[Direct versus video-aided parent education in atopic eczema in childhood as a supplement to specialty physician treatment. A controlled pilot study].
OBJECTIVE
Psychological problems in children and parents related to children's atopic eczema (AE) may impede the success of treatment. We studied the question, if behavior-based parental education in groups (DPE) or standardized video-education (VPE) could enhance dermatological treatment effects and reduce skin-damaging behaviors in children and stress in their mothers.


METHODS
47 mothers attending the university outpatient-clinic for dermatology and their AE-children (mean age 4 years) participated in the study. 18 mothers underwent the DPE (10 sessions), 15 mothers worked with VPE at home. Dermatological standard treatment (CG; N = 14) served as control for a 16-weeks-evaluation-period.


RESULTS
AE-symptoms improved overall, but the effectiveness of the treatments differed significantly, improval with parent education and was best with VPE. Psychological problems of mothers were equally reduced with DPE and VPE.


CONCLUSIONS
It is suggested that VPE is a cost effective and less time consuming method for supporting dermatological therapy of AE in children.
Niebel
G
G
Institut für Psychologie, Universität Kiel.
Kallweit
C
C
Lange
I
I
Fölster-Holst
R
R
D000328:Adult; D001521:Behavior Therapy; D002648:Child; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000523:psychology / Q000628:therapy*; D005260:Female; D006701:Home Nursing / Q000523:psychology; D006801:Humans; D007223:Infant; D008297:Male; D009035:Mothers / Q000193:education* / Q000523:psychology; D009450:Neurodermatitis / Q000523:psychology / Q000628:therapy*; D010348:Patient Care Team; D010349:Patient Compliance; D010353:Patient Education as Topic; D010865:Pilot Projects; D016896:Treatment Outcome