Adherence, Medication Clinical Trial
Official title:
A Randomised Controlled Trial Assessing the Efficacy of Targeted Intervention for Topical Steroid Phobia.
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.
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.
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