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- Title
Associations of Eczema Severity and Parent Knowledge With Child Quality of Life in a Pediatric Primary Care Population.
- Authors
Rea, Corinna J.; Tran, Katherine D.; Jorina, Maria; Wenren, Larissa M.; Hawryluk, Elena B.; Toomey, Sara L.
- Abstract
We investigated factors associated with quality of life (QOL) in children with eczema. We conducted a cross-sectional analysis of survey data from 224 parents of children with eczema attending a large, hospital-based pediatric clinic. Parents completed a validated eczema severity scale (Patient-Oriented Eczema Measure), a QOL scale (Infants’ Dermatitis QOL Index or Children’s Dermatology Life Quality Index), and a knowledge and understanding questionnaire. In adjusted multivariate analyses, worse eczema severity was associated with worse overall QOL (β = 0.5; 95% confidence interval [CI] = [0.5, 0.6]), while a higher knowledge score was associated with better QOL (β = −3.4; 95% CI = [−6.6, −0.2]). Similarly, even after adjustment for eczema severity, greater understanding of a child’s individual treatment plan was associated with better QOL (β = −0.7; 95% CI = [−1.4, −0.08]), while increased frequency of worrying about a child’s eczema was associated with worse QOL (β = 0.7; 95% CI = [0.03, 1.1]). These results suggest primary care providers may be able to influence QOL through optimal eczema management and family education.
- Subjects
TREATMENT of eczema; ECZEMA; FAMILIES; CHILDREN'S hospitals; CONFIDENCE intervals; MULTIVARIATE analysis; GENERAL practitioners; PRIMARY health care; QUALITY of life; QUESTIONNAIRES; SURVEYS; PARENT attitudes; CROSS-sectional method; SEVERITY of illness index; HEALTH literacy; CHILDREN; PSYCHOLOGY; EDUCATION
- Publication
Clinical Pediatrics, 2018, Vol 57, Issue 13, p1506
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/0009922818787295