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Eczema workshops reduce severity of childhood atopic eczema
Author(s) -
Moore Elizabeth J,
Williams Allison,
Manias Elizabeth,
Varigos George,
Donath Susan
Publication year - 2009
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2009.00515.x
Subject(s) - medicine , scorad , atopic dermatitis , eczema area and severity index , hand eczema , confidence interval , intervention (counseling) , dermatology , pediatrics , randomized controlled trial , dermatology life quality index , contact dermatitis , allergy , surgery , immunology , psoriasis , psychiatry
An intervention study was conducted to assess the effectiveness of a nurse‐led eczema workshop in reducing the severity of atopic eczema in infants, children and adolescents. Ninety‐nine new patients referred to the Dermatology Department of The Royal Children's Hospital in Melbourne, Australia, for the management of atopic eczema were randomized to receive care from an eczema workshop or a dermatologist‐led clinic. Patients were followed‐up 4 weeks after the intervention. The primary outcome was the severity of eczema as determined by scores obtained using the Scoring of Atopic Dermatitis (SCORAD) index at a 4‐week follow‐up visit. The secondary outcome was a comparison of treatments used in both clinics. At the 4‐week review the mean improvement in SCORAD was significantly greater in those patients attending the eczema workshop than those attending the dermatologist‐led clinic (−9.93, 95% confidence interval −14.57 to −5.29, P < 0.001). Significantly more patients from the eczema workshop improved from moderate severity eczema at baseline to mild at review. There was greater adherence to eczema management in the eczema workshop compared with the dermatologist‐led clinic. In this study, patients attending the eczema workshop had a greater improvement in eczema severity thanpatients attending a dermatologist‐led clinic, supporting collaborative models of service provision.