Efficacy of Targeted Intervention for Topical Steroid Phobia.

Status Completed

Clinical Trial Summary

Topical steroids are an important component of treatment for many dermatological conditions, however 'Corticosteroid phobia' is a significant factor contributing to non adherence to prescribed therapy.

The primary aim of this study is to determine the effectiveness of targeted education, and involvement in a moderated social forum in reducing steroid phobia as assessed by the TOPICOP© score. Secondary objectives include determining if a decrease in TOPICOP© score correlates to an increase in compliance, or an improvement in quality of life.

Clinical Trial Description

Oral and topical steroids are commonly prescribed in the dermatological setting for its anti inflammatory property, for conditions ranging from eczematous disease, autoimmune disorders and many other primary dermatoses.

There is large evidence that topical steroids are safe in the long term when used appropriately, and the benefits of reducing skin inflammation outweigh their risks of skin atrophy and telangiectasia.

Topical corticosteroid phobia (TCS phobia) toward topical steroids is a significant factor contributing to non adherence. Much of this may be attributed to the excessive or exaggerated propagation of 'steroid phobia' messages from the internet, family/friends, and even medical professionals.

The TOPICOP© score is the first, and presently only score that is validated to explore TCS phobia. It consists of 12 items assessing three domains of TCS phobia, knowledge and beliefs, fears and behavior. Responses are graded with a 4 point Likert scale.

The primary aim of this study is to determine the effectiveness of targeted education, and involvement in a moderated social forum in reducing steroid phobia as assessed by the TOPICOP© score. Secondary objectives include determining if reduction in steroid phobia correlates to an increase in compliance, or an improvement in quality of life.

The investigators hypothesise that providing information directed at common misconceptions towards topical steroids will decrease steroid phobia, and that this would result in improved adherence and quality of life. Providing access to moderated forums with balanced views and information may also help to address concerns of patients. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03658252
Study type	Interventional
Source	National University Health System, Singapore
Contact
Status	Completed
Phase	N/A
Start date	October 1, 2018
Completion date	May 4, 2019

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT05546931` - Mobile Health Program for Rural Hypertension	N/A
Recruiting	`NCT04316715` - Life-Steps Counseling to Enhance Adherence and Engagement in PrEP Care	N/A
Active, not recruiting	`NCT04602468` - Real World Clinical Outcomes With Novel Modulator Therapy Combinations in People With CF (RECOVER)	Phase 4
Active, not recruiting	`NCT04588883` - Strengthening Families Living With HIV in Kenya	N/A
Enrolling by invitation	`NCT04676204` - Relationship Between Oral DMT Burden and Adherence in MS
Not yet recruiting	`NCT03807388` - ReMindCare App for Patients From First Episode of Psychosis Unit.	N/A
Completed	`NCT05168449` - The Impact of Pharmacist-led Mobile Application on Adherence in Chronic Kidney Disease Patients	N/A
Active, not recruiting	`NCT04612088` - Intervention for Multivitamin Adherence on Bariatric Patients	N/A
Completed	`NCT03958331` - Behavioral Economics and Adherence in Teens (BEAT!)	N/A
Completed	`NCT05233644` - Medication Adherence in Heart Failure After Hospitalisation
Completed	`NCT03837496` - Small-group, Virtual Program for Improving Symptoms and Distress Related to Hormonal Therapy for Breast Cancer Survivors	N/A
Recruiting	`NCT03683966` - MigALastat Therapy Adherence Among FABRY Patients: A Prospective Multicentral Observational Study
Withdrawn	`NCT04754867` - Pre-Test of For the Future Self and Smoking Cessation	N/A
Recruiting	`NCT05996094` - Antiretroviral Adherence and Drug-level Monitoring
Not yet recruiting	`NCT06056037` - Making ART Work Among Brazilian Youth	N/A
Completed	`NCT03842436` - Feasibility and Acceptability of Digital Pills to Monitor PrEP Adherence in MSM With Substance Use	Phase 4
Completed	`NCT03651596` - Leveraging mHealth Messaging to Promote Adherence in Teens With CKD	N/A
Completed	`NCT03081559` - Improving Engagement in HIV Care for High-risk Women	N/A
Recruiting	`NCT05515497` - BMT4me: Post-HSCT Medication Adherence mHealth App	N/A
Active, not recruiting	`NCT04065347` - Quantification of Tenofovir Alafenamide Adherence (QUANTI-TAF)

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.