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.

http://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.

http://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

http://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.

http://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).

http://eprints.bournemouth.ac.uk/22173/

Source: BURO EPrints