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      Topical Corticosteroid Phobia Among Parents of Children with Atopic Dermatitis (Eczema)- A Cross-Sectional Study

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          Abstract

          Background

          Anxiety about using topical corticosteroids (TCS) for childrens among parents and caretakers is a common cause of treatment failure and an overall decline in the child’s quality of life. The purpose of this study was to examine the perspectives and worries of parents of Atopic dermatitis (AD) children regarding TCS. Additionally, we investigate the degree of phobia in relation to the use of the TCS.

          Materials and Methods

          A convenience sample of 301 parents of children who had been identified with atopic dermatitis from two hospitals in Taif city were enrolled in this study. Parents who chose to participate were sent a questionnaire measuring their level of fear of TCS using the TOPICOP© scale, which also included inquiries about their demographics and clinical characteristics. Multivariate analysis was used to determine what factors influence people’s overall levels of fear.

          Results

          The median global TOPICOP score was 66.6% (IQR 60.4–75%), SD 12.83%, which showed that nearly two-thirds of the participants showed corticosteroid phobia. A multifactorial ANOVA model showed that parents who had a female child with AD and mothers who had experienced drug allergies had a significant influence on TOPICOP scores (P<0.05).

          Conclusion

          Topical corticosteroid phobia is widespread among parents of children patients with AD in Taif. Regarding the utilization of TCS, we place a strong emphasis on the significant role that physicians play as sources of reliable information and proper education.

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          Most cited references27

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          Investigating International Time Trends in the Incidence and Prevalence of Atopic Eczema 1990–2010: A Systematic Review of Epidemiological Studies

          Ivette A. G. Deckers, Susannah McLean, Sanne Linssen … (2012)
          The prevalence of atopic eczema has been found to have increased greatly in some parts of the world. Building on a systematic review of global disease trends in asthma, our objective was to study trends in incidence and prevalence of atopic eczema. Disease trends are important for health service planning and for generating hypotheses regarding the aetiology of chronic disorders. We conducted a systematic search for high quality reports of cohort, repeated cross-sectional and routine healthcare database-based studies in seven electronic databases. Studies were required to report on at least two measures of the incidence and/or prevalence of atopic eczema between 1990 and 2010 and needed to use comparable methods at all assessment points. We retrieved 2,464 citations, from which we included 69 reports. Assessing global trends was complicated by the use of a range of outcome measures across studies and possible changes in diagnostic criteria over time. Notwithstanding these difficulties, there was evidence suggesting that the prevalence of atopic eczema was increasing in Africa, eastern Asia, western Europe and parts of northern Europe (i.e. the UK). No clear trends were identified in other regions. There was inadequate study coverage worldwide, particularly for repeated measures of atopic eczema incidence. Further epidemiological work is needed to investigate trends in what is now one of the most common long-term disorders globally. A range of relevant measures of incidence and prevalence, careful use of definitions and description of diagnostic criteria, improved study design, more comprehensive reporting and appropriate interpretation of these data are all essential to ensure that this important field of epidemiological enquiry progresses in a scientifically robust manner.
          Article 0 comments Cited 113 times – based on 0 reviews     Review now
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            New insights into atopic dermatitis: role of skin barrier and immune dysregulation.

            Donald Y M Leung (2013)
            Atopic dermatitis (AD) is a chronic inflammatory skin disease that is often associated with the development of food allergy and asthma. New insights into AD reveals an important role for structural abnormalities in the epidermis resulting in a leaky epithelial barrier as well as chronic immune activation that contribute to the pathophysiology of this common skin disease. Patients with AD have a predisposition to colonization or infection by microbial organisms, most notably Staphylococcus aureus and herpes simplex virus (HSV). Measures directed at healing and protecting the skin barrier and controlling the immune activation are needed for effective management of AD. Early intervention may improve outcomes for AD as well as reduce the systemic allergen sensitization that may lead to associated allergic diseases in other organs.
            Article 0 comments Cited 98 times – based on 0 reviews     Review now
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              Stealth monitoring of adherence to topical medication: adherence is very poor in children with atopic dermatitis.

              Jennifer Krejci-Manwaring, Alan Fleischer, Mandeep Kaur … (2007)
              Atopic dermatitis is a common problem for which topical agents are the primary treatment. When topical medications fail, further therapy may include systemic agents with the potential for greater toxicity. Adherence to topical treatment of atopic dermatitis has not been well characterized. Poor adherence to topical medication could account for failure of topical therapy. To determine adherence to topical treatment in patients with atopic dermatitis. Thirty-seven children were given 0.1% triamcinolone ointment and were counseled to use it twice daily. They were told to return in 4 weeks, at which time they were told to continue treatment for another 4 weeks. Electronic monitors were used to measure adherence over the entire 8 week study. Patients were not informed of the compliance monitoring until the end of the study. Twenty-six patients completed 8 weeks of treatment. Mean adherence from the baseline to the end of the study was 32%. Adherence was higher on or near office visit days and subsequently decreased rapidly. This study was limited by the large number of subjects who failed to return for follow-up appointments or withdrew from the study. Adherence to topical medications is very poor in a clinic population of children with atopic dermatitis. Office visits are one means to increase adherence. If adherence to topical treatment can be improved, exposure to more costly and potentially toxic systemic agents may be avoidable.
              Article 0 comments Cited 62 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Patient Prefer Adherence
                Journal ID (iso-abbrev): Patient Prefer Adherence
                Journal ID (publisher-id): ppa
                Title: Patient preference and adherence
                Publisher: Dove
                ISSN (Electronic): 1177-889X
                Publication date (Electronic): 02 November 2023
                Publication date Collection: 2023
                Volume: 17
                Pages: 2761-2772
                Affiliations
                [1 ]College of Medicine, Taif University , Taif, Saudi Arabia
                [2 ]Department of Pediatrics, Taif Children Hospital , Taif, Saudi Arabia
                [3 ]Department of Pediatrics, Ministry of Health , Taif, Saudi Arabia
                [4 ]Department of Pediatrics, College of Medicine, Taif University , Taif, Saudi Arabia
                Author notes
                Correspondence: Ahmad Alzahrani, Email as.alzahrani@tu.edu.sa
                Author information
                http://orcid.org/0000-0001-7505-5741
                http://orcid.org/0009-0002-8294-6707
                http://orcid.org/0000-0002-6391-8076
                Article
                Publisher ID: 431719
                DOI: 10.2147/PPA.S431719
                PMC ID: 10627058
                SO-VID: 29d3ead3-c417-4ff0-a580-67131932b3c5
                Copyright © © 2023 Albogami et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 23 August 2023
                Date accepted : 26 October 2023
                Page count
                Figures: 1, Tables: 7, References: 27, Pages: 12
                Categories
                Subject: Original Research

                ScienceOpen disciplines: Medicine
                Keywords: atopic dermatitis,caregivers,steroid phobia,topical corticosteroid
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: atopic dermatitis, caregivers, steroid phobia, topical corticosteroid

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