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A Controlled Trial of Group Behavioural Therapy in the Management of Atopic Dermatitis in Adults
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN17548228
Date ISRCTN assigned30/09/2005
Local reference number(s)N0112154888
Public titleA Controlled Trial of Group Behavioural Therapy in the Management of Atopic Dermatitis in Adults
Scientific title
AcronymN/A
Disease/condition/study domainSkin and Connective Tissue Diseases: Atopic dermatitis
Study hypothesisThe principal question the study addresses is whether or not a form of behavioural therapy known as habit reversal is effective in improving atopic dermatitis by means of reducing the scratching that is often associated with the condition. A secondary objective is to see if a dermatological education session alone gives an improvement in the condition.
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteria1. A diagnosis of atopic dermatitis by the Hanifen & Najka criteria. 2. Chronicity of at least one year
3. Age 18 and above
Participants - exclusion criteria1. Systemic therapy for atopic dermatitis in the last 6 months.
2. Participants will be excluded if not English speaking.
Patient information material
Anticipated start date24/12/2004
Anticipated end date01/06/2006
Status of trialCompleted
Target number of participantsNumber of patients: 20 in each group
InterventionsParticipants will be allocated randomly to one of two groups.
The first group will receive an hour-long educational session run by a consultant dermatologist. This will reinforce the optimal use of standard treatments for atopic dermatitis and incorporate standard advice on managing the condition.
The second group will receive the educational session as well as 3 further hour-long sessions to learn and practise the habit reversal technique. These 3 sessions will be run by a Specialist Registrar in psychiatry. Homework will be set between the sessions to reinforce the technique. The severity of the atopic dermatitis will be assessed at baseline, 1 month, 3 month and six months. The two groups will be compared. The assessors will be blind to the group allocation of participants. A pilot study with 6 participants has already been carried out. Feedback from participants was requested and this has been taken into account for the purpose of the current full scale trial.
Primary outcome measure(s)1. The SCORAD - an index developed by the European Task Force on Atopic Dermatitis to rate the severity of atopic dermatitis .
2. The DLQI - The Dermatology Life Quality Index. A questionnaire that assesses the impact of a number of skin conditions on daily life in preceding week.
3. The HADS - the Hospital Anxiety and Depression Scale. A self- rating scale to detract evidence of the two conditions.
Secondary outcome measure(s)See Primary outcome measures
Sources of fundingEpsom and St Helier University Hospitals NHS Trust

NHS R&D Support Funding
Sponsor nameRecord Provided by the NHSTCT Register - 2005 Update - Department of Health (UK)
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameDr Colin Holden
Contact detailsDr C Holden
Department of Dermatology
St Helier Hospital
Wrythe Lane
Carshalton, Surrey
United Kingdom
SM5 1AA
Contact telephone+44 (0)20 8296 2285
Contact fax+44
Contact emailCholden@sthelier.sghms.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN17548228
Date last extracted from ISRCTN register17/04/2008
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