Chronic Hand Dermatitis, Chronic Hand Eczema
Conditions
Keywords
Hand eczema, Hand dermatitis, Chronic hand eczema, Chronic hand dermatitis, Contact dermatitis, Skin disease, Self-management
Brief summary
Hand eczema is a common disease which often gives a chronic course thus affecting many functions in daily life. The body of evidence related to self-management of chronic hand eczema is poor. Better methods to support self-management of patients with chronic hand eczema may potentially improve the prognosis of a disease which is both a tremendous burden to the individual and to the society. The purpose of this trial is to evaluate the effect of a newly designed guidance programme offering individual counselling compared to conventional information with written information sheets.
Detailed description
Detailed description of the trial and the intervention can be found in the publication: Mollerup A, Veien NK, Johansen JD. Chronic hand eczema--self-management and prognosis: a study protocol for a randomised clinical trial'. BMC Dermatol. 2012 Jun 12;12:6. doi: 10.1186/1471-5945-12-6. PMID: 22691871 \[PubMed - indexed for MEDLINE\] Free PMC Article
Interventions
BEHAVIORALHealthy Skin Clinic
The intervention is founded upon three concurrent elements. Firstly, a SKIN-profile generated by data from a baseline questionnaire (S=Susceptibility, K=Competencies, I=Individual characteristics, N=Necessary precautions). Secondly, a patient self-management book which includes a patient's log and is offered in both an online and a physical form. Also support to self-management is offered through possible asynchronous communication and networking. Finally, a counselling consultation with a nurse, trained within dermatology.
Sponsors
TrygFonden, Denmark
University Hospital, Gentofte, Copenhagen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients clinically diagnosed with hand eczema at the first medical consultation at the outpatient ward, Copenhagen University Hospital Gentofte or at a private dermatologic practise in Aalborg, Denmark * Patients who have given a signed informed consent to participate
Exclusion criteria
* Patients who cannot reply to a questionnaire in Danish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hand Eczema Severity Index (HECSI) | 6 months | Objective assessment of disease severity, measured by HECSI-score at time = 6 months versus HECSI-score at time = 0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dermatology Life Quality Index (DLQI) | 6 months | DLQI measured by questionnaire at time = 6 months versus DLQI measured by questionnaire at time = 0. |
| Overall burden of disease (VAS) | 6 months | VAS measured by questionnaire at time = 6 months versus VAS measured by questionnaire at time = 0. |
| Danish version of The Medication Adherence Report Scale (DMARS-4) | 6 months | DMARS-4 measured by questionnaire at time = 6 months versus DMARS-4 measured by questionnaire at time = 0 months. |
Countries
Denmark
Outcome results
None listed