Futamura Masaki, Yamamoto-Hanada Kiwako, Saito Mayako, Batchelor Jonathan, Nakahara Makiko, Nakahara Takeshi, Furue Masutaka, Ohya Yukihiro
Division of Allergy, National Center for Chilld Health and Development.
Arerugi. 2016 Feb;65(1):66-72. doi: 10.15036/arerugi.65.66.
The TOPICOP scale was developed previously for atopic dermatitis patients. It comprises 12 questions to assess patients' worries and beliefs about topical corticosteroids. The aim of this study was to translate TOPICOP into Japanese and evaluate its feasibility.
We developed a Japanese version of TOPICOP from the original English version, using a process of forward and backward translation. We performed an anonymous survey using the validated Japanese TOPICOP to evaluate the feasibility of its use amongst patients and parents at two hospitals.
A total of 287 participants (83% female age 38±7 years) completed the Japanese TOPICOP and the average score was 41±18. More than half of the participants believed topical corticosteroids pass into bloodstream, damage the skin and affect future health. In addition, more than 60% of participants were anxious about applying topical corticosteroids to certain zones like eyelids, and about applying too much corticosteroid. Participants said that they need reassurance about topical corticosteroids. Among all participants, 68% answered within 5 minutes, 85% answered without any difficulty, and 79% could understand the meanings easily.
The Japanese TOPICOP was an easy and quick scale for assessing corticosteroid phobia in Japanese atopic dermatitis patients. It can be used in clinical practice and in future clinical research on atopic dermatitis.
TOPICOP量表先前是为特应性皮炎患者开发的。它包含12个问题，用于评估患者对局部用皮质类固醇的担忧和看法。本研究的目的是将TOPICOP翻译成日语并评估其可行性。
我们通过正向和反向翻译过程，从原始英文版本开发了日语版TOPICOP。我们使用经过验证的日语版TOPICOP进行了一项匿名调查，以评估其在两家医院的患者和家长中使用的可行性。
共有287名参与者（83%为女性，年龄38±7岁）完成了日语版TOPICOP，平均得分为41±18。超过一半的参与者认为局部用皮质类固醇会进入血液、损害皮肤并影响未来健康。此外，超过60%的参与者担心在眼睑等特定部位使用局部用皮质类固醇，以及担心使用过多的皮质类固醇。参与者表示他们需要关于局部用皮质类固醇的 reassurance。在所有参与者中，68%在5分钟内回答，85%回答没有任何困难，79%能够轻松理解其含义。
日语版TOPICOP是一种简单快捷的量表，用于评估日本特应性皮炎患者的皮质类固醇恐惧症。它可用于临床实践以及未来关于特应性皮炎的临床研究。
