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Clinical Study: Incorporating a pre-consultation on-line isotretinoin video to acne patients

A clinical study by Dr Anthony MR Downs, DMC Healthcare Ltd & Dr Ian H Coulson Burnley General Teaching Hospital

YouTube® is the most popular internet-based search engine with a large body of educational Dermatology content. This information platform is more concerned with freedom of content rather than accuracy any of the scientific material.

In addition, unfiltered comments on YouTube® videos can be equally favourable or spiteful. Comments and videos can be deliberately misleading, designed for financial gain or champion bizarre alternative health beliefs.

Despite the unpredictability of YouTube® content it presents an opportunity to provide patients with additional information about their disease and treatment. That should improve adherence and facilitate informed consent.

Patients referred to our service with acne unresponsive to primary care treatment were sent a YouTube® link to www.youtube.com/watch?v=tlbZzqtgBvE.

At initial consultation, those patients that had viewed the video (irrespective whether isotretinoin was prescribed) and the clinician were asked to provide feedback on the video and the consultation.

A sample of 50 patients were reviewed. Age range 13 to 49 (mean of 21) of which 35 were female. Clinicians felt that the consultations were shorter (90%) and easier (90%). Isotretinoin was clinically indicated and started in 90% of patients. Only 5% of consultations took longer than normal.

Some patients felt an isotretinoin written information leaflet as well as the video were not necessary (40%) and face-to-face consultations completely necessary (100%). Of those that chose to be treated with isotretinoin, 95% confirmed the video helped in their decision and helped their consultation experience. Only one patient with a pre-existing anxiety state was worried by the video content.

This video offers an opportunity to offer an alternative information format to compliment the traditional consultation and written information. It shows photographs of treatment responses and side-effects that other written formats, do not.

We believe it helps prepare patients for the consultation by providing them with knowledge that allows for a faster and more constructive dialogue with the clinician.

29th European Academy of DermatoVenereology Congress was hosted virtually this year 29th-31st October 2020.

About EADV

Founded in 1987, EADV is the leading community to further the knowledge of health professionals and advocates in the field of dermatology and venereology. It is a non-profit organisation with over 7,000 members, across 113 different countries in the world, providing a valuable service for every type of dermato-venereologist professional.

The EADV is committed to improving the quality of patient care, continuing medical education for all dermato-venereologists in Europe and beyond, and advocacy on behalf of the speciality and patients.

This year's congress was titled: EADV Virtual - New Frontiers in Dermatology and Venereology and provided an exceptional opportunity for colleagues from around the world to explore the latest developments in science and patient care that are at the heart of the academy’s mission. There were over 11,000 attendees from 112 countries.

Dr. Anthony Downs, Consultant Dermatologist presented two clinical studies:

Incorporating a pre-consultation on-line isotretinoin video adds value to acne patient management

Incorporating a pre-consultation on-line isotretinoin video adds value to acne patient management

The provision of a YouTube acne videos to patient's prior to their acne consultation. This helps inform patients to make difficult choices about strong treatments prior choosing that treatment, also in a format teenagers and young adults can more easily relate to.

Walk-in mole/skin check - What are the perceived health values?

Walk-in mole skin check - What are the perceived health values

The health value of a charitable and free walk-in mole check with a specialist for people concerned about skin cancer.

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