Ann Dermatol.  2015 Feb;27(1):40-47. 10.5021/ad.2015.27.1.40.

Disease Awareness and Management Behavior of Patients with Atopic Dermatitis: A Questionnaire Survey of 313 Patients

Affiliations
  • 1Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. drchosh@hotmail.com

Abstract

BACKGROUND
Patients with atopic dermatitis (AD) should be relatively well informed about the disorder to control their condition and prevent flare-ups. Thus far, there is no accurate information about the disease awareness levels and therapeutic behavior of AD patients.
OBJECTIVE
To collect data on patients' knowledge about AD and their behavior in relation to seeking information about the disease and its treatment.
METHODS
We performed a questionnaire survey on the disease awareness and self-management behavior of AD patients. A total of 313 patients and parents of patients with AD who had visited the The Catholic University of Korea, Catholic Medical Center between November 2011 and October 2012 were recruited. We compared the percentage of correct answers from all collected questionnaires according to the demographic and disease characteristics of the patients.
RESULTS
Although dermatologists were the most frequent disease information sources and treatment providers for the AD patients, a significant proportion of participants obtained information from the Internet, which carries a huge amount of false medical information. A considerable number of participants perceived false online information as genuine, especially concerning complementary and alternative medicine treatments of AD, and the adverse effects of steroids. Some questions on AD knowledge had significantly different answers according to sex, marriage status, educational level, type of residence and living area, disease duration, disease severity, and treatment history with dermatologists.
CONCLUSION
Dermatologists should pay more attention to correcting the common misunderstandings about AD to reduce unnecessary social/economic losses and improve treatment compliance.

Keyword

Awareness; Complementary therapies; Dermatitis; atopic; Disease management; Information seeking behavior

MeSH Terms

Complementary Therapies
Compliance
Dermatitis
Dermatitis, Atopic*
Disease Management
Educational Status
Humans
Information Seeking Behavior
Internet
Korea
Marriage
Parents
Self Care
Steroids
Surveys and Questionnaires
Steroids

Figure

  • Fig. 1 The information and treatment sources of the patients and parents with atopic dermatitis.


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Ann Dermatol. 2015;27(5):578-592.    doi: 10.5021/ad.2015.27.5.578.

Consensus Guidelines for the Treatment of Atopic Dermatitis in Korea (Part I): General Management and Topical Treatment
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Ann Dermatol. 2015;27(5):563-577.    doi: 10.5021/ad.2015.27.5.563.

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Ann Dermatol. 2016;28(6):725-732.    doi: 10.5021/ad.2016.28.6.725.

Multicenter questionnaires on the current management of atopic dermatitis in Korea
Dong Hun Lee, Eun Jin Doh, Jin Young Lee, Yang Park, Jae Won Oh, Mi Hee Lee, Soo Jong Hong, So-Yeon Lee, Joon Soo Park, Dong-Ho Nahm, Hye Yung Yum,
Allergy Asthma Respir Dis. 2016;4(4):271-275.    doi: 10.4168/aard.2016.4.4.271.

Current Management of Moderate-to-Severe Atopic Dermatitis: A Survey of Allergists, Pediatric Allergists and Dermatologists in Korea
Hye Yung Yum, Hyun Hee Kim, Hyun Jung Kim, Woo Kyung Kim, So-Yeon Lee, Kapsok Li, Dong Hun Lee,
Allergy Asthma Immunol Res. 2018;10(3):253-259.    doi: 10.4168/aair.2018.10.3.253.


Reference

1. Cork MJ, Britton J, Butler L, Young S, Murphy R, Keohane SG. Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. Br J Dermatol. 2003; 149:582–589.
Article
2. Kwon HJ, Kim YJ, Park SB, Yu DS, Kim JW. Study of atopic dermatitis information on the internet in Korea. Korean J Dermatol. 2006; 44:137–140.
3. Yoo JH, Sohn AR. Evaluation of obesity health information internet sites in Korea. J Korea Sport Res. 2004; 15:249–258.
4. Kim SY. Internet health information. J Korean Acad Fam Med. 2002; 23:281–290.
5. Kim DH, Li K, Seo SJ, Jo SJ, Yim HW, Kim CM, et al. A survey on understanding of atopic dermatitis among Korean patients. Korean J Dermatol. 2012; 50:201–211.
6. Keck CM, Anantaworasakul P, Patel M, Okonogi S, Singh KK, Roessner D, et al. A new concept for the treatment of atopic dermatitis: silver-nanolipid complex (sNLC). Int J Pharm. 2014; 462:44–51.
Article
7. Elias PM. Lipid abnormalities and lipid-based repair strategies in atopic dermatitis. Biochim Biophys Acta. 2014; 1841:323–330.
Article
8. Kim SY, Lee SD, Kim HO, Park YM. A survey of the awareness, knowledge, and behavior of topical steroid use in dermatologic outpatients of the university hospital. Korean J Dermatol. 2008; 46:473–479.
9. Donald L, Lawrence FE, Mark B. Fitzpatrick's dermatology in general medicine. New York: McGraw-Hill;2007.
10. Ring J, Alomar A, Bieber T, Deleuran M, Fink-Wagner A, Gelmetti C, et al. European Dermatology Forum (EDF). European Academy of Dermatology and Venereology (EADV). European Federation of Allergy (EFA). European Task Force on Atopic Dermatitis (ETFAD). European Society of Pediatric Dermatology (ESPD). Global Allergy and Asthma European Network (GA2LEN). Global Allergy and Asthma European Network (GA2LEN). Guidelines for treatment of atopic eczema (atopic dermatitis) part I. J Eur Acad Dermatol Venereol. 2012; 26:1045–1060.
11. Katayama I, Kohno Y, Akiyama K, Ikezawa Z, Kondo N, Tamaki K, et al. Japanese Society of Allergology. Japanese guideline for atopic dermatitis. Allergol Int. 2011; 60:205–220.
Article
12. Thomas KS, Dean T, O'Leary C, Sach TH, Koller K, Frost A, et al. SWET Trial Team. A randomised controlled trial of ion-exchange water softeners for the treatment of eczema in children. PLoS Med. 2011; 8:e1000395.
Article
13. Forbes LR, Saltzman RW, Spergel JM. Food allergies and atopic dermatitis: differentiating myth from reality. Pediatr Ann. 2009; 38:84–90.
Article
14. Aubert-Wastiaux H, Moret L, Le Rhun A, Fontenoy AM, Nguyen JM, Leux C, et al. Topical corticosteroid phobia in atopic dermatitis: a study of its nature, origins and frequency. Br J Dermatol. 2011; 165:808–814.
Article
15. Chin HW, Jang HS, Jang BS, Jo JH, Kim MB, Oh CK, et al. A study on utilization of alternative medicine for patients with atopic dermatitis. Korean J Dermatol. 2005; 43:903–911.
16. Seo SJ. Research of understanding and social loss of atopic dermatitis in Korea. Seoul: Chung-Ang University;2011.
17. Thomas MW, Panter AT, Morrell DS. Corticosteroids' effect on the height of atopic dermatitis patients: a controlled questionnaire study. Pediatr Dermatol. 2009; 26:524–528.
Article
18. Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007; (153):1–186.
19. Ricci G, Bendandi B, Aiazzi R, Patrizi A, Masi M. Three years of Italian experience of an educational program for parents of young children affected by atopic dermatitis: improving knowledge produces lower anxiety levels in parents of children with atopic dermatitis. Pediatr Dermatol. 2009; 26:1–5.
Article
20. Armstrong AW, Kim RH, Idriss NZ, Larsen LN, Lio PA. Online video improves clinical outcomes in adults with atopic dermatitis: a randomized controlled trial. J Am Acad Dermatol. 2011; 64:502–507.
Article
21. Kupfer J, Gieler U, Diepgen TL, Fartasch M, Lob-Corzilius T, Ring J, et al. Structured education program improves the coping with atopic dermatitis in children and their parents-a multicenter, randomized controlled trial. J Psychosom Res. 2010; 68:353–358.
Article
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