patient with atopic dermatitis' needs for self-management support - flexible patient centred consultations

Conditions: Atopic Dermatitis

Summary: in this study, the investigators will conduct a controlled trial to investigate the effects of a flexible patient-centred consultation with a focus on self-management support, well-being, treatment content, and self-management skills in patients with atopic dermatitis. the investigators will include 200 participants; 100 participants in a control group followed by 100 participants in an intervention group. the controlled trial will take place at the outpatient clinic at the department of dermatology and allergy, herlev-gentofte hospital and the daily management will be done by the project manager/ph.d. student with support from the project group. in the control group, participants will be provided with care as usual. this means participants will be seen by a doctor and new participants will get an additional nurse session focusing on therapeutic patient education (tpe) in atopic dermatitis. the consultations are scheduled at regular intervals of approximately three months but with alterations if the participant needs to be seen before. in the intervention group, the set-up will be flexible patient-centred consultations. the first consultation for the participant will be with the doctor and depending on the participant's need, the following consultations can be scheduled with either a doctor- or a nurse consultation. after each consultation, it will be decided in collaboration between the healthcare professionals and the participant whether a nurse or a doctor consultation will be relevant next. the consultations (whether it is with the doctor or nurse) will be centered around the participant's choice of topics by use of an atopic dermatitis dialogue tool developed in the department. additionally, the nurse consultation will focus on therapeutic patient education (tpe) in atopic dermatitis. the interval between consultations will depend on the participant's need

in this study, the investigators will conduct a controlled trial to investigate the effects of a flexible patient-centred consultation with a focus on self-management support, well-being, treatment content, and self-management skills in patients with atopic dermatitis. the investigators will include 200 participants; 100 participants in a control group followed by 100 participants in an intervention group. the controlled trial will take place at the outpatient clinic at the department of dermatology and allergy, herlev-gentofte hospital and the daily management will be done by the project manager/ph.d. student with support from the project group. in the control group, participants will be provided with care as usual. this means participants will be seen by a doctor and new participants will get an additional nurse session focusing on therapeutic patient education (tpe) in atopic dermatitis. the consultations are scheduled at regular intervals of approximately three months but with alterations if the patients need to be seen before. in the intervention group, the set-up will be flexible patient-centred consultations. the first consultation for the participant will be with the doctor and depending on the participant's need, the following consultations can be scheduled with either a doctor- or a nurse consultation. after each consultation, it will be decided in collaboration between the healthcare professionals and the participant whether a nurse or a doctor consultation will be relevant next. the consultations (whether it is with the doctor or nurse) will be centered around the participant's choice of topics by use of an atopic dermatitis dialogue tool developed in the department. additionally, the nurse consultation will focus on therapeutic patient education (tpe) in atopic dermatitis. the interval between consultations will depend on the patient's need

Eligibility criteria:
inclusion criteria: * have a confirmed diagnosis of atopic atopic dermatitis * children and adolescents under 18 years * adults over 18 years * need to be followed at the department * patient or caregiver must be able to speak and understand danish * received oral and written information * the patient or caregiver has signed the informed consent exclusion criteria: * a person deprived of liberty

Keywords: patient-centred care self-management support