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[Intensive patient education and treatment program for young adults with atopic eczema]
P J Coenraads1, L Span, J P Jaspers
1Abteilung Umwelt- & Arbeitsdermatologie, ReichsUniversität/Universitätsspital Groningen, Postfach 30.001, 9700 RB Groningen, Niederlande.
Background And Objective:
By means of a 2-week intensive multidisciplinary training & treatment course in small groups (ISBP), young adults with atopic dermatitis may be able to achieve better self-management of their disease and reduce their number of doctor visits.
Methods:
Patients aged 18-35 with moderate to severe atopic dermatitis (SCORAD > 20) were randomized in a treatment (ISBP) group of n = 31 and a control group of n = 20. Follow-up was 9 months. The outcome was assessed using validated primary and secondary parameters, both specific for atopic dermatitis and more general.
Results:
Participants in the ISBP scored significantly better at follow-up in the Marburger atopic dermatitis-specific questionnaire and the self-care parameter, needed less time for medical consultations, and used more emollients without corticosteroids. Absence from work/sick leave was less at 10 weeks follow-up, but equal at 9 months.
Conclusions:
The ISBP program can be judged successful because both the patients and their doctors perceive their interactions as more efficient, less time time-consuming and more satisfying.