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The significance of structured parental educational intervention on childhood atopic dermatitis: a randomized
N Pustišek1, M Šitum2, M Vurnek Živković3
1Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
Insights
A structured educational program significantly improved outcomes for children with atopic dermatitis (AD), reducing eczema severity, parental stress, and anxiety. The program also enhanced family quality of life.
Area of Science:
- Pediatric Dermatology
- Clinical Psychology
- Family Medicine
Background:
- Parental education is crucial for managing childhood chronic diseases.
- Atopic dermatitis (AD) significantly impacts children's health and family well-being.
- Effective management strategies for AD are essential.
Purpose of the Study:
- To evaluate a short-term educational program for parents of children with moderate to severe atopic dermatitis (AD).
- To assess the program's impact on AD clinical course, parental stress, anxiety, and family quality of life.
- To provide evidence-based support for parental education in pediatric dermatology.
Main Methods:
- A randomized controlled trial involving 134 parents of children with AD.
- Primary outcomes measured included SCORing AD (SCORAD) and Patient Oriented (PO) SCORAD index, pruritus, and sleep disturbance.
- Secondary outcomes assessed parental stress (Perceived Stress Scale), anxiety (State Trait Anxiety Inventory), and family quality of life (Family Dermatology Life Quality Index).
Main Results:
- The intervention group showed significantly lower SCORAD, PO SCORAD, pruritus, and sleep disturbance scores.
- Participants in the educational program reported significantly reduced perceived stress and improved family quality of life.
- No significant difference was observed in corticosteroid use between groups.
Conclusions:
- The structured educational program demonstrated a positive effect on AD severity and family well-being.
- Parental education is an effective tool for managing childhood atopic dermatitis.
- The findings support the integration of structured educational interventions in pediatric dermatology care.
Background:
Parental education is important in managing childhood chronic diseases.
Objectives:
The aim of the study was to evaluate the effects of a short-term structured educational programme for parents of children with moderate to severe atopic dermatitis ( AD), aged 3 months to 7 years, on the clinical course of AD, parental stress, anxiety and the quality of family life.
Methods:
One hundred thirty-four parents with AD children were recruited in a randomized controlled clinical trial at the Outpatient Unit of Pediatric Dermatology, Children's Hospital in Zagreb. The primary outcome was change in the severity of eczema measured using SCORing AD (SCORAD) and Patient Oriented (PO) SCORAD index, changes of symptom scores for pruritus and sleep disturbance. Secondary outcomes included change in stress level according to the Perceived Stress Scale (PSS); change in anxiety level according to State Trait Anxiety Inventory (STAI) and change in the quality of family life according to the Croatian version of the Family Dermatology Life Quality Index (FDLQI).
Results:
Participants in the intervention group had a significantly lower SCORAD (P = 0.000), PO SCORAD (P = 0.000) index, pruritus (P = 0.000), sleep disturbance (P = 0.001), level of perceived stress (P = 0.024) and anxiety as a state (P = 0.42) than those in the control group at the second visit. After the educational programme, participants in the intervention group had a significantly lower impact of AD on the total quality of family life (P = 0.006). We found a statistically significant difference between the two groups with respect to additional education received between the visits. The control group had acquired significantly more additional education (P = 0.007). There was no significant difference between groups in the amount of corticosteroid used.
Conclusion:
Our structured educational programme had a positive effect on AD severity, quality of family life, parental stress and anxiety.
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