PMID- 26616256 OWN - NLM STAT- MEDLINE DCOM- 20170109 LR - 20170110 IS - 1468-3083 (Electronic) IS - 0926-9959 (Linking) VI - 30 IP - 5 DP - 2016 May TI - The significance of structured parental educational intervention on childhood atopic dermatitis: a randomized controlled trial. PG - 806-12 LID - 10.1111/jdv.13519 [doi] AB - BACKGROUND: Parental education is important in managing childhood chronic diseases. OBJECTIVES: The aim of the study was to evaluate the effects of a short-term structured educational programme for parents of children with moderate to severe atopic dermatitis ( AD), aged 3 months to 7 years, on the clinical course of AD, parental stress, anxiety and the quality of family life. METHODS: One hundred thirty-four parents with AD children were recruited in a randomized controlled clinical trial at the Outpatient Unit of Pediatric Dermatology, Children's Hospital in Zagreb. The primary outcome was change in the severity of eczema measured using SCORing AD (SCORAD) and Patient Oriented (PO) SCORAD index, changes of symptom scores for pruritus and sleep disturbance. Secondary outcomes included change in stress level according to the Perceived Stress Scale (PSS); change in anxiety level according to State Trait Anxiety Inventory (STAI) and change in the quality of family life according to the Croatian version of the Family Dermatology Life Quality Index (FDLQI). RESULTS: Participants in the intervention group had a significantly lower SCORAD (P = 0.000), PO SCORAD (P = 0.000) index, pruritus (P = 0.000), sleep disturbance (P = 0.001), level of perceived stress (P = 0.024) and anxiety as a state (P = 0.42) than those in the control group at the second visit. After the educational programme, participants in the intervention group had a significantly lower impact of AD on the total quality of family life (P = 0.006). We found a statistically significant difference between the two groups with respect to additional education received between the visits. The control group had acquired significantly more additional education (P = 0.007). There was no significant difference between groups in the amount of corticosteroid used. CONCLUSION: Our structured educational programme had a positive effect on AD severity, quality of family life, parental stress and anxiety. CI - (c) 2015 European Academy of Dermatology and Venereology. FAU - Pustisek, N AU - Pustisek N AD - Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia. FAU - Situm, M AU - Situm M AD - Department of Dermatovenerology, University Hospital Centre "Sestre milosrdnice", Zagreb, Croatia. FAU - Vurnek Zivkovic, M AU - Vurnek Zivkovic M AD - Centre for Croatian Studies, University of Zagreb, Zagreb, Croatia. FAU - Ljubojevic Hadzavdic, S AU - Ljubojevic Hadzavdic S AD - Department of Dermatovenerology, University Hospital Centre Zagreb, Zagreb, Croatia. FAU - Vurnek, M AU - Vurnek M AD - Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia. FAU - Niseteo, T AU - Niseteo T AD - Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20151130 PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 SB - IM MH - Adult MH - Child MH - Dermatitis, Atopic/physiopathology/*therapy MH - Female MH - Humans MH - Male MH - Parents/*education MH - Young Adult EDAT- 2015/12/01 06:00 MHDA- 2017/01/10 06:00 CRDT- 2015/12/01 06:00 PHST- 2015/07/21 00:00 [received] PHST- 2015/10/01 00:00 [accepted] PHST- 2015/12/01 06:00 [entrez] PHST- 2015/12/01 06:00 [pubmed] PHST- 2017/01/10 06:00 [medline] AID - 10.1111/jdv.13519 [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2016 May;30(5):806-12. doi: 10.1111/jdv.13519. Epub 2015 Nov 30.