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Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study

BACKGROUND: Educational programmes for caregivers of children with atopic dermatitis (AD) are reported to reduce the severity of AD and improve quality of life (QOL). Oslo University Hospital (OUH) in Norway offers a multidisciplinary educational programme for caregivers of children with AD. We aime...

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Autores principales: Lundborg, M., Holm, J.-O. H., Sandvik, L., Lossius, A. H., Rehbinder, E. M., Sitek, J. C., Berents, T. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727126/
https://www.ncbi.nlm.nih.gov/pubmed/33298043
http://dx.doi.org/10.1186/s12895-020-00119-6
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author Lundborg, M.
Holm, J.-O. H.
Sandvik, L.
Lossius, A. H.
Rehbinder, E. M.
Sitek, J. C.
Berents, T. L.
author_facet Lundborg, M.
Holm, J.-O. H.
Sandvik, L.
Lossius, A. H.
Rehbinder, E. M.
Sitek, J. C.
Berents, T. L.
author_sort Lundborg, M.
collection PubMed
description BACKGROUND: Educational programmes for caregivers of children with atopic dermatitis (AD) are reported to reduce the severity of AD and improve quality of life (QOL). Oslo University Hospital (OUH) in Norway offers a multidisciplinary educational programme for caregivers of children with AD. We aimed to evaluate the AD educational programme by assessing QOL of the family, the severity of the disease and caregiver’s fear of topical corticosteroid (TCS) before and after attending the programme. METHODS: This was a small observational prospective cohort study including 41 caregiver-child pairs. The children (mean age 3.4 years) had doctors’ diagnosed AD with a difficult to treat eczema. The children’s caregivers were referred from physicians to attend the AD educational programme at our hospital. At inclusion and at a 3 months follow-up QOL was assessed by Dermatitis Family Impact (DFI), the eczema severity by Patient-Orientated - SCORing Atopic Dermatitis (PO-SCORAD) and caregivers fear of TCS was recorded by asking a dichotomous “yes” or “no” question: “Are you worried about using TCS on your child?” RESULTS: Three months after caregivers attending the educational programme there was an improvement in QOL by reduced mean DFI from 9.6 (SD 6.3) to 6.8 (SD 5.4), the mean PO-SCORAD was reduced from 38.5 (SD 15.1) to 24.6 (SD13.6), the number of caregivers reporting fear of TCS use was reduced from 33/46 (72%) to 12/41 (29%). All results p < 0.001. CONCLUSION: Our study suggests beneficial effects by improving QOL of the family, the severity of the eczema and in reducing the fear of TCS when caregivers of children with difficult to treat AD attend an AD multidisciplinary educational programme. Lack of control group makes it difficult to draw definite conclusions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12895-020-00119-6.
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spelling pubmed-77271262020-12-10 Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study Lundborg, M. Holm, J.-O. H. Sandvik, L. Lossius, A. H. Rehbinder, E. M. Sitek, J. C. Berents, T. L. BMC Dermatol Research Article BACKGROUND: Educational programmes for caregivers of children with atopic dermatitis (AD) are reported to reduce the severity of AD and improve quality of life (QOL). Oslo University Hospital (OUH) in Norway offers a multidisciplinary educational programme for caregivers of children with AD. We aimed to evaluate the AD educational programme by assessing QOL of the family, the severity of the disease and caregiver’s fear of topical corticosteroid (TCS) before and after attending the programme. METHODS: This was a small observational prospective cohort study including 41 caregiver-child pairs. The children (mean age 3.4 years) had doctors’ diagnosed AD with a difficult to treat eczema. The children’s caregivers were referred from physicians to attend the AD educational programme at our hospital. At inclusion and at a 3 months follow-up QOL was assessed by Dermatitis Family Impact (DFI), the eczema severity by Patient-Orientated - SCORing Atopic Dermatitis (PO-SCORAD) and caregivers fear of TCS was recorded by asking a dichotomous “yes” or “no” question: “Are you worried about using TCS on your child?” RESULTS: Three months after caregivers attending the educational programme there was an improvement in QOL by reduced mean DFI from 9.6 (SD 6.3) to 6.8 (SD 5.4), the mean PO-SCORAD was reduced from 38.5 (SD 15.1) to 24.6 (SD13.6), the number of caregivers reporting fear of TCS use was reduced from 33/46 (72%) to 12/41 (29%). All results p < 0.001. CONCLUSION: Our study suggests beneficial effects by improving QOL of the family, the severity of the eczema and in reducing the fear of TCS when caregivers of children with difficult to treat AD attend an AD multidisciplinary educational programme. Lack of control group makes it difficult to draw definite conclusions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12895-020-00119-6. BioMed Central 2020-12-09 /pmc/articles/PMC7727126/ /pubmed/33298043 http://dx.doi.org/10.1186/s12895-020-00119-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Lundborg, M.
Holm, J.-O. H.
Sandvik, L.
Lossius, A. H.
Rehbinder, E. M.
Sitek, J. C.
Berents, T. L.
Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study
title Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study
title_full Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study
title_fullStr Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study
title_full_unstemmed Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study
title_short Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway – an observational study
title_sort multidisciplinary educational programme for caregivers of children with atopic dermatitis- in south east norway – an observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727126/
https://www.ncbi.nlm.nih.gov/pubmed/33298043
http://dx.doi.org/10.1186/s12895-020-00119-6
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