Plain English Summary
Background and study aims
Acne is a skin condition that is very common amongst young people aged between 14 and 19 years. It can cause low moods, anxiety and embarrassment if not managed appropriately. The main treatments for acne are topical medications. These are creams and gels that can be applied to the skin. Many people don’t use these long enough to see any improvement, as they need to be used for up to 8 weeks before they start working. Side effects including skin irritation can also stop people from using topical treatments regularly, although most side effects can be avoided with the correct detailed advice. For these reasons, many people go on to use antibiotics. This is a concern because of the rising levels of antibiotic resistance. Acne is usually treated in primary care but as treatment needs to be used daily in order for it to work, and healthcare professionals only have 10-minute consultations, it is important to give people the tools to manage their skin condition themselves. There are currently no websites available which support people in managing their acne. A website called ‘SPOTless’ has been developed from interviews with people with acne and is designed to promote the appropriate use of topical treatments. The aim of this study is to see whether the SPOTless website can provide support for young people to help manage their acne alongside their usual care. This will help shape research to improve care and support for people with acne.
Who can participate?
Patients aged 14-25 who have current acne or have had prescriptions for acne in the last 6 months
What does the study involve?
Participants answer some questions about themselves at the beginning of the study, and again after 4 weeks, and after 6 weeks. After answering the questions at the beginning of the study, they are randomly allocated to one of two groups. Group 1 has access to the website in addition to usual care, and Group 2 receives usual care only. Participants are given the option of whether or not they would like to take part in an interview at the end of the study. If they select yes to being contacted, a member of the study team contacts them to arrange a time, date and place that is convenient for them. They can choose to have the interview either face to face (at home or at the University of Southampton), or if they prefer, a telephone interview. The interview is about 30-60 minutes long and explores their thoughts and experiences of taking part in the trial and using the website. People who take part in the interview are given a £10 gift voucher for their time.
What are the possible benefits and risks of participating?
There are no risks or benefits to taking part, however participants may find it interesting.
Where is the study run from?
University of Southampton (UK)
When is the study starting and how long is it expected to run for?
July 2018 to April 2019
Who is funding the study?
National Institute for Health Research (UK)
Who is the main contact?
An internet intervention to support self-management of acne vulgaris amongst young people: a feasibility randomised trial
This study will invite people aged 14 to 25 via general practices and community advertising to see how a website can provide support for young people to help manage their acne alongside their usual care.
East of England - Essex Research Ethics Committee, 30/07/2018, ref: 18/EE/0105
Randomised; Both; Design type: Process of Care, Education or Self-Management, Psychological & Behavioural, Qualitative
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details to request a patient information sheet
Specialty: Primary Care, Primary sub-specialty: Dermatology; UKCRC code/ Disease: Skin/ Disorders of skin appendages
Participants will be randomised using the LifeGuide software. The randomisation sequence is automatically generated, and a computer-generated algorithm block randomises patients to the trial groups.
Participants in the intervention group will receive treatment as usual in addition to access to the SPOTless website to help them self-manage their acne. SPOTless is a web-based behavioural intervention developed to support self-management of acne and involves a 4-week challenge to promote the appropriate use of topical preparations. The intervention provides accessible information, tools and support for participants and is designed to be accessed wherever and whenever it is convenient for the participant.
Participants in the control group will receive all treatment as usual including appointments as required with their GPs. If necessary GPs may refer participants to specialists (e.g. dermatologists).
Primary outcome measure
The primary outcomes from this feasibility trial will be as follows:
1. Number of practices required to recruit the participant numbers and the rate of recruitment
2. Number of participants withdrawing from the intervention and the trial at 4 weeks and follow-up retention rates at 6 weeks
3. With regard to the behavioural intervention, the extent of participant’s usage of the website will be measured
4. Participant adherence to the behavioural intervention will be explored by examining intervention usage data, which will provide detailed information on number of logins, module accessed as well as time spent on each webpage (automatically collected on LifeGuide software)
5. The acceptability of measuring skin specific quality of life using the Skindex-16 instrument at baseline, 4 and 6 weeks, as a potential primary outcome for the main trial
Secondary outcome measures
The feasibility of a range of quantitative measures:
1. Demographic questions including age and gender measured at baseline
2. Health state measured using the EQ-5D-5L at baseline, 4 and 6 weeks
3. Perceived reasons for non-adherence to treatment measured using the Problematic Experiences of Therapy Scale (PETS) at baseline, 4 and 6 weeks
4. Belief about treatment and its likely success measured using the credibility/expectancy questionnaire at baseline, 4 and 6 weeks
5. Anxiety and depression measured using the patient health questionnaire (PHQ-4) at baseline, 4 and 6 weeks
6. Topical use and other treatments used measured at baseline, 4 and 6 weeks
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Current acne vulgaris
2. Aged 14 to 25
3. Have had prescriptions for the treatment of acne within the last 6 months
4. Have access to the internet and an active email address
5. Able to read/understand English without assistance
6. People who are invited into the study may be using other medications (including oral antibiotics that still require topicals as well as people on isotretinoin) but people who have cleared up their acne will not be eligible to take part which will rule out anyone who is on isotretinoin for severe acne
Target number of participants
Planned Sample Size: 65; UK Sample Size: 65
Participant exclusion criteria
1. Under 14 or over 25 years of age
2. Have taken part in the study to develop the internet intervention
3. Have severe mental health problems
4. Their acne has cleared up
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Clinical Research Network Wessex Unit 7, Berrywood Business Village Tollbar Way Hedge End
NIHR School for Primary Care Research
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Findings from this study will be sent as feedback to participants, disseminated through peer reviewed publication and will also be presented at conferences.
IPD sharing statement
Contact details will be stored in a secure file on the University computer or locked in a filing cabinet with authorised access only for the researchers working on the project - this data will be deleted after 3-6 months and at no point will identifiable information be removed from University premises. The faculty of Medicine research conduct guidelines require anonymised data to be stored for 10 years. Audio recordings will be deleted immediately after transcription. After the study has finished the research data will be moved to an offsite storage facility which will have agreed to the terms and conditions laid out by the sponsor following the Standard Operating Procedure for archiving. Intervention usage data and outcome measures will be collected and managed on LifeGuide, which is hosted on a secure server at the University of Southampton. The data generated from the study will be analysed quantitatively and qualitatively by the Chief Investigator who will have collected the data. Support will be provided by the supervisors. This will involve simple descriptive statistics and discussing emerging codes and analysis at every stage. Analysis will be carried out at the University of Southampton on the university laptops. There are no plans to export the data outside of the UK.
Intention to publish date
Participant level data
Stored in repository
Basic results (scientific)