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Effects of a self‐efficacy theory‐based parental education program on eczema control and parental outcomes
Author(s) -
Cheng Nam Sze,
Chau Janita Pak Chun,
Lo Suzanne Hoi Shan,
Choi Kai Chow,
Hon Kam Lun Ellis,
Lam Pok Hong,
Leung Ting Fan
Publication year - 2021
Publication title -
pediatric allergy and immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 89
eISSN - 1399-3038
pISSN - 0905-6157
DOI - 10.1111/pai.13421
Subject(s) - medicine , self efficacy , intervention (counseling) , quality of life (healthcare) , randomized controlled trial , outpatient clinic , social cognitive theory , pediatrics , physical therapy , family medicine , clinical psychology , psychiatry , developmental psychology , nursing , psychology , psychotherapist
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.