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Therapeutic Patient Education for Pediatric Atopic Dermatitis Patients: A Randomized Controlled Trial
Mason McDowell1, Alexis Navarro2, Omar Siddiqui3
1Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Pediatric Dermatology
|May 20, 2026
Summary
Both video and handout-based therapeutic patient education (TPE) are effective for pediatric atopic dermatitis (AD). These educational tools showed similar outcomes for English- and Spanish-speaking families, offering accessible options for AD management.
Area of Science:
- Dermatology
- Medical Education
- Health Disparities
Background:
- Atopic dermatitis (AD) is a chronic skin condition impacting quality of life.
- Therapeutic patient education (TPE) improves AD outcomes but in-person programs face accessibility barriers.
- Video- and handout-based TPE are feasible alternatives, yet their comparative efficacy, especially in diverse linguistic groups, needs clarification.
Purpose of the Study:
- To compare the effectiveness of video- versus handout-based TPE for pediatric AD patients and caregivers.
- To assess outcomes in both English- and Spanish-speaking populations.
- To evaluate educational accessibility and caregiver confidence in AD management.
Main Methods:
- A randomized study compared video- and handout-based TPE in pediatric AD dyads (English/Spanish).
- Interventions included captioned videos or handouts on AD management.
- Outcomes measured included Patient-Oriented Eczema Measure (POEM), Child Dermatology Life Quality Index (CDLQI), Investigator's Global Assessment (IGA), and caregiver confidence.
Main Results:
- No significant differences were found between video and handout groups for POEM, CDLQI, IGA, educational accessibility, or caregiver confidence.
- Outcomes were comparable between English- and Spanish-speaking participants.
- Study retention was 42% (22/52 dyads).
Conclusions:
- Both video and handout formats are effective TPE tools for pediatric AD.
- Well-constructed handouts are a viable, resource-conscious educational option, including for Spanish-speaking populations.
- Larger studies with improved retention are needed to optimize TPE strategies for AD.
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