None listed
Conditions
Brief summary
Eczema is the most common skin condition affecting children. With a prevalence of up to 1 in 5 children, and one that is increasing, this condition places significant burden on the health care system and affects the quality of life of both the patient and their family. Despite its frequency, eczema is often undertreated and poorly managed, resulting in tertiary level referral. Although it is well known that education is fundamental to ensure effective eczema management and long-term disease control, this is an area that is often missed in time-restricted medical consultations. The purpose of this randomised control trial is to determine if the implementation of a series of educational videos and pamphlets, aimed at parents of children with eczema, results in improved eczema severity, as determined by change in Patient-Orientated Eczema Measure (POEM) score from baseline to the clinic appointment (4 weeks later), versus those receiving standard care. Patients will be recruited from the existing allergy/immunology waiting list at Fiona Stanley Hospital and will be randomised to educational intervention or standard care. All patients will be followed up after a 4-week period. If these materials are deemed effective, demonstrating a significant improvement in disease severity, these materials will become part of standard care of all patients referred to Fiona Stanley Hospital with eczema, and potentially the wider public at a community level.
Interventions
The intervention:
This study will utilise eczema educational videos and pamphlets made at FSH, specifically for FSH patients. Three videos will be produced, 1) What is eczema and common myths, 2) Bathing and Moisturising and 3) Corticosteroid use. The pamphlet will consist of a doubled-sided document, which will act as a quick reference guide to parents on daily eczema management.
The educational video's are a combination of animation and live demonstration.
After randomisation, parent/s or
The intervention: This study will utilise eczema educational videos and pamphlets made at FSH, specifically for FSH patients. Three videos will be produced, 1) What is eczema and common myths, 2) Bathing and Moisturising and 3) Corticosteroid use. The pamphlet will consist of a doubled-sided document, which will act as a quick reference guide to parents on daily eczema management. The educational video's are a combination of animation and live demonstration. After randomisation, parent/s or carer/s of patients randomised to intervention group will be emailed links to the three videos and pamphlet, along with date and time of their clinic review in 4 weeks time. Each video will be approximately 3 minutes long and parents can access these in their own time, as many times as required in the 4 week period prior to clinic review. Children are not expected to watch the video's but are able to if interested. The pamphlet can be downloaded, printed and used as a quick daily reference. Parents will fill in a questionnaire at the completion of the study regarding the education materials, if and when they where accessed, frequency, time after recruitment when accessed. This will also serve as an evaluation of the educational materials from the parents perspective.
Sponsors
Child and adolescent health services
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
0 to 6 Years
Healthy volunteers
Yes
Inclusion criteria
1) Children with eczema referred to a WA public hospital service. 2) Children less than 6 years of age 3) Parents able to access educational information online.
Exclusion criteria
1) Participants/parents identified as requiring an interpreter on their referral form (written material and videos will be produced in English). 2) Parents or guardians are unable to access educational information online. 3) Children > 6 years of age 4) Children without eczema
Outcome results
None listed