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Eczema workshops reduce severity of childhood atopic eczema
journal contribution
posted on 2009-05-01, 00:00 authored by E J Moore, A Williams, Elizabeth ManiasElizabeth Manias, G Varigos, S DonathAn intervention study was conducted to assess the effectiveness of a nurse-led eczema workshop in reducing the severity of atopic eczema in infants, children and adolescents. Ninety-nine new patients referred to the Dermatology Department of The Royal Children's Hospital in Melbourne, Australia, for the management of atopic eczema were randomized to receive care from an eczema workshop or a dermatologist-led clinic. Patients were followed-up 4 weeks after the intervention. The primary outcome was the severity of eczema as determined by scores obtained using the Scoring of Atopic Dermatitis (SCORAD) index at a 4-week follow-up visit. The secondary outcome was a comparison of treatments used in both clinics. At the 4-week review the mean improvement in SCORAD was significantly greater in those patients attending the eczema workshop than those attending the dermatologist-led clinic (-9.93, 95% confidence interval -14.57 to -5.29, P < 0.001). Significantly more patients from the eczema workshop improved from moderate severity eczema at baseline to mild at review. There was greater adherence to eczema management in the eczema workshop compared with the dermatologist-led clinic. In this study, patients attending the eczema workshop had a greater improvement in eczema severity thanpatients attending a dermatologist-led clinic, supporting collaborative models of service provision.
History
Journal
Australasian journal of dermatologyVolume
50Issue
2Pagination
100 - 106Publisher
Wiley-BlackwellLocation
London, Eng.Publisher DOI
ISSN
0004-8380eISSN
1440-0960Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2009, The AuthorsUsage metrics
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No categories selectedKeywords
Adolescentatopic dermatitisChildChild, PreschoolChronic DiseaseDermatitis, AtopicDermatologic AgentsDermatologyeczema severityFemaleFollow-Up StudiesHumansInfantInfant, NewbornMalenurse-led clinicsNurse's RoleNursing CarePatient Education as TopicPatient SatisfactionQuality of Health CareSCORADScoring of Atopic Dermatitis indexSeverity of Illness IndexTreatment OutcomeScience & TechnologyLife Sciences & BiomedicineRANDOMIZED CONTROLLED-TRIALEUROPEAN TASK-FORCEQUALITY-OF-LIFESCORAD INDEXPRIMARY-CARETOPICAL THERAPIESDERMATOLOGY NURSEDISEASE SEVERITYCONSENSUS REPORTDERMATITIS
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