Psychological and educational interventions for atopic eczema in children

Abstract

A lack of rigorously designed trials (excluding one recent German study) provides only limited evidence of the effectiveness of educational and psychological interventions in helping to manage the condition of children with atopic eczema. Evidence from included studies and also adult studies indicates that different service delivery models (multi-professional eczema school and nurse-led clinics) require further and comparative evaluation to examine their cost-effectiveness and suitability for different health systems.

Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study

“…Our results can indicate that caregivers attending an AD educational program is helpful in managing AD in children. This finding is in line with a Cochrane review showing some evidence that psychological and educational interventions are helpful in managing AD in children [ 11 ].…”

Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study

“…Our results can indicate that caregivers attending an AD educational program is helpful in managing AD in children. This finding is in line with a Cochrane review showing some evidence that psychological and educational interventions are helpful in managing AD in children [ 11 ].…”

A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes

“…This is the first large scale nurse-led intervention, where as the multidisciplinary-led models, evaluated by Staab et al 28,29 are more extensive in nature. This study reinforces existing evidence that systematic educational intervention directed at parents (primarily) or children with eczema, can improve disease-related quality of life of the infant/child and alleviate disease severity 9 .…”

Psychological and Educational Interventions for Atopic Dermatitis in Adults: A Systematic Review and Meta-Analysis

“…Educational interventions in adolescent and adult patients improve self-care and disease control, and increase knowledge of treatments (Barbarot & Stalder, 2014; Staab et al, 2006; Williams, 2006). In confirmation of the previous studies (Chida et al, 2007; Ersser et al, 2014), addition of psychological and educational interventions to conventional treatment provided better therapeutic results regarding alleviation of eczema severity, and psychological symptoms. One study (Van Os-Medendorp et al, 2012) showed that health care practice supported by electronic communication was as effective as usual face-to-face care in improving disease severity and QOL, with substantial cost savings.…”

“…Psychological and educational interventions may be an important option in this regard. However, this review and others (Chida et al, 2007; Ersser et al, 2014) have confirmed that the evidence base remains limited regarding the efficacy of these interventions in the management of adult AD. We conclude that, rather than the combination of these interventions with conventional therapy being of no value, the data reported to date are not sufficiently powerful to detect evidence-based efficacy.…”

Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study

“…Our results can indicate that caregivers attending an AD educational program is helpful in managing AD in children. This finding is in line with a Cochrane review showing some evidence that psychological and educational interventions are helpful in managing AD in children [ 11 ].…”

A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes

“…This is the first large scale nurse-led intervention, where as the multidisciplinary-led models, evaluated by Staab et al 28,29 are more extensive in nature. This study reinforces existing evidence that systematic educational intervention directed at parents (primarily) or children with eczema, can improve disease-related quality of life of the infant/child and alleviate disease severity 9 .…”

Psychological and Educational Interventions for Atopic Dermatitis in Adults: A Systematic Review and Meta-Analysis

“…Educational interventions in adolescent and adult patients improve self-care and disease control, and increase knowledge of treatments (Barbarot & Stalder, 2014; Staab et al, 2006; Williams, 2006). In confirmation of the previous studies (Chida et al, 2007; Ersser et al, 2014), addition of psychological and educational interventions to conventional treatment provided better therapeutic results regarding alleviation of eczema severity, and psychological symptoms. One study (Van Os-Medendorp et al, 2012) showed that health care practice supported by electronic communication was as effective as usual face-to-face care in improving disease severity and QOL, with substantial cost savings.…”

“…Psychological and educational interventions may be an important option in this regard. However, this review and others (Chida et al, 2007; Ersser et al, 2014) have confirmed that the evidence base remains limited regarding the efficacy of these interventions in the management of adult AD. We conclude that, rather than the combination of these interventions with conventional therapy being of no value, the data reported to date are not sufficiently powerful to detect evidence-based efficacy.…”

Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study

“…Our results can indicate that caregivers attending an AD educational program is helpful in managing AD in children. This finding is in line with a Cochrane review showing some evidence that psychological and educational interventions are helpful in managing AD in children [ 11 ].…”

A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes

“…This is the first large scale nurse-led intervention, where as the multidisciplinary-led models, evaluated by Staab et al 28,29 are more extensive in nature. This study reinforces existing evidence that systematic educational intervention directed at parents (primarily) or children with eczema, can improve disease-related quality of life of the infant/child and alleviate disease severity 9 .…”

Psychological and Educational Interventions for Atopic Dermatitis in Adults: A Systematic Review and Meta-Analysis

“…Educational interventions in adolescent and adult patients improve self-care and disease control, and increase knowledge of treatments (Barbarot & Stalder, 2014; Staab et al, 2006; Williams, 2006). In confirmation of the previous studies (Chida et al, 2007; Ersser et al, 2014), addition of psychological and educational interventions to conventional treatment provided better therapeutic results regarding alleviation of eczema severity, and psychological symptoms. One study (Van Os-Medendorp et al, 2012) showed that health care practice supported by electronic communication was as effective as usual face-to-face care in improving disease severity and QOL, with substantial cost savings.…”

“…Psychological and educational interventions may be an important option in this regard. However, this review and others (Chida et al, 2007; Ersser et al, 2014) have confirmed that the evidence base remains limited regarding the efficacy of these interventions in the management of adult AD. We conclude that, rather than the combination of these interventions with conventional therapy being of no value, the data reported to date are not sufficiently powerful to detect evidence-based efficacy.…”