Implementation and Evaluation of a Patient Action Plan for Patients with Atopic Dermatitis
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Kathrin Thormann (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Lori Lupe
Abstract: Background: Management and treatment of atopic dermatitis (AD) are complex and therefore bear the risk of therapeutic failure. Individualized patient action plans for patients have been shown to improve AD management, eczema monitoring and therapy adherence.Purpose: 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 pre- post-test design and evaluated AD severity and patient-related outcomes after implementing a patient action plan. A convenience sample of 20 adult patients with AD were included. Socio-demographic, diagnostic and clinical variables were collected from the electronic health records. Trained staff assessed AD severity (SCORAD) and person-centered dermatology self-care index (PeDeSi-G) pre as well as one month post intervention. 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 < .0001), in parallel with a significant increase of DLQI (p < .001) and PeDeSi-G (p < .0001) was observed. A PBI = 1 was reached in 95% of participants (mean 2.73; SD 0.9).Recommendations and Conclusion: Our findings confirm the importance of providing patient action plans to AD patients with the aim of achieving best treatment results. Based on our experience, we plan to modify the action plan by including both topical and systemic therapy, and to translate it into several languages.
Implementation and Evaluation of a Patient Action Plan for Patients with Atopic Dermatitis
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Created on 1/11/2024
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Additional Information
- Publication
- Other
- Language: English
- Date: 2023
- Keywords
- Atopic Dermatitis, Patient Action Plan