Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial
Background Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further. Objectives To examine whether patient education vs treatment as usual can influence behaviour and k...
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| Veröffentlicht in: | Contact dermatitis 2018-09, Vol.79 (3), p.127-135 |
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| creator | Fisker, Maja H. Agner, Tove Sørensen, Jennifer A. Vejlstrup, Søren G. Lindschou, Jane Gluud, Christian Winkel, Per Bonde, Jens P. Ebbehøj, Niels E. |
| description | Background
Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further.
Objectives
To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema.
Methods
PREVEX is an individually randomized clinical trial investigating the 1‐year effects of a simple, low‐cost group‐counselling programme vs treatment as usual for patients with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self‐efficacy, and self‐evaluated skin care ability.
Results
In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed: intervention group (n = 376) vs control group (n = 380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively: estimate 0.08; 95%CI: 0.02‐0.19; P = .01; and estimate 0.49; 95%CI: 0.28‐0.70; P |
| doi_str_mv | 10.1111/cod.13003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2041628651</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2041628651</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3533-62c172900f52c287e27ccac0d847f4b2f512bd4eaa03a063fab0ca04ab0e38e33</originalsourceid><addsrcrecordid>eNp1kktvEzEQx1cIREPhwBdAI3EBibR-7KvHKoSHVKmIl7itHO84cfGuF9vbkJ76ETjwCfstuDFJCgckfBl55uf_eEb_LHvM2RGnc6x9e8QlY_JONuElY1NWyPJuNmGcFVNeV_IgexDjBWO8zEV9PzsQJ1WVF6WYZL8-2G5w-AKcX99c_9A-JlgGPw67y9hHdM72SxiCXwbVdQiXEVJAlTrsE6gIYxyVA-MDDCpZSkZY27SCHtduA71P1lhswWs9bgHfE71SfQuor7BTN9c_598H54NKPmxAUXkTMYI3gMagJjnfw9ferx22S_roAlfq0voxwFZkwBB3kgEj5fT-ZVohBCr7zl5R73fv55_nX0DTJFYTm4JV7mF2zygX8dFtPMw-vZp_nL2Znp2_fjs7PZtqWUg5LYXmlThhzBRCi7pCUWmtNGvrvDL5QpiCi0Wbo1JMKlZKoxZMK5ZTQFmjlIfZs70urfDbiDE1nY2a1qp69GNsBMt5Keqy4IQ-_Qe9oJloui1V10SJuibq-Z7SwccY0DRDsJ0Km4azZuuHhvzQ7PxA7JNbxXHRYfuX_GMAAo73wNo63PxfqZmdv9xL_gY_NckP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2088628288</pqid></control><display><type>article</type><title>Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Fisker, Maja H. ; Agner, Tove ; Sørensen, Jennifer A. ; Vejlstrup, Søren G. ; Lindschou, Jane ; Gluud, Christian ; Winkel, Per ; Bonde, Jens P. ; Ebbehøj, Niels E.</creator><creatorcontrib>Fisker, Maja H. ; Agner, Tove ; Sørensen, Jennifer A. ; Vejlstrup, Søren G. ; Lindschou, Jane ; Gluud, Christian ; Winkel, Per ; Bonde, Jens P. ; Ebbehøj, Niels E.</creatorcontrib><description>Background
Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further.
Objectives
To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema.
Methods
PREVEX is an individually randomized clinical trial investigating the 1‐year effects of a simple, low‐cost group‐counselling programme vs treatment as usual for patients with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self‐efficacy, and self‐evaluated skin care ability.
Results
In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed: intervention group (n = 376) vs control group (n = 380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively: estimate 0.08; 95%CI: 0.02‐0.19; P = .01; and estimate 0.49; 95%CI: 0.28‐0.70; P < .001). Self‐efficacy was lower in the intervention group as compared with the control group (estimate −0.78; 95%CI: −1.25 to −0.30; P = .001). No difference was found regarding skin care abilities.
Conclusions
The intervention had a positive influence on 1‐year behaviour and knowledge, but was insufficient to result in long‐term positive changes in personal resources regarding dealing with hand eczema.</description><identifier>ISSN: 0105-1873</identifier><identifier>EISSN: 1600-0536</identifier><identifier>DOI: 10.1111/cod.13003</identifier><identifier>PMID: 29774562</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Clinical trials ; Counseling - methods ; Dermatitis, Allergic Contact - prevention & control ; Dermatitis, Occupational - prevention & control ; Eczema ; Eczema - prevention & control ; epidemiology ; Exploratory behavior ; Female ; Hand Dermatoses - prevention & control ; hand eczema ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Middle Aged ; occupational ; patient education ; Patient Education as Topic ; Patients ; Psychotherapy, Group - methods ; secondary intervention ; Sick Leave ; Skin Care - methods ; Skin diseases ; Young Adult</subject><ispartof>Contact dermatitis, 2018-09, Vol.79 (3), p.127-135</ispartof><rights>2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3533-62c172900f52c287e27ccac0d847f4b2f512bd4eaa03a063fab0ca04ab0e38e33</citedby><cites>FETCH-LOGICAL-c3533-62c172900f52c287e27ccac0d847f4b2f512bd4eaa03a063fab0ca04ab0e38e33</cites><orcidid>0000-0001-8800-9613</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcod.13003$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcod.13003$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29774562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fisker, Maja H.</creatorcontrib><creatorcontrib>Agner, Tove</creatorcontrib><creatorcontrib>Sørensen, Jennifer A.</creatorcontrib><creatorcontrib>Vejlstrup, Søren G.</creatorcontrib><creatorcontrib>Lindschou, Jane</creatorcontrib><creatorcontrib>Gluud, Christian</creatorcontrib><creatorcontrib>Winkel, Per</creatorcontrib><creatorcontrib>Bonde, Jens P.</creatorcontrib><creatorcontrib>Ebbehøj, Niels E.</creatorcontrib><title>Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial</title><title>Contact dermatitis</title><addtitle>Contact Dermatitis</addtitle><description>Background
Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further.
Objectives
To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema.
Methods
PREVEX is an individually randomized clinical trial investigating the 1‐year effects of a simple, low‐cost group‐counselling programme vs treatment as usual for patients with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self‐efficacy, and self‐evaluated skin care ability.
Results
In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed: intervention group (n = 376) vs control group (n = 380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively: estimate 0.08; 95%CI: 0.02‐0.19; P = .01; and estimate 0.49; 95%CI: 0.28‐0.70; P < .001). Self‐efficacy was lower in the intervention group as compared with the control group (estimate −0.78; 95%CI: −1.25 to −0.30; P = .001). No difference was found regarding skin care abilities.
Conclusions
The intervention had a positive influence on 1‐year behaviour and knowledge, but was insufficient to result in long‐term positive changes in personal resources regarding dealing with hand eczema.</description><subject>Adult</subject><subject>Clinical trials</subject><subject>Counseling - methods</subject><subject>Dermatitis, Allergic Contact - prevention & control</subject><subject>Dermatitis, Occupational - prevention & control</subject><subject>Eczema</subject><subject>Eczema - prevention & control</subject><subject>epidemiology</subject><subject>Exploratory behavior</subject><subject>Female</subject><subject>Hand Dermatoses - prevention & control</subject><subject>hand eczema</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>occupational</subject><subject>patient education</subject><subject>Patient Education as Topic</subject><subject>Patients</subject><subject>Psychotherapy, Group - methods</subject><subject>secondary intervention</subject><subject>Sick Leave</subject><subject>Skin Care - methods</subject><subject>Skin diseases</subject><subject>Young Adult</subject><issn>0105-1873</issn><issn>1600-0536</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kktvEzEQx1cIREPhwBdAI3EBibR-7KvHKoSHVKmIl7itHO84cfGuF9vbkJ76ETjwCfstuDFJCgckfBl55uf_eEb_LHvM2RGnc6x9e8QlY_JONuElY1NWyPJuNmGcFVNeV_IgexDjBWO8zEV9PzsQJ1WVF6WYZL8-2G5w-AKcX99c_9A-JlgGPw67y9hHdM72SxiCXwbVdQiXEVJAlTrsE6gIYxyVA-MDDCpZSkZY27SCHtduA71P1lhswWs9bgHfE71SfQuor7BTN9c_598H54NKPmxAUXkTMYI3gMagJjnfw9ferx22S_roAlfq0voxwFZkwBB3kgEj5fT-ZVohBCr7zl5R73fv55_nX0DTJFYTm4JV7mF2zygX8dFtPMw-vZp_nL2Znp2_fjs7PZtqWUg5LYXmlThhzBRCi7pCUWmtNGvrvDL5QpiCi0Wbo1JMKlZKoxZMK5ZTQFmjlIfZs70urfDbiDE1nY2a1qp69GNsBMt5Keqy4IQ-_Qe9oJloui1V10SJuibq-Z7SwccY0DRDsJ0Km4azZuuHhvzQ7PxA7JNbxXHRYfuX_GMAAo73wNo63PxfqZmdv9xL_gY_NckP</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Fisker, Maja H.</creator><creator>Agner, Tove</creator><creator>Sørensen, Jennifer A.</creator><creator>Vejlstrup, Søren G.</creator><creator>Lindschou, Jane</creator><creator>Gluud, Christian</creator><creator>Winkel, Per</creator><creator>Bonde, Jens P.</creator><creator>Ebbehøj, Niels E.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8800-9613</orcidid></search><sort><creationdate>201809</creationdate><title>Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial</title><author>Fisker, Maja H. ; Agner, Tove ; Sørensen, Jennifer A. ; Vejlstrup, Søren G. ; Lindschou, Jane ; Gluud, Christian ; Winkel, Per ; Bonde, Jens P. ; Ebbehøj, Niels E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3533-62c172900f52c287e27ccac0d847f4b2f512bd4eaa03a063fab0ca04ab0e38e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Clinical trials</topic><topic>Counseling - methods</topic><topic>Dermatitis, Allergic Contact - prevention & control</topic><topic>Dermatitis, Occupational - prevention & control</topic><topic>Eczema</topic><topic>Eczema - prevention & control</topic><topic>epidemiology</topic><topic>Exploratory behavior</topic><topic>Female</topic><topic>Hand Dermatoses - prevention & control</topic><topic>hand eczema</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>occupational</topic><topic>patient education</topic><topic>Patient Education as Topic</topic><topic>Patients</topic><topic>Psychotherapy, Group - methods</topic><topic>secondary intervention</topic><topic>Sick Leave</topic><topic>Skin Care - methods</topic><topic>Skin diseases</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fisker, Maja H.</creatorcontrib><creatorcontrib>Agner, Tove</creatorcontrib><creatorcontrib>Sørensen, Jennifer A.</creatorcontrib><creatorcontrib>Vejlstrup, Søren G.</creatorcontrib><creatorcontrib>Lindschou, Jane</creatorcontrib><creatorcontrib>Gluud, Christian</creatorcontrib><creatorcontrib>Winkel, Per</creatorcontrib><creatorcontrib>Bonde, Jens P.</creatorcontrib><creatorcontrib>Ebbehøj, Niels E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Contact dermatitis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fisker, Maja H.</au><au>Agner, Tove</au><au>Sørensen, Jennifer A.</au><au>Vejlstrup, Søren G.</au><au>Lindschou, Jane</au><au>Gluud, Christian</au><au>Winkel, Per</au><au>Bonde, Jens P.</au><au>Ebbehøj, Niels E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial</atitle><jtitle>Contact dermatitis</jtitle><addtitle>Contact Dermatitis</addtitle><date>2018-09</date><risdate>2018</risdate><volume>79</volume><issue>3</issue><spage>127</spage><epage>135</epage><pages>127-135</pages><issn>0105-1873</issn><eissn>1600-0536</eissn><abstract>Background
Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further.
Objectives
To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema.
Methods
PREVEX is an individually randomized clinical trial investigating the 1‐year effects of a simple, low‐cost group‐counselling programme vs treatment as usual for patients with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self‐efficacy, and self‐evaluated skin care ability.
Results
In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed: intervention group (n = 376) vs control group (n = 380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively: estimate 0.08; 95%CI: 0.02‐0.19; P = .01; and estimate 0.49; 95%CI: 0.28‐0.70; P < .001). Self‐efficacy was lower in the intervention group as compared with the control group (estimate −0.78; 95%CI: −1.25 to −0.30; P = .001). No difference was found regarding skin care abilities.
Conclusions
The intervention had a positive influence on 1‐year behaviour and knowledge, but was insufficient to result in long‐term positive changes in personal resources regarding dealing with hand eczema.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>29774562</pmid><doi>10.1111/cod.13003</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8800-9613</orcidid></addata></record> |
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| ispartof | Contact dermatitis, 2018-09, Vol.79 (3), p.127-135 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Clinical trials Counseling - methods Dermatitis, Allergic Contact - prevention & control Dermatitis, Occupational - prevention & control Eczema Eczema - prevention & control epidemiology Exploratory behavior Female Hand Dermatoses - prevention & control hand eczema Health Knowledge, Attitudes, Practice Humans Male Middle Aged occupational patient education Patient Education as Topic Patients Psychotherapy, Group - methods secondary intervention Sick Leave Skin Care - methods Skin diseases Young Adult |
| title | Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial |
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