Autores principales: Liu, Yi-Shan, Lu, Nan-Han, Shieh, Po-Chuen, Sun, Cheuk-Kwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353865/
https://www.ncbi.nlm.nih.gov/pubmed/32512875
http://dx.doi.org/10.3390/medicina56060276
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author Liu, Yi-Shan
Lu, Nan-Han
Shieh, Po-Chuen
Sun, Cheuk-Kwan
author_facet Liu, Yi-Shan
Lu, Nan-Han
Shieh, Po-Chuen
Sun, Cheuk-Kwan
author_sort Liu, Yi-Shan
collection PubMed
description Background and Objectives: Acne, an inflammatory disorder of the pilosebaceous unit associated with both physiological and psychological morbidities, should be considered a chronic disease. The application of self-regulation theory and therapeutic patient education has been widely utilized in different health-related areas to help patient with a chronic disease to attain better behavioral modification. The present study aims at investigating the treatment efficacy of combining a self-regulation-based patient education module with mobile application in acne patients. Materials and Methods: This was one-grouped pretest–posttest design at a single tertiary referral center with the enrollment of 30 subjects diagnosed with acne vulgaris. Relevant information was collected before (week 0) and after (week 4) treatment in the present study, including the Acne Self-Regulation Inventory (ASRI), Cardiff Acne Disability Index (CADI), and Dermatology Life Quality Index (DLQI) that involved a questionnaire-based subjective evaluation of the patient’s ability in self-regulation and quality of life as well as clinical Acne Grading Scores (AGS) that objectively assessed changes in disease severity. To reinforce availability and feasibility, an individualized platform was accessible through mobile devices for real-time problem solving between hospital visits. Results: Thirty subjects completed the designed experiment. An analysis of the differences between scores of pretest and posttest of ASRI demonstrated substantial elevations (p < 0.001). The questionnaire survey of CADI and DLQI dropped significantly after the application of a self-regulation-based patient education module with a mobile application, revealing substantial reductions in both parameters (p < 0.001). The sign test demonstrated a remarkably significant difference in AGS (Z = −7.38, p < 0.001), indicating notable improvement in the clinical severity of acne after treatment. Conclusions: After incorporating modern mobile application, a self-regulation-based therapeutic patient education module could significantly improve treatment outcomes among acne patients.
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spelling pubmed-73538652020-07-21 Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne Liu, Yi-Shan Lu, Nan-Han Shieh, Po-Chuen Sun, Cheuk-Kwan Medicina (Kaunas) Article Background and Objectives: Acne, an inflammatory disorder of the pilosebaceous unit associated with both physiological and psychological morbidities, should be considered a chronic disease. The application of self-regulation theory and therapeutic patient education has been widely utilized in different health-related areas to help patient with a chronic disease to attain better behavioral modification. The present study aims at investigating the treatment efficacy of combining a self-regulation-based patient education module with mobile application in acne patients. Materials and Methods: This was one-grouped pretest–posttest design at a single tertiary referral center with the enrollment of 30 subjects diagnosed with acne vulgaris. Relevant information was collected before (week 0) and after (week 4) treatment in the present study, including the Acne Self-Regulation Inventory (ASRI), Cardiff Acne Disability Index (CADI), and Dermatology Life Quality Index (DLQI) that involved a questionnaire-based subjective evaluation of the patient’s ability in self-regulation and quality of life as well as clinical Acne Grading Scores (AGS) that objectively assessed changes in disease severity. To reinforce availability and feasibility, an individualized platform was accessible through mobile devices for real-time problem solving between hospital visits. Results: Thirty subjects completed the designed experiment. An analysis of the differences between scores of pretest and posttest of ASRI demonstrated substantial elevations (p < 0.001). The questionnaire survey of CADI and DLQI dropped significantly after the application of a self-regulation-based patient education module with a mobile application, revealing substantial reductions in both parameters (p < 0.001). The sign test demonstrated a remarkably significant difference in AGS (Z = −7.38, p < 0.001), indicating notable improvement in the clinical severity of acne after treatment. Conclusions: After incorporating modern mobile application, a self-regulation-based therapeutic patient education module could significantly improve treatment outcomes among acne patients. MDPI 2020-06-04 /pmc/articles/PMC7353865/ /pubmed/32512875 http://dx.doi.org/10.3390/medicina56060276 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Yi-Shan
Lu, Nan-Han
Shieh, Po-Chuen
Sun, Cheuk-Kwan
Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne
title Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne
title_full Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne
title_fullStr Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne
title_full_unstemmed Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne
title_short Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne
title_sort combination of a self-regulation module and mobile application to enhance treatment outcome for patients with acne
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353865/
https://www.ncbi.nlm.nih.gov/pubmed/32512875
http://dx.doi.org/10.3390/medicina56060276
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