PMID- 32512875
OWN - NLM
STAT- MEDLINE
DCOM- 20210210
LR  - 20231111
IS  - 1648-9144 (Electronic)
IS  - 1010-660X (Print)
IS  - 1010-660X (Linking)
VI  - 56
IP  - 6
DP  - 2020 Jun 4
TI  - Combination of a Self-Regulation Module and Mobile Application to Enhance 
      Treatment Outcome for Patients with Acne.
LID - 10.3390/medicina56060276 [doi]
LID - 276
AB  - 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.
FAU - Liu, Yi-Shan
AU  - Liu YS
AD  - Department of Pharmacy, Tajen University, Pingtung 907391, Taiwan.
AD  - School of Chinese Medicine for Post-Baccalaureate, College of Medicine, I-Shou 
      University & Department of Dermatology, E-Da Hospital, Kaohsiung 824410, Taiwan.
FAU - Lu, Nan-Han
AU  - Lu NH
AD  - School of Medicine, College of Medicine, I-Shou University & Department of 
      Radiology, E-Da Hospital, Kaohsiung 824410, Taiwan.
FAU - Shieh, Po-Chuen
AU  - Shieh PC
AD  - Department of Pharmacy, Tajen University, Pingtung 907391, Taiwan.
FAU - Sun, Cheuk-Kwan
AU  - Sun CK
AD  - School of Medicine, College of Medicine, I-Shou University & Department of 
      Emergency Medicine, E-Da Hospital, Kaohsiung 824410, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20200604
PL  - Switzerland
TA  - Medicina (Kaunas)
JT  - Medicina (Kaunas, Lithuania)
JID - 9425208
SB  - IM
MH  - Acne Vulgaris/psychology/*therapy
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - Mobile Applications/*standards/statistics & numerical data
MH  - Self-Control/psychology
MH  - Surveys and Questionnaires
MH  - Taiwan
MH  - *Treatment Outcome
PMC - PMC7353865
OTO - NOTNLM
OT  - acne assessment
OT  - acne self-regulation inventory
OT  - acne vulgaris
OT  - live chat bot
OT  - mobile application
COIS- The authors declare that they have no conflict of interest.
EDAT- 2020/06/10 06:00
MHDA- 2021/02/11 06:00
PMCR- 2020/06/04
CRDT- 2020/06/10 06:00
PHST- 2020/05/30 00:00 [received]
PHST- 2020/06/02 00:00 [revised]
PHST- 2020/06/02 00:00 [accepted]
PHST- 2020/06/10 06:00 [entrez]
PHST- 2020/06/10 06:00 [pubmed]
PHST- 2021/02/11 06:00 [medline]
PHST- 2020/06/04 00:00 [pmc-release]
AID - medicina56060276 [pii]
AID - medicina-56-00276 [pii]
AID - 10.3390/medicina56060276 [doi]
PST - epublish
SO  - Medicina (Kaunas). 2020 Jun 4;56(6):276. doi: 10.3390/medicina56060276.