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Therapeutic patient education in children with moderate to severe atopic dermatitis: A multicenter randomized controlled trial in China
Author(s) -
Liang Yuan,
Tian Jing,
Shen Chun Ping,
Xu Feng,
Wang Hua,
Li Ping,
Guo Yan Ping,
Wei Feng Lei,
Ma Lin
Publication year - 2017
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.13362
Subject(s) - medicine , atopic dermatitis , randomized controlled trial , dermatology life quality index , quality of life (healthcare) , intervention (counseling) , physical therapy , therapeutic effect , eczema area and severity index , pediatrics , disease , dermatology , nursing
Background Therapeutic patient education is a continuous, systematic, patient‐centered learning process to help patients and their families acquire and maintain the skills they need to manage their lives with a chronic disease. It has been proven effective in increasing treatment adherence and improving quality of life for patients with atopic dermatitis (AD) in Western countries. We introduce the first multicenter, randomized controlled clinical trial of therapeutic patient education in Chinese children with AD. Objectives To evaluate the effects of therapeutic patient education on the severity of AD, quality of life, and understanding and successful use of emollients in Chinese children with eczema. Methods We recruited 580 children, ages 2‐14 years, with moderate to severe AD from six hospitals in China. Participants were randomized (1:1) to an intervention (n = 293) or control (n = 249) group. In addition to the severity of AD, data on quality of life and a questionnaire on family and patient knowledge of emollients were evaluated at the 6‐month follow‐up. Results On study completion, we found that the intervention group showed a significantly greater reduction in mean SCOR ing Atopic Dermatitis ( P < .001) and Infant's Dermatology Life Quality Index ( P = .030) scores than the control group. In addition, knowledge about the use of emollients improved significantly in the intervention group. There was no significant difference between groups in Children's Dermatology Life Quality Index scores. Conclusions The first randomized controlled trial of a therapeutic patient education program in China had positive long‐term effects on decreasing eczema severity and improvement of quality of life in children 2‐4 years of age with AD, as well as in promoting greater understanding of the use of emollients.