The association between acne care provision and quality of life: A cross-sectional survey

Femke de Vries; Rieke Driessen; Esther Tjin; Anissa Westenberg; Hans Vehof; Peter van de Kerkhof

doi:10.1002/hsr2.487

The association between acne care provision and quality of life: A cross-sectional survey

Health Sci Rep. 2022 Feb 8;5(2):e487. doi: 10.1002/hsr2.487. eCollection 2022 Mar.

Authors

Femke de Vries^{1

2}, Rieke Driessen², Esther Tjin¹, Anissa Westenberg¹, Hans Vehof¹, Peter van de Kerkhof²

Affiliations

¹ Research Group Innovations in Pharmaceutical Care HU University of Applied Sciences Utrecht Utrecht The Netherlands.
² Department of Dermatology Radboud University Medical Center Nijmegen The Netherlands.

Abstract

Background and aims: It has been suggested that professional acne care can be effective not only in reducing clinical signs but also in improving quality of life (QOL). This study aims to reach a better understanding of the association between QOL and professional acne care. The study also investigates other factors that might influence QOL such as age, gender, and acne severity.

Methods: Between 2019 and 2020, a cross-sectional survey-based study was conducted among 362 acne patients. Data were collected by the Cardiff Acne Disability Index (CADI) and a Global QOL scale. Analysis of covariance (ANCOVA) and post hoc comparisons were conducted to analyze the association between professional acne care and health-related QOL.

Results: No statistically significant differences were found in QOL measured by CADI among patients visiting the four investigated acne caregivers (mean CADI score: dermatologist, 4.49; GPs, 4.42; dermal therapist, 4.07; beautician, 4.20, P = .24). However, the impact of the treatment on the QOL, which was measured by the level of Global QOL improvement before and after care, demonstrated a statistically significant improvement when attending a dermatologist, compared to the care provided by beauticians (Global QOL improvement: dermatologist, 1.50; GP, 1.01; dermal therapist, 1.10; beautician, 0.54, P = .05). Females experienced a more impaired acne-related QOL than males (P = .05), and increased acne severity was associated with a more impaired QOL (P < .05).

Conclusions: This study delineated factors that influence QOL in acne patients. As the QOL was not associated with the type of caregiver, the greatest QOL improvement before and after care was achieved after medical treatment by the dermatologist. Females and individuals dealing with more severe types of acne experienced a more impaired acne-related QOL. It is recommended to take these factors into account in acne management to optimize professional treatment in line with patient needs.

Keywords: acne vulgaris; quality of life; treatment.