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Isotretinoin Concerns in Switzerland: A Student-Based Transversal Study.
Anna-Lena U Jakobi1, Andreas J Bircher1, Alberto Pagnamenta2,3,4
1Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
Concerns about isotretinoin, particularly skin dryness and depression, impacted acne treatment adherence for over half of participants. Educational materials did not alleviate these common patient worries.
Area of Science:
- Dermatology
- Pharmacology
- Medical Education
Background:
- Patient concerns regarding isotretinoin can influence treatment initiation and adherence.
- Limited research exists on student-specific concerns and the impact of educational interventions for isotretinoin.
Purpose of the Study:
- To assess concerns about isotretinoin among students with prior knowledge.
- To identify factors associated with these concerns.
- To evaluate the effect of an informational fact sheet on isotretinoin concerns.
Main Methods:
- A cross-sectional online survey was distributed via social media to students.
- Participants' concerns about isotretinoin, information sources, and treatment history were collected.
- A before-and-after design assessed the impact of reading an isotretinoin fact sheet.
Main Results:
- Over half of the 528 participants reported concerns, primarily xerosis cutis and depression.
- Nearly half of those with prior isotretinoin use found concerns affected adherence.
- Information from relatives, acquaintances, and physicians was most relied upon; a fact sheet had no significant impact on concerns (p=0.22).
- Female students, pharmacy students, and those with an acne history showed higher concerns.
Conclusions:
- Student concerns about isotretinoin are prevalent in Switzerland.
- Written educational materials did not effectively reduce existing concerns.
- Enhanced patient education regarding isotretinoin's potential side effects is crucial.
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