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Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: multicentre, randomised controlled trial.

Abstract

OBJECTIVE

To determine the effects of age related, structured educational programmes on the management of moderate to severe atopic dermatitis in childhood and adolescence.

DESIGN

Multicentre, randomised controlled trial.

SETTING

Seven hospitals in Germany.

PARTICIPANTS

Parents of children with atopic dermatitis aged 3 months to 7 years (n = 274) and 8-12 years (n = 102), adolescents with atopic dermatitis aged 13-18 years (n = 70), and controls (n = 244, n = 83, and n = 50, respectively).

INTERVENTIONS

Group sessions of standardised intervention programmes for atopic dermatitis once weekly for six weeks or no education (control group).

MAIN OUTCOME MEASURES

Severity of eczema (scoring of atopic dermatitis scale), subjective severity (standardised questionnaires), and quality of life for parents of affected children aged less than 13 years, over 12 months.

RESULTS

Significant improvements in severity of eczema and subjective severity were seen in all intervention groups compared with control groups (total score for severity: age 3 months to 7 years - 17.5, 95% confidence intervals - 19.6 to - 15.3 v - 12.2, - 14.3 to - 10.1; age 8-12 years - 16.0, - 20.0 to - 12.0 v - 7.8, - 11.4; - 4.3; and age 13-18 years - 19.7, - 23.7 to - 15.7 v - 5.2, - 10.5 to 0.1). Parents of affected children aged less than 7 years experienced significantly better improvement in all five quality of life subscales, whereas parents of affected children aged 8-12 years experienced significantly better improvement in three of five quality of life subscales.

CONCLUSION

Age related educational programmes for the control of atopic dermatitis in children and adolescents are effective in the long term management of the disease.

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  • Authors+Show Affiliations

    ,

    Department of Paediatric Pulmonology and Immunology, Charité, Humboldt University, Berlin.

    , , , , , , , , , , , , ,

    Source

    BMJ (Clinical research ed.) 332:7547 2006 Apr 22 pg 933-8

    MeSH

    Adolescent
    Child
    Child, Preschool
    Dermatitis, Atopic
    Germany
    Humans
    Infant
    Parents
    Patient Education as Topic
    Pruritus
    Quality of Life
    Self Care
    Severity of Illness Index
    Surveys and Questionnaires
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Multicenter Study
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    16627509

    Citation

    Staab, Doris, et al. "Age Related, Structured Educational Programmes for the Management of Atopic Dermatitis in Children and Adolescents: Multicentre, Randomised Controlled Trial." BMJ (Clinical Research Ed.), vol. 332, no. 7547, 2006, pp. 933-8.
    Staab D, Diepgen TL, Fartasch M, et al. Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: multicentre, randomised controlled trial. BMJ. 2006;332(7547):933-8.
    Staab, D., Diepgen, T. L., Fartasch, M., Kupfer, J., Lob-Corzilius, T., Ring, J., ... Gieler, U. (2006). Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: multicentre, randomised controlled trial. BMJ (Clinical Research Ed.), 332(7547), pp. 933-8.
    Staab D, et al. Age Related, Structured Educational Programmes for the Management of Atopic Dermatitis in Children and Adolescents: Multicentre, Randomised Controlled Trial. BMJ. 2006 Apr 22;332(7547):933-8. PubMed PMID: 16627509.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: multicentre, randomised controlled trial. AU - Staab,Doris, AU - Diepgen,Thomas L, AU - Fartasch,Manigé, AU - Kupfer,Jörg, AU - Lob-Corzilius,Thomas, AU - Ring,Johannes, AU - Scheewe,Sibylle, AU - Scheidt,Reginald, AU - Schmid-Ott,Gerhard, AU - Schnopp,Christina, AU - Szczepanski,Rüdiger, AU - Werfel,Thomas, AU - Wittenmeier,Marita, AU - Wahn,Ulrich, AU - Gieler,Uwe, PY - 2006/4/22/pubmed PY - 2006/5/2/medline PY - 2006/4/22/entrez SP - 933 EP - 8 JF - BMJ (Clinical research ed.) JO - BMJ VL - 332 IS - 7547 N2 - OBJECTIVE: To determine the effects of age related, structured educational programmes on the management of moderate to severe atopic dermatitis in childhood and adolescence. DESIGN: Multicentre, randomised controlled trial. SETTING: Seven hospitals in Germany. PARTICIPANTS: Parents of children with atopic dermatitis aged 3 months to 7 years (n = 274) and 8-12 years (n = 102), adolescents with atopic dermatitis aged 13-18 years (n = 70), and controls (n = 244, n = 83, and n = 50, respectively). INTERVENTIONS: Group sessions of standardised intervention programmes for atopic dermatitis once weekly for six weeks or no education (control group). MAIN OUTCOME MEASURES: Severity of eczema (scoring of atopic dermatitis scale), subjective severity (standardised questionnaires), and quality of life for parents of affected children aged less than 13 years, over 12 months. RESULTS: Significant improvements in severity of eczema and subjective severity were seen in all intervention groups compared with control groups (total score for severity: age 3 months to 7 years - 17.5, 95% confidence intervals - 19.6 to - 15.3 v - 12.2, - 14.3 to - 10.1; age 8-12 years - 16.0, - 20.0 to - 12.0 v - 7.8, - 11.4; - 4.3; and age 13-18 years - 19.7, - 23.7 to - 15.7 v - 5.2, - 10.5 to 0.1). Parents of affected children aged less than 7 years experienced significantly better improvement in all five quality of life subscales, whereas parents of affected children aged 8-12 years experienced significantly better improvement in three of five quality of life subscales. CONCLUSION: Age related educational programmes for the control of atopic dermatitis in children and adolescents are effective in the long term management of the disease. SN - 1756-1833 UR - https://www.unboundmedicine.com/medline/citation/16627509/full_citation L2 - http://www.bmj.com/cgi/pmidlookup?view=long&pmid=16627509 DB - PRIME DP - Unbound Medicine ER -