Effects of a self-efficacy theory-based parental education program on eczema control and parental outcomes
Abstract
BACKGROUND: Eczema is the most common childhood skin problem worldwide. Education that enhances parental self-efficacy in carrying out appropriate eczema management is crucial to controlling eczema symptoms of their children. However, the lack of such a structured education program hinders everyday lives of eczematous children and their families. This study evaluated the effects of a self-efficacy theory-based parental eczema education program in controlling eczema of Chinese children at three months after commencement of intervention. METHODS: An assessor-blind, 2-arm, randomized controlled trial was conducted at an outpatient clinic of a regional hospital. One hundred and thirty-six Chinese children aged 3 months to 12 years with physician-diagnosed eczema, and their parents were recruited. The intervention was underpinned by the Social Cognitive Theory. Children's disease severity, parental self-efficacy, treatment adherence, and quality of life of family members were assessed by validated tools. Generalized estimating equation model was employed to compare differential change in each outcome across time between different groups. RESULTS: Eczema severity of children and parental self-efficacy in the intervention group were found to show greater improvement at 3-month follow-up with regression coefficient (β) -16.98 (95% CI, -21.04 to -12.92; P < .001) and β 29.39 (95% CI, 22.64-36.14; P < .001), respectively. Nearly all parents (97%) receiving the intervention rated this program as useful and helpful. CONCLUSIONS: This program is effective in enhancing parents' self-efficacy in managing their children's eczema and improving their adherence to eczema treatment and quality of life.
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The roles of psychological flexibility and self-compassion remain unexplored in families with children diagnosed with eczema.
“However, these roles remain unexplored in families with children diagnosed with eczema. The existing literature is predominantly focused on parental self-efficacy [23,48], leaving a critical gap in our understanding of the unique psychological aspects experienced by parents of children with eczema.”
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Chong, Y. Y., Kwan, J. Y. M., Yau, P. T., Cheng, H. Y., & Chien, W. T. (2023) · Healthcare · doi:10.3390/healthcare11202708 · Cited by 6 · see citing works
- Authors
- Cheng, N. S., Chau, J. P. C., Lo, S. H. S., Choi, K. C., Hon, K. L. E., Lam, P. H., & Leung, T. F.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- Chau, Janita Pak Chun
- ORCID
- Venue
- Pediatric Allergy and Immunology
- Publisher
- Wiley
- Published
- 2020-12-04
- Volume
- 32
- Issue
- 3
- Pages
- 535-543
- ISSN
- 0905-6157 (ISSN-L)
- 1399-3038
- OpenAlex
- W3107588387
- Cited by
- 16
- References
- 22
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 2
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Allergy and Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
- Keywords
- pediatric atopic dermatitis, parental self-efficacy, parental education programs, eczema management, medication adherence, family quality of life, eczema severity, social cognitive theory, Chinese children
- MeSH terms
- Child, Eczema, Family, Humans, Parents, Quality of Life, Self Efficacy
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