Simple, low-cost group-counselling programme vs treatment as usual for patients with newly notified occupational hand eczema-Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial.
Contact Dermatitis
; 79(3): 127-135, 2018 Sep.
Article
in En
| MEDLINE
| ID: mdl-29774562
ABSTRACT
BACKGROUND:
Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further.OBJECTIVES:
To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema.METHODS:
PREVEX is an individually randomized clinical trial investigating the 1-year effects of a simple, low-cost group-counselling programme vs treatment as usual for patients with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self-efficacy, and self-evaluated skin care ability.RESULTS:
In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed intervention group (n = 376) vs control group (n = 380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively estimate 0.08; 95%CI 0.02-0.19; P = .01; and estimate 0.49; 95%CI 0.28-0.70; P < .001). Self-efficacy was lower in the intervention group as compared with the control group (estimate -0.78; 95%CI -1.25 to -0.30; P = .001). No difference was found regarding skin care abilities.CONCLUSIONS:
The intervention had a positive influence on 1-year behaviour and knowledge, but was insufficient to result in long-term positive changes in personal resources regarding dealing with hand eczema.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Psychotherapy, Group
/
Health Knowledge, Attitudes, Practice
/
Dermatitis, Occupational
/
Counseling
/
Eczema
/
Hand Dermatoses
Type of study:
Clinical_trials
/
Health_economic_evaluation
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Contact Dermatitis
Year:
2018
Document type:
Article
Affiliation country:
Denmark