A patient empowerment program for primary immunodeficiency improves quality of life in children and adolescents

Maria Fasshauer1, Gesine Schuermann2, Norbert Gebert3

  • 1Klinikum St. Georg, Klinik für Kinder- und Jugendmedizin - ImmunDefektCentrum Leipzig IDCL, Leipzig, Germany.

Immunotherapy
|July 29, 2024
PubMed

Insights

A patient empowerment program (PEP) for children with primary immunodeficiency (PID) significantly improved their quality of life (QoL). This program enhanced psychological well-being, autonomy, and social functioning in young patients receiving IgG replacement therapy.

Area of Science:

  • Pediatric Immunology
  • Quality of Life Research
  • Patient Education

Background:

  • Primary immunodeficiency (PID) impacts children's quality of life (QoL).
  • IgG replacement therapy is a standard treatment for PID.
  • Empowering patients can potentially improve health outcomes.

Purpose of the Study:

  • To evaluate a patient empowerment program (PEP) for children with PID.
  • To assess the program's impact on patient and proxy-reported QoL.
  • To determine if PEP improves QoL in pediatric PID patients on IgG therapy.

Main Methods:

  • Health-related QoL was measured using KIDSCREEN-27 and DISABKIDS-37.
  • Assessments were conducted before and 6 months after the PID-PEP kids program.
  • The study included 19 children/adolescents with PID and their parents.

Main Results:

  • Significant improvements were observed in Psychological Well-Being, Parents & Autonomy, and School Environment (KIDSCREEN-27).
  • Total DISABKIDS-37 scores and 5 dimensions (Independence, Emotion, Social Inclusion, Social Exclusion, Physical) increased significantly.
  • Proxy evaluations mirrored the positive patient outcomes.

Conclusions:

  • The PID-PEP kids program demonstrated a significant positive impact on QoL for children with PID.
  • Patient empowerment strategies can effectively enhance the well-being of pediatric PID patients.
  • The findings support the integration of PEP into standard care for children with PID.

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