Department of Dermatology, Nantes University Hospital, Nantes, France.
Pediatric Dermatology Unit, Hospital Pellegrin, University Centre Hospital of Bordeaux, Bordeaux, France.
J Eur Acad Dermatol Venereol. 2021 Nov;35(11):2263-2269. doi: 10.1111/jdv.17526. Epub 2021 Jul 29.
Atopic dermatitis (AD) is a chronic, relapsing, inflammatory skin disease. Therapeutic patient education (TPE) has been demonstrated to be effective in AD in reducing disease severity and improving coping and quality of life.
To describe the sociodemographic and clinical characteristics of children and adolescents with AD who had attended TPE sessions, as well as the characteristics of their parents, and compare them with those who did not attend TPE.
Parents of children with AD aged 6-17 years old were recruited from a representative sample of the French population contacted by e-mail. Sociodemographic data and clinical information were collected in patients and parents. Clinical severity was assessed by parents using a proxy version of the Patient-Oriented Eczema Measure (POEM). Attendance to TPE sessions was assessed by the following question 'did your child or one or both parents attended TPE for AD?'. Also, the number of sessions was recorded. Determinants of TPE attendance were evaluated by univariable and multivariable analyses.
Data were collected on 1063 parents and children with AD. A total of 131 (12.3%) children and/or parents attended TPE sessions. Most of them attended 2-5 TPE sessions. In that group, there were 85 boys (64.9%), and severity evaluated by POEM was mild in 29.8%, moderate in 52.7% and severe in 17.6% of patients. In the multivariable model, attending TPE sessions was significantly associated with sex of the child (boy vs. girl), consultation with a dermatologist or a paediatrician, high clinical severity and presence of AD in parents.
Despite recommendations, the use of TPE in children with AD is still low in France. There is a need for implementing such programmes in the management of the disease, in particular when the disease is severe.
特应性皮炎（AD）是一种慢性、复发性、炎症性皮肤病。治疗性患者教育（TPE）已被证明可有效降低 AD 的疾病严重程度，并改善应对和生活质量。
描述接受 TPE 治疗的儿童和青少年 AD 患者的社会人口学和临床特征，以及其父母的特征，并将其与未接受 TPE 治疗的患者进行比较。
从通过电子邮件联系的法国代表性人群中招募了 6-17 岁 AD 儿童的父母。收集了患者和父母的社会人口学数据和临床信息。临床严重程度由父母使用患者导向的湿疹量表（POEM）的代理版本进行评估。通过以下问题“您的孩子或父母一方或双方是否参加过 AD 的 TPE？”来评估 TPE 课程的出勤率。还记录了课程的数量。通过单变量和多变量分析评估 TPE 出勤率的决定因素。
共收集了 1063 名父母和 AD 儿童的数据。共有 131 名（12.3%）儿童和/或父母参加了 TPE 课程。他们中的大多数人参加了 2-5 次 TPE 课程。在该组中，有 85 名男孩（64.9%），根据 POEM 评估的严重程度，轻度为 29.8%，中度为 52.7%，重度为 17.6%。在多变量模型中，参加 TPE 课程与儿童的性别（男孩与女孩）、咨询皮肤科医生或儿科医生、高临床严重程度以及父母中存在 AD 显著相关。
尽管有建议，但 TPE 在法国儿童 AD 中的使用仍然很低。在疾病管理中，特别是在疾病严重的情况下，需要实施此类方案。
