Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial

The waxing-and-waning nature of hidradenitis suppurativa (HS), complex treatment plans, along with variable responsiveness to therapy, can create management challenges for patients. In this pilot cross-over randomized controlled trial, we aim to evaluate the effectiveness a HS-written action plan (H...

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Main Authors: Alyssa M. Thompson, Jennifer M. Fernandez, Terri Shih, Iltefat Hamzavi, Jennifer L. Hsiao, Vivian Y. Shi
Format: Article
Language:English
Published: Taylor & Francis Group 2022-07-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2021.1970707
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author Alyssa M. Thompson
Jennifer M. Fernandez
Terri Shih
Iltefat Hamzavi
Jennifer L. Hsiao
Vivian Y. Shi
author_facet Alyssa M. Thompson
Jennifer M. Fernandez
Terri Shih
Iltefat Hamzavi
Jennifer L. Hsiao
Vivian Y. Shi
author_sort Alyssa M. Thompson
collection DOAJ
description The waxing-and-waning nature of hidradenitis suppurativa (HS), complex treatment plans, along with variable responsiveness to therapy, can create management challenges for patients. In this pilot cross-over randomized controlled trial, we aim to evaluate the effectiveness a HS-written action plan (HSWAP) on patient disease understanding and confidence in recognizing flares and adjusting management. Participants were randomized into a pre-crossover control group that received a verbal consultation (VC)-only, and an intervention group which received the VC + HSWAP. The pre-crossover control group then crossed over (post-crossover control) to also receive the VC + HSWAP (ClinicalTrials.gov Identifier: NCT04600375). Patient comprehension of their disease and management steps was high after both a thorough VC and HSWAPs. However, the majority of patients prefer receiving both a VC and a HSWAP. After the addition of the HSWAP, pre-crossover control group patients’ understanding and confidence of their disease and management plan increased across all surveyed questions.
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spelling doaj.art-e718459009b841b6a94188723a93c7bd2023-09-15T14:28:51ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-07-013352677267910.1080/09546634.2021.19707071970707Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trialAlyssa M. Thompson0Jennifer M. Fernandez1Terri Shih2Iltefat Hamzavi3Jennifer L. Hsiao4Vivian Y. Shi5College of Medicine, University of ArizonaCollege of Medicine, University of ArizonaDavid Geffen School of Medicine, University of CaliforniaDepartment of Dermatology, Henry Ford HospitalDepartment of Medicine, Division of Dermatology, University of California Los AngelesDepartment of Dermatology, University of Arkansas for Medical SciencesThe waxing-and-waning nature of hidradenitis suppurativa (HS), complex treatment plans, along with variable responsiveness to therapy, can create management challenges for patients. In this pilot cross-over randomized controlled trial, we aim to evaluate the effectiveness a HS-written action plan (HSWAP) on patient disease understanding and confidence in recognizing flares and adjusting management. Participants were randomized into a pre-crossover control group that received a verbal consultation (VC)-only, and an intervention group which received the VC + HSWAP. The pre-crossover control group then crossed over (post-crossover control) to also receive the VC + HSWAP (ClinicalTrials.gov Identifier: NCT04600375). Patient comprehension of their disease and management steps was high after both a thorough VC and HSWAPs. However, the majority of patients prefer receiving both a VC and a HSWAP. After the addition of the HSWAP, pre-crossover control group patients’ understanding and confidence of their disease and management plan increased across all surveyed questions.http://dx.doi.org/10.1080/09546634.2021.1970707hidradenitis suppurativawritten action planrandomized controlled trialmanagement
spellingShingle Alyssa M. Thompson
Jennifer M. Fernandez
Terri Shih
Iltefat Hamzavi
Jennifer L. Hsiao
Vivian Y. Shi
Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial
Journal of Dermatological Treatment
hidradenitis suppurativa
written action plan
randomized controlled trial
management
title Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial
title_full Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial
title_fullStr Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial
title_full_unstemmed Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial
title_short Improving hidradenitis suppurativa patient education using written action plan: a randomized controlled trial
title_sort improving hidradenitis suppurativa patient education using written action plan a randomized controlled trial
topic hidradenitis suppurativa
written action plan
randomized controlled trial
management
url http://dx.doi.org/10.1080/09546634.2021.1970707
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