An educational programme for patients with psoriasis and atopic dermatitis: a prospective randomized controlled trial

Bostoen, Jessica; Bracke, Stefanie; Keyser, Stefanie De; Lambert, Jo

doi:10.1111/j.1365-2133.2012.11113.x

Cited by 55 publications

(156 citation statements)

References 16 publications

Supporting

Mentioning

152

Contrasting

Order By: Relevance

“…Bostoen and colleagues evaluated a 12-week group-based education program for adults with AD and psoriasis [31]. The 12-week program consisted of 2-h sessions twice a week, including education on the skin disease, education on a healthy lifestyle, stress management techniques (exercise, yoga, mindfulness meditation), and medical feedback.…”

Section: Resultsmentioning

confidence: 99%

“…Several studies included in this review suggested reduced economic burden and/or dermatological healthcare use for patients and families participating in multidisciplinary AD interventions, compared with standard medical treatment [27,32,33]. However, results were not consistent, with one study finding no differences in medication use or healthcare costs between the treatment and control groups [31]. More research is needed to better understand the cost-benefit analysis of providing multidisciplinary care for AD, given both high costs of treatment for severe AD, as well as the time and resource intensive nature of multidisciplinary treatments [44].…”

Section: Discussionmentioning

confidence: 99%

“…The aims of such programs are to provide families with the tools and knowledge needed to effectively manage AD and improve quality of life. Among studies included in this review, most demonstrated improvements in skin severity associated with participation in multidisciplinary treatment [29,32,33,39], although this was not universal [27,31], and some studies did not assess this outcome [30,34]. …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Review of Multidisciplinary Interventions in Atopic Dermatitis

Spielman

LeBovidge

Timmons

et al. 2015

JCM

View full text Add to dashboard Cite

Multidisciplinary interventions have been developed for patients with atopic dermatitis (AD) and their families, with the aim of improving outcomes such as disease control, adherence, and quality of life. We reviewed the content of different multidisciplinary approaches to intervention for AD and evidence for their impact on key outcome measures. We also provided data from our multidisciplinary outpatient program for pediatric AD. Studies included in the review suggest benefits of multidisciplinary interventions as models of treatment or adjuncts to standard medical care, with a positive impact on outcomes including disease severity and itching/scratching. There were limitations to existing studies, including heterogeneous methods used to assess quality of life outcomes across studies and lack of controlled studies assessing the outcome of clinical care programs. Further research will be useful in assessing the impact of multidisciplinary interventions on important outcomes such as treatment adherence and sleep, identifying the elements of multidisciplinary interventions that are most critical for improved outcomes, and identifying the best candidates for multidisciplinary intervention approaches.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Review of Multidisciplinary Interventions in Atopic Dermatitis

Spielman

LeBovidge

Timmons

et al. 2015

JCM

View full text Add to dashboard Cite

show abstract

“…A more aggressive approach with systemic agents or biologicals used earlier in the treatment paradigm with the goal of complete clearance may change the natural history of the disease, help more patients to achieve long-term remission, and improve long-term outcomes (26,27). One initiative to be explored further is the concept of multidimensional patient education, which was shown to improve patient outcome in a single-centre study (90).…”

Section: The Relationship Between Psoriasis and Other Imidsmentioning

confidence: 99%

Early intervention in psoriasis and immune-mediated inflammatory diseases: A hypothesis paper

Girolomoni

Griffiths

Krueger

et al. 2014

Journal of Dermatological Treatment

View full text Add to dashboard Cite

Psoriasis is an immune-mediated inflammatory disease (IMID) which may have a major impact on a patient's life, especially when the disease is moderate to severe. There is evidence that treatment of psoriasis during the first years is conservative and frequently based on topical agents which rarely clear lesions. Treatment with systemic agents including biologics is often undertaken only when topical agents have proved unsuitable, even in patients with moderate to severe disease. However, there is evidence that in other IMIDs (rheumatoid arthritis and Crohn's disease), targeted systemic treatment given early in the treatment pathway may improve long-term patient outcomes. We hypothesize that a patient-centered therapeutic approach, undertaken early in the psoriasis treatment pathway (''early intervention'') with the goal of complete clearance, may improve control of cutaneous symptoms and may also modify disease course and burden. Critical points to address when designing an early intervention study would include: the definition of psoriasis disease activity; patient selection; intervention selection; and dosing strategies.

show abstract

“…In a recent parallel-group study from Belgium, the intervention group (n= 21) participated in a 12-week educational program (2 hours twice a week) given by a multidisciplinary team [29]. Despite a broad variety of issues being discussed with the patients during the lessons, no significant effects at 3 months were observable.…”

Section: Educational Training Programs For Adult Patientsmentioning

confidence: 99%

Therapeutic Patient Education

Heratizadeh

2014

Curr Treat Options Allergy

View full text Add to dashboard Cite

Opinion statementPatient education in atopic dermatitis (AD) represents an essential therapeutic tool, which should be offered in addition to routine care, since previous studies have revealed that AD outpatients are often insufficiently treated and show severe limitations of quality of life. Considering the multifactorial pathogenesis of this chronic skin disease, the success of therapeutic patient education seems to depend on the involvement of a multidisciplinary team of professionals. The training program should include aspects on dermatology and allergy, but also on diet and nursing, as well as on disease-specific psychological issues. Synergistic beneficial effects upon interaction between affected patients or parents should be considered by performing the training in small groups. The overall aim of therapeutic patient education in AD should be an improvement of selfmanagement strategies to finally achieve a decrease in disease severity and an increase in quality of life. For children (and their parents) and adolescents with AD, successful programs have already been developed. However, in many countries, there is still a need for official recommendations in order to regulate reimbursement for the costs of such programs. Since the preliminary results from pilot studies in adults have been promising, further large controlled trials on patient education in this age group are needed to finally improve outpatient care also in adulthood AD.

show abstract

An educational programme for patients with psoriasis and atopic dermatitis: a prospective randomized controlled trial

Abstract: Evaluating this form of educational programme, by means of a single-centre RCT, indicates its added value in the longer term management of psoriasis.

Cited by 55 publications

References 16 publications

A Review of Multidisciplinary Interventions in Atopic Dermatitis

A Review of Multidisciplinary Interventions in Atopic Dermatitis

Early intervention in psoriasis and immune-mediated inflammatory diseases: A hypothesis paper

Therapeutic Patient Education

Contact Info

Product

Resources

About