Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial

Fisker, Maja H.; Agner, Tove; Sørensen, Jennifer Astrup; Vejlstrup, Søren Grove; Lindschou, Jane; Gluud, Christian; Winkel, Per; Bonde, Jens Peter; Ebbehøj, Niels Erik

doi:10.1111/cod.13003

Cited by 13 publications

(15 citation statements)

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“…Since sensitization and elicitation of contact allergy are both dose-dependent, it is important to keep concentrations of allergens in products low. [77][78][79][80][81] Although different designs may blur the interpretation, the studies all indicate a positive effect, but also point to the need for different approaches to be attempted for patients in different professions. 75 Primary prevention of irritant HE has been directed at people in workplaces exposed to wet work or chemicals using skincare programmes and patient education.…”

Section: Consequences and Preventionmentioning

confidence: 96%

“…The effect of skincare programmes for optimizing knowledge and behaviour in HE patients has been assessed in several randomized-controlled intervention trials. [77][78][79][80][81] Although different designs may blur the interpretation, the studies all indicate a positive effect, but also point to the need for different approaches to be attempted for patients in different professions. 80,82 Skincare programmes may be more effective for mildmoderate eczema than for severe cases.…”

Section: Consequences and Preventionmentioning

confidence: 96%

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Hand eczema: epidemiology, prognosis and prevention

Agner

Elsner

2019

Acad Dermatol Venereol

103

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Hand eczema (HE) is a heterogeneous and often chronic disease located to the hands and wrist, and frequently associated with eczema on the feet. The aetiology is diverse, and the eczema may present with a variety of clinical symptoms. Acute and chronic stages appear; severity varies from mild to moderate and severe, and flares may be frequently recurrent or rare. The divergent aetiology and varied morphology of HE is sometimes tricky and may be challenging to the dermatologist. This review has focus on epidemiology, prognosis and prevention of HE, and intends to point towards some practical advice on how to diagnose, inform and guide HE patients.

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Section: Consequences and Preventionmentioning

confidence: 96%

Section: Consequences and Preventionmentioning

confidence: 96%

Hand eczema: epidemiology, prognosis and prevention

Agner

Elsner

2019

Acad Dermatol Venereol

103

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“…Treatment recommendations include non‐pharmacological interventions such as therapeutic patient education (TPE) which helps patients acquire or maintain the skills they need to optimally manage life with a chronic disease . TPE has been well studied in atopic dermatitis (AD) and CHE, mostly focusing on occupational hand eczema . The objective of this study was to evaluate the effect of a standardised care program including TPE on negative hand care and washing behaviours in unselected CHE patients and to investigate the change in clinical severity, quality of life, and work productivity.…”

Section: Introductionmentioning

confidence: 99%

“…11 TPE has been well studied in atopic dermatitis (AD) 12,13 and CHE, mostly focusing on occupational hand eczema. [14][15][16] The objective of this study was to evaluate the effect of a standardised care program including TPE on negative hand care and washing behaviours in unselected CHE patients and to investigate the change in clinical severity, quality of life, and work productivity.…”

Section: Introductionmentioning

confidence: 99%

Positive change in hand care habits using therapeutic patient education in chronic hand eczema

et al. 2019

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Background: Chronic hand eczema (CHE) is a major burden for patients. Maintenance treatment involves prevention measures limiting detrimental behaviour and aggravating factors.Objective: To evaluate the effect of a standardised care program including therapeutic patient education (TPE) on hand care behaviours, clinical severity, quality of life, and work productivity.Methods: A single-centre study was conducted prospectively. Together with the prescription of a topical steroid, patients participated in individual TPE sessions. Evaluations were performed initially and repeated three months after the therapeutic intervention. They included a structured analysis of hand care behaviours, the assessment of the mTLSS (modified Total Lesion Symptom Score), DLQI (Dermatology Life Quality Index), and WPAI (Work Productivity and Activity Impairment).Results: Seventy-one patients were included (30 men, 42.3%). Three months after completion of the standardised care program, hand care behaviours such as hand washing and rinsing, hand drying, wearing protective gloves, using moisturizing creams, and following specific treatments and recommendations for CHE improved significantly in the 58 patients who completed the study and were associated with a significant improvement in the mTLSS, DLQI, and WPAI scores.Conclusions: TPE helps patients change their hand care behaviours and adopt skin protection measures, and may improve CHE severity, quality of life, and work productivity.K E Y W O R D S chronic hand eczema, hand care behaviours, skin protection, therapeutic patient education

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“…In this way, patients' adoption of secondary prevention measures may reduce the frequency of recurrence of hand eczema. [6][7][8][9][10][11][12] Short message service (SMS or text messaging) has been effective in improving treatment compliance and promoting behaviour changes for many chronic diseases in recent years. [13][14][15][16][17][18] To the best of our knowledge, there is no study investigating the effectiveness of SMS for hand eczema patients.…”

mentioning

confidence: 99%

Hand eczema treatment: Change behaviour with text messaging, a randomized trial

Erdil¹,

Aksu²,

Gür³

et al. 2020

Contact Dermatitis

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Background: Irritant contact dermatitis is the most common type of hand eczema.Effective treatment usually involves avoidance of irritants and use of appropriate topical medication. In this study, the effectiveness of using text messaging addressing preventive behaviours and appropriate medication adherence was evaluated. Methods: Patients who were admitted to Istanbul Training and Research HospitalDermatology Department March 1, 2015 to July 31, 2015, and diagnosed with hand eczema were enrolled. Patients were randomly divided into the SMS group and the non-SMS group. Text messages were sent to the mobile phones of the patients in the SMS group. Severity of hand eczema, compliance to treatment, patients' information level, adherence to preventive behaviours, and the protective behaviour score were evaluated at baseline, and at the 4th and 8th week.Results: Eighty-one patients with hand eczema were included in the study. After 8 weeks, the decrease in the Hand Eczema Severity Index score was 70.2% (SD 35.2) in the SMS group and 38.9% (SD 67.7) in the non-SMS group (P = .017). Sending SMS to patients increased the use of moisturizer. There was no statistically significant difference in other behaviours.Conclusion: This study demonstrated that text messaging improves the treatment success and specifically the frequency of moisturizer use in patients with hand eczema.

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Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial

Abstract: The intervention had a positive influence on 1-year behaviour and knowledge, but was insufficient to result in long-term positive changes in personal resources regarding dealing with hand eczema.

Cited by 13 publications

References 30 publications

Hand eczema: epidemiology, prognosis and prevention

Hand eczema: epidemiology, prognosis and prevention

Positive change in hand care habits using therapeutic patient education in chronic hand eczema

Hand eczema treatment: Change behaviour with text messaging, a randomized trial

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