Patient Education Programs in Pediatric Atopic Dermatitis: A Systematic Review of Randomized Controlled Trials and Meta-Analysis

Zhao, Mutong; Liang, Yuan; Shen, Chunping; Wang, Ying; Ma, Lin; Ma, Xiuhua

doi:10.1007/s13555-020-00365-z

Cited by 18 publications

(20 citation statements)

References 61 publications

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“…A Cochrane review highlighted that most interventions for childhood eczema have therefore primarily targeted parents or carers, with parental self‐efficacy associated with the success of their children's eczema control 6 . However, structure and optimal delivery mode of the intervention had not been determined 7 . This nurse‐led parental eczema education (PEE) program, developed based on Bandura's self‐efficacy construct and outlined in Table in online repository, aimed to enhance parents' self‐efficacy in eczema management and reduce children's eczema symptoms at three months after commencement of the intervention.…”

Section: Introductionmentioning

confidence: 99%

“…6 However, structure and optimal delivery mode of the intervention had not been determined. 7 This nurse-led parental eczema education (PEE) program, developed based on Bandura's self-efficacy construct and outlined in Table S1 in online repository, aimed to enhance parents' self-efficacy in eczema management and reduce children's eczema symptoms at three months after commencement of the intervention.…”

Section: Introductionmentioning

confidence: 99%

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Effects of a self‐efficacy theory‐based parental education program on eczema control and parental outcomes

Cheng

Chau

et al. 2020

Pediatric Allergy Immunology

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Background: Eczema is the most common childhood skin problem worldwide. Education that enhances parental self-efficacy in carrying out appropriate eczema management is crucial to controlling eczema symptoms of their children. However, the lack of such a structured education program hinders everyday lives of eczematous children and their families. This study evaluated the effects of a self-efficacy theory-based parental eczema education program in controlling eczema of Chinese children at three months after commencement of intervention. Methods: An assessor-blind, 2-arm, randomized controlled trial was conducted at an outpatient clinic of a regional hospital. One hundred and thirty-six Chinese children aged 3 months to 12 years with physician-diagnosed eczema, and their parents were recruited. The intervention was underpinned by the Social Cognitive Theory. Children's disease severity, parental self-efficacy, treatment adherence, and quality of life of family members were assessed by validated tools. Generalized estimating equation model was employed to compare differential change in each outcome across time between different groups. Results: Eczema severity of children and parental self-efficacy in the intervention group were found to show greater improvement at 3-month follow-up with regression coefficient (β) −16.98 (95% CI, −21.04 to −12.92; P < .001) and β 29.39 (95% CI, 22.64-36.14; P < .001), respectively. Nearly all parents (97%) receiving the intervention rated this program as useful and helpful. Conclusions: This program is effective in enhancing parents' self-efficacy in managing their children's eczema and improving their adherence to eczema treatment and quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of a self‐efficacy theory‐based parental education program on eczema control and parental outcomes

Cheng

Chau

et al. 2020

Pediatric Allergy Immunology

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“…Therapeutic patient education (secondary prevention) in AD has been proved to be effective with a significant reduction in disease severity. 21 However, little is known about the primary preventive effect of educational and lifestyle interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have shown that structured patient education can significantly reduce disease severity in AD patients. 21 Given this, guidelines for AD have acknowledged education of patients and caregivers as an essential form of secondary prevention to reduce disease flares and improve quality of lives. 22 However, little is known about how education performs as a primary prevention approach to reduce AD disease burden.…”

Section: Introductionmentioning

confidence: 99%

Preventive Antenatal Educational Program on Allergic Diseases (PAEPAD) versus standard antenatal care for prevention of atopic dermatitis: study protocol for a single-centre, investigator-blinded randomised controlled trial

et al. 2022

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IntroductionPatient education serves an essential purpose in the long-term management of allergic diseases as a secondary prevention approach. However, evidence on using education for primary prevention is limited. This study aims to evaluate the effect of an educational intervention, that is, the Preventive Antenatal Educational Program on Allergic Diseases (PAEPAD), on infantile allergic disease incidences compared with the standard care.Methods and analysisThis is a single-centre randomised controlled trial of expecting mother–children dyads in Daxing Teaching Hospital of Beijing, China. A total of 2266 expecting mothers will be recruited. Expecting mothers enlisted in the birth registry of Daxing Teaching Hospital of Capital Medical University and intend to give birth at this location will be screened for eligibility. Women aged≥18 years with less than 14+6 weeks of pregnancy who intends to remain resident in Daxing district for at least 2 years postpartum will be entered into the run-in phase. Randomisation will take place at 30 weeks of gestation. Women at high risk for miscarriage or intend to have abortions will be excluded. The participants will be allocated into two groups (ie, the PAEPAD and the standard care group) by random allocation (1:1). The PAEPAD group will receive a multidisciplinary education of neonatal care, including standard education as the control group and additional information on skincare of infants, sun protection, topical corticosteroids and an overview of atopic dermatitis (AD), whereas the standard care group will receive the standard neonatal care education carried out by obstetricians. Participants will be followed for 2 years. The primary outcome will be infantile AD cumulative incidence at 2 years postpartum. Secondary outcomes will include other AD outcomes, atopic march outcomes, knowledge outcomes and other maternal and neonatal outcomes. Data collection will be carried out using both electronic and paper questionnaires. Biological samples will also be collected longitudinally.Ethics and disseminationThe study design was approved by the ethical committee of Capital Medical University Daxing Teaching Hospital, Beijing, China. The trial results will be published in peer-reviewed journals and at conferences.Trial registration numberChiCTR registry (Trial ID: ChiCTR2000040463).

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“…The literature is inconsistent regarding the correlation between disease severity and QoL. For example: the emotional factor was correlated with QoL in an evaluation carried out using the “Dermatology Life Quality Index”, however, no correlation was found with eczema area and severity index (EASI) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Educational intervention and atopic dermatitis: impact on quality of life and treatment

Muzzolon

Imoto

Canato

et al. 2021

Asia Pacific Allergy

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Background Educational intervention (EI) could improve understanding of atopic dermatitis (AD) and adherence to treatment, decreasing severity, and improving quality of life (QoL). Objective This study aims to evaluate the influence of an EI on the severity of the disease and on the QoL in children with AD. Methods A controlled clinical trial was performed, including children up to 14 years of age with AD. Patients were allocated into control group (CG), which received usual guidelines on AD during the outpatient visit, and a study group (SG) that, in addition to the usual guidelines, participated in the EI. The severity of AD was assessed by Scoring Atopic Dermatitis (SCORAD) and Eczema Area and Severity Index (EASI). QoL was assessed by the Children's Dermatology Life Quality Index and the Dermatitis Family Impact Questionnaire. Results Twenty-seven participants were included in the CG and 21 in the SG. There was a decrease in the median value for the QoL of children in the SG after the intervention ( p = 0.04), as well as in the caregiver's ( p = 0.04). In the CG, the median QoL of children and caregivers remained unaltered, for caregivers the median value for the QoL was equal throughout first and second evaluation ( p = 0.32). In the SG, EASI values decreased after the intervention ( p = 0.04), as well as SCORAD ( p = 0.04). The CG did not show any decrease in the values of EASI ( p = 0.88) scores nor of SCORAD scores ( p = 0.82). Conclusion The EI rendered a decrease in severity of the disease and improvement in the QoL of patients and their caregivers.

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Patient Education Programs in Pediatric Atopic Dermatitis: A Systematic Review of Randomized Controlled Trials and Meta-Analysis

Cited by 18 publications

References 61 publications

Effects of a self‐efficacy theory‐based parental education program on eczema control and parental outcomes

Effects of a self‐efficacy theory‐based parental education program on eczema control and parental outcomes

Preventive Antenatal Educational Program on Allergic Diseases (PAEPAD) versus standard antenatal care for prevention of atopic dermatitis: study protocol for a single-centre, investigator-blinded randomised controlled trial

Educational intervention and atopic dermatitis: impact on quality of life and treatment

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