Cross-Sectional Survey of School-age Children's Independence Regarding their Own Atopic Dermatitis Care and the Associated Factors in Japan.
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| Názov: | Cross-Sectional Survey of School-age Children's Independence Regarding their Own Atopic Dermatitis Care and the Associated Factors in Japan. |
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| Autori: | Sugimura A; Department of Nursing, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. sugimura@tokai.ac.jp., Asano M, Kaneko E, Oato N, Kubota C, Hirai K, Hiramatsu M, Mochizuki H |
| Zdroj: | The Tokai journal of experimental and clinical medicine [Tokai J Exp Clin Med] 2025 Dec 20; Vol. 50 (3), pp. 100-107. Date of Electronic Publication: 2025 Dec 20. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Tokai University School Of Medicine Country of Publication: Japan NLM ID: 7704186 Publication Model: Electronic Cited Medium: Internet ISSN: 2185-2243 (Electronic) Linking ISSN: 03850005 NLM ISO Abbreviation: Tokai J Exp Clin Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: Tokyo : Tokai University School Of Medicine Original Publication: Tokyo, Tokai Univ. School of Medicine and the Tokai Medical Assn. |
| Výrazy zo slovníka MeSH: | Dermatitis, Atopic*/therapy , Dermatitis, Atopic*/psychology , Self Care*/psychology, Humans ; Child ; Male ; Female ; Surveys and Questionnaires ; Cross-Sectional Studies ; Japan ; Self Efficacy ; Quality of Life ; Social Support ; Severity of Illness Index ; Age Factors ; Regression Analysis ; Parents/psychology |
| Abstrakt: | Objective: Atopic dermatitis (AD) affects many children's QOL; the outpatient topical-therapy treatment means children and families are central in AD management. During school-age years, children's self-care ability becomes increasingly important. To clarify the current state of children's independence in AD care and associated factors. Methods: Questionnaires completed by 9-12-year-old children diagnosed with AD̶ and their guardians ̶were statistically analysed as pairs: dependent variable = independence of AD care for children; independent variables = other factors. As a predictive model for school-age children's AD, multiple regression analysis was conducted: dependent variable = independence in AD care. Results: Analysis of 109 questionnaire pairs revealed that children's independence in AD care correlated significantly with age, AD severity, self-efficacy, and controlled parental attitude in child-rearing. The multiple regression analysis on independence in AD care yielded the following β coefficients: child's age = 0.260, AD severity = -0.153, challenge spirit = 0.123, social support from mothers = 0.166, social support from friends = 0.160, controlled parental attitude in child-rearing = -0.139. Conclusions: Higher independence of AD was associated with milder AD symptoms, suggesting that transitioning from parent-led care to child-led care during school years is crucial in effective symptom management. Also vital for fostering independence in AD management are: providing thorough late-childhood guidance, enhancing self-efficacy, and ensuring families avoid excessive interference. |
| Entry Date(s): | Date Created: 20251118 Date Completed: 20251118 Latest Revision: 20251118 |
| Update Code: | 20251118 |
| PMID: | 41250563 |
| Databáza: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstrakt: | Objective: Atopic dermatitis (AD) affects many children's QOL; the outpatient topical-therapy treatment means children and families are central in AD management. During school-age years, children's self-care ability becomes increasingly important. To clarify the current state of children's independence in AD care and associated factors.<br />Methods: Questionnaires completed by 9-12-year-old children diagnosed with AD̶ and their guardians ̶were statistically analysed as pairs: dependent variable = independence of AD care for children; independent variables = other factors. As a predictive model for school-age children's AD, multiple regression analysis was conducted: dependent variable = independence in AD care.<br />Results: Analysis of 109 questionnaire pairs revealed that children's independence in AD care correlated significantly with age, AD severity, self-efficacy, and controlled parental attitude in child-rearing. The multiple regression analysis on independence in AD care yielded the following β coefficients: child's age = 0.260, AD severity = -0.153, challenge spirit = 0.123, social support from mothers = 0.166, social support from friends = 0.160, controlled parental attitude in child-rearing = -0.139.<br />Conclusions: Higher independence of AD was associated with milder AD symptoms, suggesting that transitioning from parent-led care to child-led care during school years is crucial in effective symptom management. Also vital for fostering independence in AD management are: providing thorough late-childhood guidance, enhancing self-efficacy, and ensuring families avoid excessive interference. |
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| ISSN: | 2185-2243 |