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      [Written personalized action plan for atopic dermatitis: a patient education tool].

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          Abstract

          Atopic dermatitis (AD) is the most frequent children's chronic skin disease. Management of AD can be difficult because local treatments must be adapted to the skin's condition. Between consultations, sudden changes in the state of the disease can make it difficult to manage local treatment. Parents and children need information that will help them adapt their treatment to the course of their disease. Aiming to enable parents to better treat their atopic child by themselves, we have developed a personalized action plan in order to simplify, personalize, and adapt the medical prescription to the state of the disease. The Personalized Written Action Plan for Atopics (PA2P) is based on the model used in the treatment of asthma, with integrated specificities for AD in children. The aim of this study was to assess the feasibility and pertinence of the PA2P for pediatricians to use in private practice. A total of 479 pediatricians answered a questionnaire sent by e-mail. The vast majority of the respondents gave positive reviews of the tool: 99% of the pediatricians declared the tool to be pertinent, qualifying it as clear and logical. The PA2P appeared to be appropriate for the atopic patient because it improves the families' involvement in the application of local treatment by offering personalized care and by simplifying the doctor's prescription. Finally, 72% of doctors responding to the questionnaire were willing to take part in future studies involving parents. More than a gadget, the PA2P could become a useful tool for therapeutic patient education.

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          Author and article information

          Journal
          Arch Pediatr
          Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
          Elsevier BV
          1769-664X
          0929-693X
          Jul 2014
          : 21
          : 7
          Affiliations
          [1 ] Clinique dermatologique, Hotel-Dieu, CHU de Nantes, 1, place Alexis-Ricordeau, 44035 Nantes cedex, France.
          [2 ] Association française de pédiatrie ambulatoire, France.
          [3 ] Clinique dermatologique, Hotel-Dieu, CHU de Nantes, 1, place Alexis-Ricordeau, 44035 Nantes cedex, France. Electronic address: jean-francois.stalder@univ-nantes.fr.
          Article
          S0929-693X(14)00174-2
          10.1016/j.arcped.2014.04.019
          24935447

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