[Intensive patient education and treatment program for young adults with atopic eczema].
OBJECTIVE
By means of a 2-week intensive multidisciplinary training & treatment course in small groups (ISBP), young adults with atopic dermatitis may be able to achieve better self-management of their disease and reduce their number of doctor visits.


METHODS
Patients aged 18-35 with moderate to severe atopic dermatitis (SCORAD > 20) were randomized in a treatment (ISBP) group of n = 31 and a control group of n = 20. Follow-up was 9 months. The outcome was assessed using validated primary and secondary parameters, both specific for atopic dermatitis and more general.


RESULTS
Participants in the ISBP scored significantly better at follow-up in the Marburger atopic dermatitis-specific questionnaire and the self-care parameter, needed less time for medical consultations, and used more emollients without corticosteroids. Absence from work/sick leave was less at 10 weeks follow-up, but equal at 9 months.


CONCLUSIONS
The ISBP program can be judged successful because both the patients and their doctors perceive their interactions as more efficient, less time time-consuming and more satisfying.
Coenraads
P J
PJ
Abteilung Umwelt- & Arbeitsdermatologie, ReichsUniversität/Universitätsspital Groningen, Postfach 30.001, 9700 RB Groningen, Niederlande.
Span
L
L
Jaspers
J P
JP
Fidler
V
V
D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D003876:Dermatitis, Atopic / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010348:Patient Care Team / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012648:Self Care