A service evaluation of the Eczema Education Programme: An analysis of child, parent and service impact outcomes
Authors: Ersser, S.J., Farasat, H., Jackson, K., Dennis, H., Sheppard, Z.A. and More, A.
Journal: British Journal of Dermatology
Volume: 169
Issue: 3
Pages: 629-636
eISSN: 1365-2133
ISSN: 0007-0963
DOI: 10.1111/bjd.12414
Abstract:Background The systematic support of parents of children with eczema is essential in effective disease management. The few existing support models have a limited evidence base. This paper reports the outcome-orientated service evaluation of an original, extensive, social learning-theory based, nurse-led Eczema Education Programme (EEP). Objectives To evaluate the EEP using specified child and parental outcomes and service impact data. Methods From a sample of 257 parent-child dyads attending the EEP, a pretest-post-test design evaluated its child impact using health-related quality of life measures (Infants' Dermatitis Quality of Life index, which includes a small dermatitis severity element, and Children's Dermatology Life Quality Index), severity measures (Patient Orientated Eczema Measure), a new parental measure (Parental Self-Efficacy in Eczema Care Index) and service impact data based on general practitioner (GP) attendance patterns pre- and postintervention. Results Statistically significant impacts were observed on infant quality of life (P < 0·001), child quality of life (P = 0·027), disease severity (P < 0·001) and parental self-efficacy (P < 0·001). Improvements in child quality of life, parental efficacy and service impact were also evident from qualitative data. The cumulative total of all GP visits for selected participants post-EEP reduced by 62%. Conclusions The EEP appears to be an effective model of delivering structured education to parents of children with eczema, and one generalizable to other multiethnic metropolitan populations. As a noncontrolled study, this rigorous service evaluation highlights the model's significance and the case for an evaluative multicentre randomized controlled trial of this educational intervention to inform a nurse-led programme of care. What's already known about this topic? Effective eczema management depends on support for effective parental engagement. Systematic educational support, whether group multidisciplinary or one-to-one nurse-led intervention, can have a favourable impact on the health-related quality of life and disease severity of children with eczema. What does this study add? This is the first evaluation of an original self-efficacy-based Eczema Education Programme, generating robust noncontrolled evidence that systematic nurse-led group eczema education can favourably impact on the health-related quality of life and disease severity of children with eczema Parental self-efficacy is an important factor that may lead to improved quality of life and should be measured in intervention studies. © 2013 British Association of Dermatologists.
https://eprints.bournemouth.ac.uk/22173/
Source: Scopus
A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes.
Authors: Ersser, S.J., Farasat, H., Jackson, K., Dennis, H., Sheppard, Z.A. and More, A.
Journal: Br J Dermatol
Volume: 169
Issue: 3
Pages: 629-636
eISSN: 1365-2133
DOI: 10.1111/bjd.12414
Abstract:BACKGROUND: The systematic support of parents of children with eczema is essential in effective disease management. The few existing support models have a limited evidence base. This paper reports the outcome-orientated service evaluation of an original, extensive, social learning-theory based, nurse-led Eczema Education Programme (EEP). OBJECTIVES: To evaluate the EEP using specified child and parental outcomes and service impact data. METHODS: From a sample of 257 parent-child dyads attending the EEP, a pretest-post-test design evaluated its child impact using health-related quality of life measures (Infants' Dermatitis Quality of Life index, which includes a small dermatitis severity element, and Children's Dermatology Life Quality Index), severity measures (Patient Orientated Eczema Measure), a new parental measure (Parental Self-Efficacy in Eczema Care Index) and service impact data based on general practitioner (GP) attendance patterns pre- and postintervention. RESULTS: Statistically significant impacts were observed on infant quality of life (P < 0·001), child quality of life (P = 0·027), disease severity (P < 0·001) and parental self-efficacy (P < 0·001). Improvements in child quality of life, parental efficacy and service impact were also evident from qualitative data. The cumulative total of all GP visits for selected participants post-EEP reduced by 62%. CONCLUSIONS: The EEP appears to be an effective model of delivering structured education to parents of children with eczema, and one generalizable to other multiethnic metropolitan populations. As a noncontrolled study, this rigorous service evaluation highlights the model's significance and the case for an evaluative multicentre randomized controlled trial of this educational intervention to inform a nurse-led programme of care.
https://eprints.bournemouth.ac.uk/22173/
Source: PubMed
A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes
Authors: Ersser, S.J., Farasat, H., Jackson, K., Dennis, H., Sheppard, Z.A. and More, A.
Journal: BRITISH JOURNAL OF DERMATOLOGY
Volume: 169
Issue: 3
Pages: 629-636
eISSN: 1365-2133
ISSN: 0007-0963
DOI: 10.1111/bjd.12414
https://eprints.bournemouth.ac.uk/22173/
Source: Web of Science (Lite)
A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes.
Authors: Ersser, S.J., Farasat, H., Jackson, K., Dennis, H., Sheppard, Z.A. and More, A.
Journal: The British journal of dermatology
Volume: 169
Issue: 3
Pages: 629-636
eISSN: 1365-2133
ISSN: 0007-0963
DOI: 10.1111/bjd.12414
Abstract:Background
The systematic support of parents of children with eczema is essential in effective disease management. The few existing support models have a limited evidence base. This paper reports the outcome-orientated service evaluation of an original, extensive, social learning-theory based, nurse-led Eczema Education Programme (EEP).Objectives
To evaluate the EEP using specified child and parental outcomes and service impact data.Methods
From a sample of 257 parent-child dyads attending the EEP, a pretest-post-test design evaluated its child impact using health-related quality of life measures (Infants' Dermatitis Quality of Life index, which includes a small dermatitis severity element, and Children's Dermatology Life Quality Index), severity measures (Patient Orientated Eczema Measure), a new parental measure (Parental Self-Efficacy in Eczema Care Index) and service impact data based on general practitioner (GP) attendance patterns pre- and postintervention.Results
Statistically significant impacts were observed on infant quality of life (P < 0·001), child quality of life (P = 0·027), disease severity (P < 0·001) and parental self-efficacy (P < 0·001). Improvements in child quality of life, parental efficacy and service impact were also evident from qualitative data. The cumulative total of all GP visits for selected participants post-EEP reduced by 62%.Conclusions
The EEP appears to be an effective model of delivering structured education to parents of children with eczema, and one generalizable to other multiethnic metropolitan populations. As a noncontrolled study, this rigorous service evaluation highlights the model's significance and the case for an evaluative multicentre randomized controlled trial of this educational intervention to inform a nurse-led programme of care.https://eprints.bournemouth.ac.uk/22173/
Source: Europe PubMed Central
A service evaluation of the Eczema Education Programme: an analysis of child, parent and service impact outcomes.
Authors: Ersser, S.J., Farasat, H., Jackson, K., Dennis, H., Sheppard, Z. and More, A.
Journal: British Journal of Dermatology
Volume: 169
Issue: 3
Pages: 629-636
ISSN: 0007-0963
Abstract:The systematic support of parents of children with eczema is essential in effective disease management. The few existing support models have a limited evidence base. This paper reports the outcome-orientated service evaluation of an original, extensive, social learning-theory based, nurse-led Eczema Education Programme (EEP).
https://eprints.bournemouth.ac.uk/22173/
Source: BURO EPrints