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Texting atopic dermatitis patients to optimize learning and eczema area and severity index scores: A pilot randomized control trial
Author(s) -
Singer Hannah M.,
Levin Laura E.,
Morel Kimberly D.,
Garzon Maria C.,
Stockwell Melissa S.,
Lauren Christine T.
Publication year - 2018
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.13510
Subject(s) - medicine , atopic dermatitis , eczema area and severity index , randomized controlled trial , text message , physical therapy , adverse effect , pediatrics , dermatology , computer network , computer science
Background/Objectives Atopic dermatitis is a common, chronic, debilitating disease. Poor adherence to treatment is the most important preventable contributor to adverse outcomes. Thus, improving adherence can improve patient outcomes. Text message reminders with embedded condition‐specific information have been shown to improve pediatric immunization adherence but have not been assessed in atopic dermatitis. The objective was to assess the effect of daily text messages on Eczema Area Severity Index scores and caregiver knowledge of atopic dermatitis. Methods In this pilot randomized controlled trial, caregivers of children with atopic dermatitis enrolled during their initial appointment with a pediatric dermatologist and randomized 1:1 to standard care or daily text messages with patient education material and treatment reminders. Participants completed a multiple‐choice atopic dermatitis knowledge quiz at initial and follow‐up visits, and Eczema Area Severity Index scores were assessed. Results Forty‐two patients enrolled, and 30 completed the study: 16 standard care group, 14 text message group. There was no significant difference in Eczema Area Severity Index score between the standard care and text message groups at follow‐up, with mean decreases in Eczema Area Severity Index score of 53% and 58%, respectively. Mean score on follow‐up atopic dermatitis knowledge quiz was significantly higher in the text message group (84% correct) than in the standard care group (75% correct) ( P = .04). Conclusion This pilot study did not demonstrate a difference in Eczema Area Severity Index scores with text message reminders. The significantly higher follow‐up atopic dermatitis quiz score in the text message group indicates that participants read and retained information from text messages. Limitations include small sample size and short duration of follow‐up.