Establishing the Collaborative Care Model of Traditional Chinese Medicine and Western Medicine-Pediatric Atopic Dermatitis

Study Overview
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Brief Summary
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In Taiwan, there are many patients suffer from pediatric atopic dermatitis. Because of the clinical characteristic of repetitive and scratchy, which will affect the patients' quality of life and lead to the medical heavy budget. TCM may play an important role in this disease and help patient to improved their health. In this project, we aim to establish a Collaborative Care Model of TCM and Western Medicine, to achieve the multiple goal in clinical treatment, research and medical training. By establishing a collaborative care model, including the Chinese medicine doctor and Western medicine doctor, nurses, pharmacists and case managers, to cooperative satisfy the patient needed in the medical service, to improve the clinical presentation, patients'quality of life, and reduce exposure to corticosteroid. Besides, we can also build a training environment and reduce medical cost in long term purpose. Furthermore, by establishing a collaborative care model, we can provide a medical education and training opportunity to educate the medical student and clinician the necessary knowledge of pediatric atopic dermatitis by caring patients and learning from clinical case. According to the above training program, we not only aim to strengthen the competitiveness of Chinese medicine doctor in Taiwan, but also make the Western medicine doctors comprehend the TCM characteristic and may find out the even more opportunity to cooperate in clinical practice. To make this collaborative care model as a beginning milestone of cooperation between Chinese medicine and Western medicine.

Official Title
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Establishing the Collaborative Care Model of TCM and Western Medicine-Pediatric Atopic Dermatitis

Conditions
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Atopic Dermatitis

Intervention / Treatment
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* Other: TCM
* Other: Western medicine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age 0-18 meets the Hanifin and Rajka diagnostic criteria SCORAD score ≧ 25 Exclusion Criteria: Drug abuse Pregnent or lactating women Mental or behavioral abnormalities Allergic to the ingredients of the test regimen Any potentially life-threatening disease or dysfunctional organ system l

Ages Eligible for Study
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Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Collaborative Care of TCM and Western Medicine<br> | Other: TCM<br>* oral chinese herb, chinese topical ointment<br>Other: Western medicine<br>* oral steroid, oral antihistamine, topical steroid<br>|
| Active Comparator: Western Medicine<br> | Other: Western medicine<br>* oral steroid, oral antihistamine, topical steroid<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scoring Atopic Dermatitis (SCORAD) score | a clinical tool to assess the extent and severity of eczema | week 4 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 36-Item Short Form Health Survey (SF-36) | It is a 36-item, patient-reported survey of patient health. | week 4 |