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The significance of structured parental educational intervention on childhood atopic dermatitis: a randomized controlled trial
Author(s) -
Pustišek N.,
Šitum M.,
Vurnek Živković M.,
Ljubojević Hadžavdić S.,
Vurnek M.,
Niseteo T.
Publication year - 2016
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/jdv.13519
Subject(s) - medicine , scorad , dermatology life quality index , atopic dermatitis , quality of life (healthcare) , randomized controlled trial , anxiety , state trait anxiety inventory , intervention (counseling) , sleep disorder , clinical trial , physical therapy , clinical psychology , pediatrics , psychiatry , disease , insomnia , dermatology , nursing
Abstract Background Parental education is important in managing childhood chronic diseases. Objectives The aim of the study was to evaluate the effects of a short‐term structured educational programme for parents of children with moderate to severe atopic dermatitis ( AD ), aged 3 months to 7 years, on the clinical course of AD , parental stress, anxiety and the quality of family life. Methods One hundred thirty‐four parents with AD children were recruited in a randomized controlled clinical trial at the Outpatient Unit of Pediatric Dermatology, Children's Hospital in Zagreb. The primary outcome was change in the severity of eczema measured using SCOR ing AD ( SCORAD ) and Patient Oriented ( PO ) SCORAD index, changes of symptom scores for pruritus and sleep disturbance. Secondary outcomes included change in stress level according to the Perceived Stress Scale ( PSS ); change in anxiety level according to State Trait Anxiety Inventory ( STAI ) and change in the quality of family life according to the Croatian version of the Family Dermatology Life Quality Index ( FDLQI ). Results Participants in the intervention group had a significantly lower SCORAD ( P = 0.000), PO SCORAD ( P = 0.000) index, pruritus ( P = 0.000), sleep disturbance ( P = 0.001), level of perceived stress ( P = 0.024) and anxiety as a state ( P = 0.42) than those in the control group at the second visit. After the educational programme, participants in the intervention group had a significantly lower impact of AD on the total quality of family life ( P = 0.006). We found a statistically significant difference between the two groups with respect to additional education received between the visits. The control group had acquired significantly more additional education ( P = 0.007). There was no significant difference between groups in the amount of corticosteroid used. Conclusion Our structured educational programme had a positive effect on AD severity, quality of family life, parental stress and anxiety.