Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study

Purpose: This study evaluated the effectiveness of a school-based experiential self-management program for children with atopic dermatitis (AD) based on Roy’s adaptation theory. Design and Methods: Data were collected from June to August 2021, with 33 children in the experimental group and 32 in the...

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Main Authors: Jinhee Seo, Gaeun Kim
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/6/676
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author Jinhee Seo
Gaeun Kim
author_facet Jinhee Seo
Gaeun Kim
author_sort Jinhee Seo
collection DOAJ
description Purpose: This study evaluated the effectiveness of a school-based experiential self-management program for children with atopic dermatitis (AD) based on Roy’s adaptation theory. Design and Methods: Data were collected from June to August 2021, with 33 children in the experimental group and 32 in the control group. Participants were 10- to 11-year-old elementary school children who reported having AD symptoms within the past year and were able to complete self-report questionnaires. The program consisted of seven weekly school-based sessions that included disease education, symptom management techniques, skin care practices, nutritional guidance, and self-esteem enhancement activities. Outcomes, including AD severity, disease-related knowledge, adaptive behavior, self-esteem, and quality of life, were measured at baseline, post-intervention, and four weeks post-intervention using Generalized Estimating Equation analysis. Results: The experimental group showed significant improvements in AD severity (SCORAD: 22.80 ± 3.18 to 17.75 ± 2.24), disease-related knowledge (10.64 ± 2.00 to 13.64 ± 1.39), adaptive behavior (3.55 ± 1.70 to 10.58 ± 2.45), self-esteem (26.18 ± 4.76 to 31.55 ± 3.46), and quality of life (90.24 ± 11.07 to 100.27 ± 9.76), while the control group remained unchanged. Improvements were sustained four weeks post-intervention. Conclusions: This program effectively reduced AD severity and enhanced knowledge, adaptive behavior, self-esteem, and quality of life in children with AD. Practice Implications: School-based self-management programs effectively enhance disease knowledge, adaptive behaviors, and quality of life in children with AD.
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spelling doaj-art-96246f21f35f4badad17f656ffcfd9e82025-08-20T03:27:30ZengMDPI AGChildren2227-90672025-05-0112667610.3390/children12060676Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled StudyJinhee Seo0Gaeun Kim1Graduate School, Keimyung University, Dalgubeol-daero, Dalseo-gu, Daegu 1095, Republic of KoreaCollege of Nursing, Keimyung University, Dalgubeol-daero, Dalseo-gu, Daegu 1095, Republic of KoreaPurpose: This study evaluated the effectiveness of a school-based experiential self-management program for children with atopic dermatitis (AD) based on Roy’s adaptation theory. Design and Methods: Data were collected from June to August 2021, with 33 children in the experimental group and 32 in the control group. Participants were 10- to 11-year-old elementary school children who reported having AD symptoms within the past year and were able to complete self-report questionnaires. The program consisted of seven weekly school-based sessions that included disease education, symptom management techniques, skin care practices, nutritional guidance, and self-esteem enhancement activities. Outcomes, including AD severity, disease-related knowledge, adaptive behavior, self-esteem, and quality of life, were measured at baseline, post-intervention, and four weeks post-intervention using Generalized Estimating Equation analysis. Results: The experimental group showed significant improvements in AD severity (SCORAD: 22.80 ± 3.18 to 17.75 ± 2.24), disease-related knowledge (10.64 ± 2.00 to 13.64 ± 1.39), adaptive behavior (3.55 ± 1.70 to 10.58 ± 2.45), self-esteem (26.18 ± 4.76 to 31.55 ± 3.46), and quality of life (90.24 ± 11.07 to 100.27 ± 9.76), while the control group remained unchanged. Improvements were sustained four weeks post-intervention. Conclusions: This program effectively reduced AD severity and enhanced knowledge, adaptive behavior, self-esteem, and quality of life in children with AD. Practice Implications: School-based self-management programs effectively enhance disease knowledge, adaptive behaviors, and quality of life in children with AD.https://www.mdpi.com/2227-9067/12/6/676dermatitisatopicchildself-management
spellingShingle Jinhee Seo
Gaeun Kim
Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study
Children
dermatitis
atopic
child
self-management
title Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study
title_full Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study
title_fullStr Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study
title_full_unstemmed Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study
title_short Evaluating a School-Based Public Health Intervention for Self-Management in Children with Atopic Dermatitis: A Non-Randomized Controlled Study
title_sort evaluating a school based public health intervention for self management in children with atopic dermatitis a non randomized controlled study
topic dermatitis
atopic
child
self-management
url https://www.mdpi.com/2227-9067/12/6/676
work_keys_str_mv AT jinheeseo evaluatingaschoolbasedpublichealthinterventionforselfmanagementinchildrenwithatopicdermatitisanonrandomizedcontrolledstudy
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