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Effects of a short-term parental education program on childhood atopic dermatitis: a randomized controlled trial.
Futamura, Masaki; Masuko, Ikuyo; Hayashi, Keiichi; Ohya, Yukihiro; Ito, Komei.
Afiliação
  • Futamura M; Division of Allergy, Department of Medical Specialties, National Center for Child Health and Development, Tokyo, Japan. futamura-m@ncchd.go.jp
Pediatr Dermatol ; 30(4): 438-43, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23458232
ABSTRACT
Parental education is important in managing childhood atopic dermatitis (AD). We evaluated the long-term effects of a 2-day parental education program (PEP) on childhood AD. In an investigator-blinded, randomized controlled trial, 59 children age 6 months to 6 years with moderate to severe AD and their mothers were recruited in Japan. Participants were given a booklet about AD and received conventional treatment alone or in combination with a 2-day PEP comprising three lectures, three practical sessions, and a group discussion. The primary outcome was evaluation of eczema severity using SCORing Atopic Dermatitis (SCORAD) at 6 months. Secondary outcomes included changes in symptom scores, amount of corticosteroid used, parental quality of life as determined according to the Dermatitis Family Impact questionnaire, and change in parental anxiety regarding the use of corticosteroids in their children. Participants in the PEP group had a significantly lower SCORAD score than those in the control group at 6 months (mean difference 10.0, 95% confidence interval [CI] = 2.3-17.7, p = 0.01) and objective SCORAD score (mean difference 7.1, 95% CI = 0.8-13.5, p = 0.03). The sleeplessness symptom score (mean difference 1.6, 95% CI = 0.0-3.1, p = 0.048) and corticosteroid anxiety score (p = 0.02) in the PEP group were significantly better than in the control group at 6 months. There was no significant difference between groups in the amount of corticosteroid used or quality of life. The PEP had positive long-term effects on eczema severity and parental anxiety about corticosteroid usage.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Pais / Índice de Gravidade de Doença / Corticosteroides / Dermatite Atópica / Educação não Profissionalizante Tipo de estudo: Ensaio clínico controlado / Estudo de avaliação Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino Idioma: Inglês Revista: Pediatr Dermatol Ano de publicação: 2013 Tipo de documento: Artigo País de afiliação: Japão

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Pais / Índice de Gravidade de Doença / Corticosteroides / Dermatite Atópica / Educação não Profissionalizante Tipo de estudo: Ensaio clínico controlado / Estudo de avaliação Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino Idioma: Inglês Revista: Pediatr Dermatol Ano de publicação: 2013 Tipo de documento: Artigo País de afiliação: Japão