Khela Jasmin, Wilken Bethany, Asai Yuka
Translational Institute of Medicine, Translational Medicine Graduate Program, Queen's University, Kingston, ON, Canada.
Translational Institute of Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Allergy Asthma Clin Immunol. 2025 May 24;21(1):26. doi: 10.1186/s13223-025-00970-7.
Atopic dermatitis (AD) is a chronic and inflammatory skin disease which requires continuous self-management by patients and caregivers. Patient education in AD can improve the self-management practices, treatment adherence rates, and clinical outcomes of patients. Patient-reported outcome measures and objective clinical outcome measures have been used to assess the effectiveness of AD patient education interventions, however they have limited use in assessing learning outcomes, such as knowledge. The literature on knowledge outcome measures for AD patient education interventions has not been examined to date. MAIN: We performed a scoping review of the literature on knowledge assessment tools for AD patient education interventions following the PRISMA-ScR framework. Search databases included MEDLINE, Embase, CINAHL, Education Source, Web of Science, Grey Matters, Clinical Trials.gov, and the International Clinical Trials Registry Platform (ICTRP). Of the 3914 articles identified from the search strategy, 20 studies were eligible for data extraction and summarized by narrative synthesis. Most studies were randomised controlled trials originating in the United States, Europe, and Asia, and published in the years of 2003-2023. Researchers commonly evaluated caregivers' knowledge of AD and included assessments of clinical outcome measures. Similar methods were employed for assessing subjective knowledge across studies. Likewise, studies measuring AD patient/caregiver objective knowledge used comparable methods. Multiple-choice and true/false question formats were used in objective knowledge assessments, and Likert-type scales were common for evaluating subjective knowledge. Objective knowledge assessments consisted of more questions than subjective knowledge outcome measures. Content assessed in knowledge outcome measures was relatively consistent across studies. Delivery of subjective and objective AD knowledge assessments was by telephone, in clinic, and/or online. In pre- and post-test study designs, identical knowledge outcome measures were administered.
This scoping review highlights the diverse components of knowledge assessment tools for AD patient education interventions. Further studies on developing and validating high-quality AD knowledge outcome measures are needed for assessing the true effects of patient education interventions on improving patient/caregiver knowledge.
特应性皮炎（AD）是一种慢性炎症性皮肤病，患者和护理人员需要持续进行自我管理。AD患者教育可改善患者的自我管理行为、治疗依从率及临床结局。患者报告结局指标和客观临床结局指标已用于评估AD患者教育干预措施的有效性，然而它们在评估学习成果（如知识）方面的作用有限。迄今为止，尚未对AD患者教育干预措施的知识结局指标相关文献进行过研究。
我们按照PRISMA-ScR框架对AD患者教育干预措施的知识评估工具相关文献进行了范围综述。检索数据库包括MEDLINE、Embase、CINAHL、教育源数据库、科学网、灰色文献数据库、ClinicalTrials.gov以及国际临床试验注册平台（ICTRP）。从检索策略中识别出的3914篇文章中，有20项研究符合数据提取要求，并通过叙述性综合进行了总结。大多数研究是在美国、欧洲和亚洲开展的随机对照试验，发表于2003年至2023年。研究人员通常评估护理人员对AD的知识，并纳入临床结局指标评估。各项研究在评估主观知识时采用了类似方法。同样，测量AD患者/护理人员客观知识的研究也使用了可比方法。客观知识评估采用多项选择题和是非题形式，评估主观知识时常用李克特量表。客观知识评估的问题数量多于主观知识结局指标。各研究中知识结局指标所评估的内容相对一致。主观和客观AD知识评估通过电话、门诊和/或在线方式进行。在前测和后测研究设计中，采用了相同的知识结局指标。
本范围综述突出了AD患者教育干预措施知识评估工具的不同组成部分。需要进一步开展研究以开发和验证高质量的AD知识结局指标，用于评估患者教育干预措施对提高患者/护理人员知识水平的真实效果。
