Efficacy of a Video Education Program Regarding Basic Skin Care in Pediatric Atopic Dermatitis: A Randomized Controlled Trial.

IF 1.2 4区医学 Q3 DERMATOLOGY Pediatric Dermatology Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI:10.1111/pde.15798

Pornthip Jungwattanavanit, Siriwan Wananukul, Therdpong Tempark, Karaked Chantawarangul, Susheera Chatproedprai

{"title":"Efficacy of a Video Education Program Regarding Basic Skin Care in Pediatric Atopic Dermatitis: A Randomized Controlled Trial.","authors":"Pornthip Jungwattanavanit, Siriwan Wananukul, Therdpong Tempark, Karaked Chantawarangul, Susheera Chatproedprai","doi":"10.1111/pde.15798","DOIUrl":null,"url":null,"abstract":"Background: Basic skin care education holds the potential to improve clinical outcomes in pediatric atopic dermatitis (AD). However, evidence is lacking on the efficacy of video education for patient guardians in Thailand to reduce AD disease severity.Objectives: To compare the efficacy of a video education program for guardians of pediatric AD patients versus a control group by assessing the severity score of AD (SCORAD), transepidermal water loss (TEWL), and skin hydration (SH).Methods: A single-blinded, randomized controlled trial was conducted at a tertiary hospital from June 2023 to February 2024, involving AD patients aged < 18 years and their guardians. Both groups received standard treatment, and the educational group received an additional video education program. SCORAD, TEWL, SH, pruritus, sleeplessness, and parental/guardian confidence and knowledge accuracy were assessed at enrollment and a 4-week follow-up.Results: Seventy patients (educational:control group, 34:36) with a median age of 3.1 years were enrolled. The groups exhibited no significant demographic or disease severity differences between them. At follow-up, the educational group showed significant SCORAD improvement compared to the control group (mean difference -10.93 [95% CI -16.92--4.95]; p < 0.001). SH (mean difference 3.82 [95% CI -2.7-10.33]; p = 0.25) and TEWL (mean difference -1.24 [95% CI -5.72-3.24]; p = 0.58) did not differ significantly.Conclusions: Video education demonstrated efficacy in significantly reducing SCORAD. While there were improvements in SH and TEWL in patients in the education group, these improvements were not statistically significant. Further investigation with a larger sample size is warranted.Trial registration: Thai Clinical Trials Registry (TCTR): TCTR20230524001.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":"79-87"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Dermatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/pde.15798","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/4 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Basic skin care education holds the potential to improve clinical outcomes in pediatric atopic dermatitis (AD). However, evidence is lacking on the efficacy of video education for patient guardians in Thailand to reduce AD disease severity.

Objectives: To compare the efficacy of a video education program for guardians of pediatric AD patients versus a control group by assessing the severity score of AD (SCORAD), transepidermal water loss (TEWL), and skin hydration (SH).

Methods: A single-blinded, randomized controlled trial was conducted at a tertiary hospital from June 2023 to February 2024, involving AD patients aged < 18 years and their guardians. Both groups received standard treatment, and the educational group received an additional video education program. SCORAD, TEWL, SH, pruritus, sleeplessness, and parental/guardian confidence and knowledge accuracy were assessed at enrollment and a 4-week follow-up.

Results: Seventy patients (educational:control group, 34:36) with a median age of 3.1 years were enrolled. The groups exhibited no significant demographic or disease severity differences between them. At follow-up, the educational group showed significant SCORAD improvement compared to the control group (mean difference -10.93 [95% CI -16.92--4.95]; p < 0.001). SH (mean difference 3.82 [95% CI -2.7-10.33]; p = 0.25) and TEWL (mean difference -1.24 [95% CI -5.72-3.24]; p = 0.58) did not differ significantly.

Conclusions: Video education demonstrated efficacy in significantly reducing SCORAD. While there were improvements in SH and TEWL in patients in the education group, these improvements were not statistically significant. Further investigation with a larger sample size is warranted.

Trial registration: Thai Clinical Trials Registry (TCTR): TCTR20230524001.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

小儿特应性皮炎基本皮肤护理视频教育课程的效果：随机对照试验

背景：基础皮肤护理教育有望改善小儿特应性皮炎（AD）的临床治疗效果。然而，在泰国，针对患者监护人的视频教育对降低特应性皮炎病情严重程度的效果尚缺乏证据：通过评估儿童特应性皮炎（AD）的严重程度评分（SCORAD）、经表皮失水率（TEWL）和皮肤水合度（SH），比较针对儿童特应性皮炎患者监护人的视频教育项目与对照组的疗效：方法：2023 年 6 月至 2024 年 2 月，在一家三甲医院开展了一项单盲随机对照试验，AD 患者参与了该试验：共招募了 70 名患者（教育组：对照组，34：36），中位年龄为 3.1 岁。两组患者在人口统计学和疾病严重程度上无明显差异。在随访中，与对照组相比，教育组的 SCORAD 有明显改善（平均差异为 -10.93 [95% CI -16.92--4.95]；P 结论：视频教育在显著降低 SCORAD 方面具有疗效。虽然教育组患者的SH和TEWL有所改善，但这些改善在统计学上并不显著。有必要进行样本量更大的进一步研究：试验注册：泰国临床试验注册中心（TCTR）：试验注册：泰国临床试验注册中心（TCTR）：TTR20230524001。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Pediatric Dermatology 医学-皮肤病学

CiteScore

3.20

自引率

6.70%

发文量

269

审稿时长

1 months

期刊介绍： Pediatric Dermatology answers the need for new ideas and strategies for today''s pediatrician or dermatologist. As a teaching vehicle, the Journal is still unsurpassed and it will continue to present the latest on topics such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine, and therapeutic advances. As important progress is made in any area involving infants and children, Pediatric Dermatology is there to publish the findings.