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Education to improve quality of life of people with chronic inflammatory skin conditions: a systematic review of the evidence

Education to improve quality of life of people with chronic inflammatory skin conditions: a systematic review of the evidence
Education to improve quality of life of people with chronic inflammatory skin conditions: a systematic review of the evidence
Patient and carer education has been proposed as a way of improving health-related quality of life (HRQoL) among people with chronic inflammatory skin conditions. This systematic review aimed to assess the effects of education which specifically addresses HRQoL among people with chronic inflammatory skin conditions. We searched 12 literature databases and other sources (to July 2014). Seven randomised controlled trials (RCTs) met the review inclusion criteria, from which data were extracted and critically appraised. Two RCTs showed that for psoriasis in adults, group-based and text message education (as adjuncts to usual care), respectively, resulted in better HRQoL and disease severity outcomes than comparators. One RCT found group-based education for children with eczema (atopic dermatitis) and their parents resulted in greater improvements in parents’ HRQoL and the children's disease severity than no education at 12 months. The remaining RCTs evaluated an educational session for psoriasis, a website for carers of children with eczema, information on skin care and make-up use given to women with acne, and an itch coping programme for a range of conditions, all as adjuncts to usual care. None found statistically significant effects on HRQoL or disease severity compared to usual care. Common features of the effective interventions were long delivery (over 6 weeks to three months) and delivery by a multi-disciplinary team. Overall, the evidence base is currently limited and generally of an unclear risk of bias. There is a need for more large RCTs evaluating piloted and theory-based interventions.
eczema, psoriasis, acne, patient education, health-related quality of life
0007-0963
1228-1241
Pickett, Karen
1bac9d88-da29-4a3e-9fd2-e469f129f963
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Loveman, Emma
06ff1bf1-0189-4330-b22d-f5a917e9871d
Pickett, Karen
1bac9d88-da29-4a3e-9fd2-e469f129f963
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Loveman, Emma
06ff1bf1-0189-4330-b22d-f5a917e9871d

Pickett, Karen, Frampton, Geoff and Loveman, Emma (2016) Education to improve quality of life of people with chronic inflammatory skin conditions: a systematic review of the evidence. British Journal of Dermatology, 174 (6), 1228-1241. (doi:10.1111/bjd.14435). (PMID:26833102)

Record type: Article

Abstract

Patient and carer education has been proposed as a way of improving health-related quality of life (HRQoL) among people with chronic inflammatory skin conditions. This systematic review aimed to assess the effects of education which specifically addresses HRQoL among people with chronic inflammatory skin conditions. We searched 12 literature databases and other sources (to July 2014). Seven randomised controlled trials (RCTs) met the review inclusion criteria, from which data were extracted and critically appraised. Two RCTs showed that for psoriasis in adults, group-based and text message education (as adjuncts to usual care), respectively, resulted in better HRQoL and disease severity outcomes than comparators. One RCT found group-based education for children with eczema (atopic dermatitis) and their parents resulted in greater improvements in parents’ HRQoL and the children's disease severity than no education at 12 months. The remaining RCTs evaluated an educational session for psoriasis, a website for carers of children with eczema, information on skin care and make-up use given to women with acne, and an itch coping programme for a range of conditions, all as adjuncts to usual care. None found statistically significant effects on HRQoL or disease severity compared to usual care. Common features of the effective interventions were long delivery (over 6 weeks to three months) and delivery by a multi-disciplinary team. Overall, the evidence base is currently limited and generally of an unclear risk of bias. There is a need for more large RCTs evaluating piloted and theory-based interventions.

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More information

Accepted/In Press date: 22 January 2016
e-pub ahead of print date: 2 February 2016
Published date: 18 June 2016
Keywords: eczema, psoriasis, acne, patient education, health-related quality of life
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 393205
URI: http://eprints.soton.ac.uk/id/eprint/393205
ISSN: 0007-0963
PURE UUID: 82b00c81-8b9e-4915-a5ef-6f362ef19330
ORCID for Karen Pickett: ORCID iD orcid.org/0000-0002-8631-6465
ORCID for Geoff Frampton: ORCID iD orcid.org/0000-0003-2005-0497

Catalogue record

Date deposited: 22 Apr 2016 12:34
Last modified: 18 Feb 2021 16:41

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Contributors

Author: Karen Pickett ORCID iD
Author: Geoff Frampton ORCID iD
Author: Emma Loveman

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