WhatsApp and atopic dermatitis: a clinical trial.

IF 2.8 4区医学 Q1 PEDIATRICS

Jornal de pediatria Pub Date : 2024-08-08 DOI:10.1016/j.jped.2024.07.003

Thaís Braga Cerqueira, Renata Robl Imoto, Mariana Muzzolon, Vânia Oliveira de Carvalho

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引用次数: 0

Abstract

Objective: To evaluate the effect of text messages with information about atopic dermatitis (AD) on the quality of life (QoL) of children and their caregivers and on the severity of the disease.

Methods: Researcher-blinded randomized controlled clinical trial. The experimental group (EG) received messages about AD and the control group (CG) about general health. A total of 56 children under 15 years of age and their caregivers, allocated to the CG and EG, were assessed on admission, after one month, and after four months. Improvement in QoL was measured by the Children's Dermatology Life Quality Index (CDLQI), the Infants' Dermatitis Quality of Life Index (IDQOL), and the Dermatitis Family Impact Questionnaire (DFIQ), and improvement in the severity of AD by the Scoring of Atopic Dermatitis (SCORAD) and the Eczema Area and Severity Index (EASI).

Results: Median age was of nine years, 33 (58.9 %) were girls. The CG and EG had similar results, except for the higher frequency of mild AD in the CG and moderate/severe AD in the EG-these severity categories were kept grouped together. Regarding mild and moderate/severe AD in the EG, the SCORAD score decreased (p = 0.03 and p < 0.001). The EASI in both groups showed a significant reduction (mild AD: CG: p = 0.01, EG: p = 0.04; moderate/severe AD: CG: p = 0.05, EG: p = 0.02). The QoL of children and caregivers improved only in the EG (p = 0.01). Intergroup analysis showed no differences.

Conclusion: The improvement in the severity of AD in both groups suggests the positive effects of educational interventions in general, not only those specific to the disease.

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WhatsApp 和特应性皮炎：一项临床试验。

目的评估特应性皮炎（AD）相关信息短信对儿童及其照顾者的生活质量（QoL）以及疾病严重程度的影响：研究者盲法随机对照临床试验。实验组（EG）接受有关过敏性皮炎的信息，对照组（CG）接受有关一般健康的信息。共有 56 名 15 岁以下的儿童及其照顾者被分配到对照组和实验组，他们分别在入院时、一个月后和四个月后接受了评估。通过儿童皮肤病生活质量指数（CDLQI）、婴儿皮炎生活质量指数（IDQOL）和皮炎家庭影响问卷（DFIQ）来衡量生活质量的改善情况，通过特应性皮炎评分（SCORAD）和湿疹面积和严重程度指数（EASI）来衡量AD严重程度的改善情况：中位年龄为9岁，33名（58.9%）为女孩。CG和EG的结果相似，但CG中轻度AD和EG中度/重度AD的发生率较高，因此这两个严重程度的类别被归为一类。就 EG 中的轻度和中度/重度 AD 而言，SCORAD 得分有所下降（p = 0.03 和 p 结论）：两组患者的注意力缺失症严重程度都有所改善，这表明教育干预措施不仅对特定疾病有积极作用，而且对一般疾病也有积极作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.