Date of Presentation
5-4-2023 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
Introduction: Xerosis is common in atopic dermatitis (AD). Adherence depends on factors such as complexity of treatments, disease understanding and accountability. Accountability is a psychobehavioral construct, referring to the expectation that one must be responsible for their actions or inactions.
Objective: We sought to assess whether interventions expected to improve accountability would be associated with improved adherence to xerosis treatment.
Method: This is a prospective study of 30 patients diagnosed with xerosis . Patients were given moisturizer with an electronic monitor to record adherence and asked to apply it once daily for three months. Subjects were randomized into one of three arms: the control group (n=12), the electronic interaction group (n=10), or the GPSkin group (n=6). Electronic group received weekly email survey during the study to assess their Cetaphil use, while the GPSkin group received the GPSkin Barrier, a device that measures skin moisture and were instructed to obtain skin moisture measurements daily.
Results: Mean adherence scores for the control was 56 (SD=25); electronic interaction group 34 (SD=39) and GPSkin group 19 (SD=19). Control group had higher adherence compared to the electronic interaction group (p=0.044), while no difference was observed between the control and GPSkin groups or between the electronic interaction and GPSkin groups (p=0.11 & p=0.83, respectively).
Discussion: Weekly surveys and daily feedback on skin moisture did not appear to promote treatment adherence. This may be because these interactions did not involve direct social consequences, and therefore may not impact patients’ sense of accountability.
Keywords
Xerosis, Atopic Dermatitis, Medication Adherence, Treatment Adherence and Compliance
Disciplines
Behavior and Behavior Mechanisms | Health and Medical Administration | Health Information Technology | Health Services Research | Investigative Techniques | Medicine and Health Sciences
Document Type
Poster
Included in
Behavior and Behavior Mechanisms Commons, Health and Medical Administration Commons, Health Information Technology Commons, Health Services Research Commons, Investigative Techniques Commons
Does Accountability Affect Adherence to Moisturizer Treatment in Atopic Patients with Xerosis?
Introduction: Xerosis is common in atopic dermatitis (AD). Adherence depends on factors such as complexity of treatments, disease understanding and accountability. Accountability is a psychobehavioral construct, referring to the expectation that one must be responsible for their actions or inactions.
Objective: We sought to assess whether interventions expected to improve accountability would be associated with improved adherence to xerosis treatment.
Method: This is a prospective study of 30 patients diagnosed with xerosis . Patients were given moisturizer with an electronic monitor to record adherence and asked to apply it once daily for three months. Subjects were randomized into one of three arms: the control group (n=12), the electronic interaction group (n=10), or the GPSkin group (n=6). Electronic group received weekly email survey during the study to assess their Cetaphil use, while the GPSkin group received the GPSkin Barrier, a device that measures skin moisture and were instructed to obtain skin moisture measurements daily.
Results: Mean adherence scores for the control was 56 (SD=25); electronic interaction group 34 (SD=39) and GPSkin group 19 (SD=19). Control group had higher adherence compared to the electronic interaction group (p=0.044), while no difference was observed between the control and GPSkin groups or between the electronic interaction and GPSkin groups (p=0.11 & p=0.83, respectively).
Discussion: Weekly surveys and daily feedback on skin moisture did not appear to promote treatment adherence. This may be because these interactions did not involve direct social consequences, and therefore may not impact patients’ sense of accountability.