An Educational Program That Contributes to Improved Patient and Parental Understanding of Atopic Dermatitis
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Background: Providing an educational program as part of ahealth care program for the management of atopic dermatitis(AD) patients has rapidly become popular. AD educationalprograms can be of benefit in measured outcomes for bothdermatology specialists and patients. Objective: To determinethe effects of programmed education delivered bydermatology specialists on the management and knowledgeof AD, we assessed the effectiveness of patient/parentaleducation at improving AD knowledge, and determined theusefulness of the education. Methods: The program consistedof five, 20-minutes sessions which were prepared,discussed, reviewed, and delivered by professors ofdermatology. At the end of the program, AD knowledge wasassessed using a standardized questionnaire. A total of 148people were included. Fifty-eight patients/parents receivedthe programmed education and the remaining 90 did notreceive the programmed education. Results: The meanquestionnaire scores from both groups were compared. Mean knowledge scores were significantly higher for thosewho received the education (p=0.00). We analyzed theknowledge score according to factors such as gender,education level, marital status, and occupation. The dataindicated that education level influences the subjects’knowledge level of AD, but gender, occupation, and maritalstatus do not. Conclusion: An educational program can be aneffective tool to improve patient quality of life and treatmentcompliance by providing psychological support to thepatients and their parents.
Abstract
Background: Providing an educational program as part of ahealth care program for the management of atopic dermatitis(AD) patients has rapidly become popular. AD educationalprograms can be of benefit in measured outcomes for bothdermatology specialists and patients. Objective: To determinethe effects of programmed education delivered bydermatology specialists on the management and knowledgeof AD, we assessed the effectiveness of patient/parentaleducation at improving AD knowledge, and determined theusefulness of the education. Methods: The program consistedof five, 20-minutes sessions which were prepared,discussed, reviewed, and delivered by professors ofdermatology. At the end of the program, AD knowledge wasassessed using a standardized questionnaire. A total of 148people were included. Fifty-eight patients/parents receivedthe programmed education and the remaining 90 did notreceive the programmed education. Results: The meanquestionnaire scores from both groups were compared. Mean knowledge scores were significantly higher for thosewho received the education (p=0.00). We analyzed theknowledge score according to factors such as gender,education level, marital status, and occupation. The dataindicated that education level influences the subjects’knowledge level of AD, but gender, occupation, and maritalstatus do not. Conclusion: An educational program can be aneffective tool to improve patient quality of life and treatmentcompliance by providing psychological support to thepatients and their parents.
참고문헌 (28)
- Annesi-Maesano I, "Time trends in prevalence and severity of childhood asthma and allergies from 1995 to 2002 in France", Allergy, 64, pp.798~800 (2009)
- Eichenfield LF, "Atopic dermatitis and asthma:parallels in the evolution of treatment", Pediatrics, 111, pp.608~616 (2003)
- Foley P, "The frequency of common skin conditions in preschool-age children in Australia:atopic dermatitis", Arch Dermatol, 137, pp.293~300 (2001)
- Larsen FS, "Epidemiology of atopic dermatitis", Immunol Allergy Clin North Am, 22, pp.1~24 (2002)
- Johnston GA, "The use of complementary medicine in children with atopic dermatitis in secondary care in Leicester", Br J Dermatol, 149, pp.566~571 (2003)
- Cork MJ, "Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse", Br J Dermatol, 149, pp.582~589 (2003)
- Staab D, "Evaluation of a parental training program for the management of childhood atopic dermatitis", Pediatr Allergy Immunol, 13, pp.84~90 (2002)
- Ben-Gashir MA, "Quality of life and disease severity are correlated in children with atopic dermatitis", Br J Dermatol, 150, pp.284~290 (2004)
- Atherton DJ, "A double-blind controlled crossover trial of an antigen-avoidance diet in atopic eczema", Lancet, 1, pp.401~403 (1978)
- Neild VS, "Egg and milk exclusion diets in atopic eczema", Br J Dermatol, 114, pp.117~123 (1986)
- Mabin DC, "Controlled trial of a few foods diet in severe atopic dermatitis", Arch Dis Child, 73, pp.202~207 (1995)
- Oranje AP, "Atopic dermatitis and diet", J Eur Acad Dermatol Venereol, 14, pp.437~438 (2000)
- Smith SD, "Corticosteroid phobia and other confounders in the treatment of childhood atopic dermatitis explored using parent focus groups", Australas J Dermatol, 51, pp.168~174 (2010)
- Brown KL, "Poor compliance with topical corticosteroids for atopic dermatitis despite severe disease", Dermatol Online J, 14, pp.13~ (2008)
- Chamlin SL, "Effects of atopic dermatitis on young American children and their families", Pediatrics, 114, pp.607~611 (2004)
- Armstrong AW, "Online video improves clinical outcomes in adults with atopic dermatitis: a randomized controlled trial", J Am Acad Dermatol, 64, pp.502~507 (2011)
- Moore EJ, "Eczema workshops reduce severity of childhood atopic eczema", Australas J Dermatol, 50, pp.100~106 (2009)
- Roehr B, "Trend for US patients to seek health information from media and internet is stalling", BMJ, 343, pp.d7738~ (2011)
- Broberg A, "Parental education in the treatment of childhood atopic eczema", Acta Derm Venereol, 70, pp.495~499 (1990)
- Beattie PE, "Parental knowledge of topical therapies in the treatment of childhood atopic dermatitis", Clin Exp Dermatol, 28, pp.549~553 (2003)
- Hughes R, "The use of alternative medicine in pediatric patients with atopic dermatitis", Pediatr Dermatol, 24, pp.118~120 (2007)
- Artik S, "Complementary therapy for atopic eczema and other allergic skin diseases", Dermatol Ther, 16, pp.150~163 (2003)
- 진현우, "아토피피부염 환자의 대체의학 이용 실태에 관한 연구", 대한피부과학회지, 43(7), pp.903~911 (2005), 대한피부과학회
- Jensen P, "Use of alternative medicine by patients with atopic dermatitis and psoriasis", Acta Derm Venereol, 70, pp.421~424 (1990)
- Hauk PJ, "The role of food allergy in atopic dermatitis", Curr Allergy Asthma Rep, 8, pp.188~194 (2008)
- 정수진, "아토피 피부염 학회 보고서 : 한국 소아형 아토피 피부염의 임상적 특징에 대한 연구", 대한피부과학회지, 43(11), pp.1497~1509 (2005), 대한피부과학회
- Shin HJ, "The analysis of the present status of the medical internet sites in Korea", J Korean Acad Fam Med, 21, pp.792~800 (2000)
- 권현조, "아토피 피부염과 관련된 국내 인터넷상의 정보에 대한 연구", 대한피부과학회지, 44(2), pp.137~140 (2006), 대한피부과학회
