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Eczema workshops reduce severity of childhood atopic eczema

Version 2 2024-06-03, 23:01
Version 1 2015-08-24, 13:58
journal contribution
posted on 2024-06-03, 23:01 authored by EJ Moore, A Williams, E Manias, G Varigos, S Donath
An 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 dermatology

Volume

50

Pagination

100-106

Location

London, Eng.

ISSN

0004-8380

eISSN

1440-0960

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2009, The Authors

Issue

2

Publisher

Wiley-Blackwell