Thormann, Kathrin Barbara; Lupe, L.; Radonjic‐Hoesli, S.; von Dach, Christoph; Simon, D. (2024). Implementation and evaluation of a patient action plan for patients with atopic dermatitis JEADV Clinical Practice Wiley-Blackwell 10.1002/jvc2.531
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Background: Management and treatment of atopic dermatitis (AD) are complex and therefore bear the risk of therapeutic failure. Individualised patient action plans for patients and for caregivers have been shown to improve AD management, eczema monitoring and therapy adherence. Little is known about the use of patient action plans in the adult setting. Objectives: This project aimed at implementing a patient action plan to improve eczema management and evaluating its effects on disease severity and patient‐related outcomes. Methods: This quality improvement project had a pretest–posttest design and evaluated AD severity and patient‐related outcomes after implementing a patient action plan. A convenience sample of 20 adult patients with AD was included. Socio‐demographic, diagnostic and clinical variables were collected from the electronic health records. Trained staff assessed AD severity using SCORing Atopic Dermatitis (SCORAD) and person‐centred dermatology selfcare index (PeDeSI‐G) pre as well as 1‐month postintervention. Patients completed dermatology life quality index (DLQI) and patient benefit index (PBI). For comparison of SCORAD, DLQI, PeDeSI‐G, paired t‐test was applied. PBI was presented using descriptive statistics. Results: Upon intervention, a significant decrease of disease severity (p < 0.0001), in parallel with a significant decrease of DLQI (p < 0.001) and PeDeSI‐G (p < 0.0001) was observed. A PBI ≥ 1 was reached in 95% of participants (mean 2.73; SD 0.9). Conclusions: Our findings confirm the importance of providing patient action plans to AD patients to achieve best treatment results. Based on our experience, we plan to modify the action plan by including both topical and systemic therapies, and to translate it into several languages.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
School of Health Professions School of Health Professions > Nursing School of Health Professions > Nursing > Innovation in the Field of Health Care and Human Resources Development |
Name: |
Thormann, Kathrin Barbara; Lupe, L.; Radonjic‐Hoesli, S.; von Dach, Christoph and Simon, D. |
Subjects: |
R Medicine > RL Dermatology |
ISSN: |
2768-6566 |
Publisher: |
Wiley-Blackwell |
Language: |
English |
Submitter: |
Christoph von Dach |
Date Deposited: |
29 Aug 2024 08:39 |
Last Modified: |
24 Sep 2024 09:47 |
Publisher DOI: |
10.1002/jvc2.531 |
Uncontrolled Keywords: |
atopic dermatitis, patient action plan |
ARBOR DOI: |
10.24451/arbor.22432 |
URI: |
https://arbor.bfh.ch/id/eprint/22432 |
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