International Journal of Clinical Dermatology

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A Qualitative Study on the Perception of Atopic Dermatitis by Malagasy Young Patients Regarding Self-Management

Received: 14 February 2024    Accepted: 1 March 2024    Published: 13 March 2024
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Abstract

Atopic dermatitis (AD) is a chronic disease that usually begins in childhood and can persist at any age. It is essential for adolescents entering to adulthood to have a complete understanding of this disease, including its self-management responsibilities. This study aimed to explore Malagasy adolescents and young adults’ perceptions of atopic dermatitis regarding the concept of self-management. This is a qualitative study using semi-structured interviews with adolescent and young adult patients suffering from AD, who were followed up at the Dermatology Department of the University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar. Interviews were recorded, transcribed verbatim, and analyzed using NVivo software version 10.2.2 (QSR International, Doncaster, Australia). Five male and seven female patients with mild to severe AD were included according to the Patient-Oriented Eczema Measure (POEM). The mean age was 19.83 years and the mean interview duration was 21.3 minutes. Despite a relatively long duration of AD, the nature of this condition, and the principles and goals of treatment are still poorly understood among young people. Consequently, many still hope for a complete cure for their AD. Our patients adhered to treatment and did not fear topical corticosteroids. This study highlights the importance of providing information about atopic dermatitis during childhood, and emphasizes the need to recommunicate this information directly to these patients during adolescence, aiming for an optimal transition process regarding disease self-management.

DOI 10.11648/j.ijcd.20240701.13
Published in International Journal of Clinical Dermatology (Volume 7, Issue 1, June 2024)
Page(s) 11-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Adolescents, Atopic Dermatitis, Self-Management, Transition

References
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[2] Schmid-Grendelmeier P, Takaoka R, Ahogo KC, Belachew WA, Brown SJ, Rapelanoro Rabenja F, et al. Position Statement on Atopic Dermatitis in Sub-Saharan Africa: current status and roadmap. J Eur Acad Dermatol Venereol. 2019; 33: 2019-28.
[3] Sendrasoa FA, Ranaivo IM, Razanakoto NH, Andrianarison M, Raharolahy O, Ratovonjanahary VT, et al. Epidemiology and associated factors of atopic dermatitis in Malagasy children. Allergy Asthma Clin Immunol. 2020; 16: 4.
[4] Sendrasoa FA, Ramily SL, Razafimaharo TI, Ranaivo IM, Andrianarison M, Raharolahy O, et al. Atopic dermatitis in adults: A cross-sectional study in the department of dermatology, Antananarivo, Madagascar. JAAD Int. 2021; 4: 28-31.
[5] Weidinger S, Novak N. Atopic dermatitis. Lancet. 2016; 387(10023): 1109-1122.
[6] Ghio D, Greenwell K, Muller I, Roberts A, McNiven A, Santer M. Psychosocial needs of adolescent and young adults with eczema: A secondary analysis of qualitative data to inform a behavior change intervention. British Journal of Health Psychology. 2020.
[7] Razafimaharo TI. Evaluation de la qualité de vie des enfants malgaches atteints de la dermatite atopique et de leur famille. [Thèse]. Médecine Humaine: Antananarivo; 2021.
[8] Promotion de l’autogestion lors de maladies chroniques et d’addiction. Office fédéral de santé publique, Suisse.
[9] Schmidt A, Ilango SM, McManus MA, et al. Outcomes of pediatric to adult health care transition interventions: an updated systematic review. J Pediatr Nurs 2020; 51: 92–107.
[10] Roberts G, Vazquez-Ortiz M, Knibb R, Khaleva E, Alviani C, Angier E, et al. EAACI guidelines on the effective transition of adolescents and young adults with allergy and asthma. Allergy 2020; 75: 2734–52.
[11] Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19: 349–57.
[12] Ghio D, Muller I, Greenwell K, Roberts A, McNiven A, Langan SM, et al. ‘It’s like the bad guy in a movie who just doesn’t die’: a qualitative exploration of young people’s adaptation to eczema and implications for self-care. British journal of Dermatology. 2020; 182: 112-8.
[13] Lundin S, Jonsson M, Wahlgren CF, Johansson E, Bergstrom A, Kull I. BMJ Open 2021; 11: e044777. https://doi.org/10.1136/bmjopen-2020-044777
[14] Chamlin SL, Frieden IJ, Williams ML, Chren MM. Effects of atopic dermatitis on young American children and their families. Pediatrics. 2004.
[15] Barbarot S. Education thérapeutique du patient dans la dermatite atopique: où en est-on? Ann Dermatol Venereol. 2017 Oct; 144(10): 645-8.
[16] Peljak D. Therapeutic patient education: the need for a comprehensive, coordinated and sustainable approach. Santé publique. 2011; 23: 135-41.
[17] Bureau régional pour l’Europe, Education thérapeutique du patient. Programme de formation continue pour professionnels de soins dans le domaine de la prévention des maladies chroniques. Copenhague OMS. 1998: 88.
[18] Kosse RC, Bouvy ML, Daanen M, de Vries TW, Koster ES. Adolescents’ Perspectives on Atopic Dermatitis Treatment: Experiences, Preference, and Beliefs. JAMA Dermatology. 2018.
Cite This Article
  • APA Style

    Razanakoto, N. H., Sendrasoa, F. A., Razafimaharo, T. I., Rakotoarisaona, M. F., Andriatahina, H. F. P., et al. (2024). A Qualitative Study on the Perception of Atopic Dermatitis by Malagasy Young Patients Regarding Self-Management. International Journal of Clinical Dermatology, 7(1), 11-15. https://doi.org/10.11648/j.ijcd.20240701.13

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    ACS Style

    Razanakoto, N. H.; Sendrasoa, F. A.; Razafimaharo, T. I.; Rakotoarisaona, M. F.; Andriatahina, H. F. P., et al. A Qualitative Study on the Perception of Atopic Dermatitis by Malagasy Young Patients Regarding Self-Management. Int. J. Clin. Dermatol. 2024, 7(1), 11-15. doi: 10.11648/j.ijcd.20240701.13

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    AMA Style

    Razanakoto NH, Sendrasoa FA, Razafimaharo TI, Rakotoarisaona MF, Andriatahina HFP, et al. A Qualitative Study on the Perception of Atopic Dermatitis by Malagasy Young Patients Regarding Self-Management. Int J Clin Dermatol. 2024;7(1):11-15. doi: 10.11648/j.ijcd.20240701.13

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  • @article{10.11648/j.ijcd.20240701.13,
      author = {Naina Harinjara Razanakoto and Fandresena Arilala Sendrasoa and Tsiory Iarintsoa Razafimaharo and Mendrika Fifaliana Rakotoarisaona and Herin’Ny Fitiavana Princia Andriatahina and Tiana Sylvia Rasolofonarivo and Fenohasina Rakotonandrasana and Leophonte Samison Ramily and Rakotomanana Mbolatiana Kiady Armando and Voahanginirina Nathalie Ralimalala and Volatantely Tobiniaina Ratovonjanahary and Moril Sata and Onivola Raharolahy and Malalaniaina Andrianarison and Irina Mamisoa Ranaivo and Lala Soavina Ramarozatovo and Fahafahantsoa Rabenja Rapelanoro},
      title = {A Qualitative Study on the Perception of Atopic Dermatitis by Malagasy Young Patients Regarding Self-Management},
      journal = {International Journal of Clinical Dermatology},
      volume = {7},
      number = {1},
      pages = {11-15},
      doi = {10.11648/j.ijcd.20240701.13},
      url = {https://doi.org/10.11648/j.ijcd.20240701.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20240701.13},
      abstract = {Atopic dermatitis (AD) is a chronic disease that usually begins in childhood and can persist at any age. It is essential for adolescents entering to adulthood to have a complete understanding of this disease, including its self-management responsibilities. This study aimed to explore Malagasy adolescents and young adults’ perceptions of atopic dermatitis regarding the concept of self-management. This is a qualitative study using semi-structured interviews with adolescent and young adult patients suffering from AD, who were followed up at the Dermatology Department of the University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar. Interviews were recorded, transcribed verbatim, and analyzed using NVivo software version 10.2.2 (QSR International, Doncaster, Australia). Five male and seven female patients with mild to severe AD were included according to the Patient-Oriented Eczema Measure (POEM). The mean age was 19.83 years and the mean interview duration was 21.3 minutes. Despite a relatively long duration of AD, the nature of this condition, and the principles and goals of treatment are still poorly understood among young people. Consequently, many still hope for a complete cure for their AD. Our patients adhered to treatment and did not fear topical corticosteroids. This study highlights the importance of providing information about atopic dermatitis during childhood, and emphasizes the need to recommunicate this information directly to these patients during adolescence, aiming for an optimal transition process regarding disease self-management.
    },
     year = {2024}
    }
    

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    T1  - A Qualitative Study on the Perception of Atopic Dermatitis by Malagasy Young Patients Regarding Self-Management
    AU  - Naina Harinjara Razanakoto
    AU  - Fandresena Arilala Sendrasoa
    AU  - Tsiory Iarintsoa Razafimaharo
    AU  - Mendrika Fifaliana Rakotoarisaona
    AU  - Herin’Ny Fitiavana Princia Andriatahina
    AU  - Tiana Sylvia Rasolofonarivo
    AU  - Fenohasina Rakotonandrasana
    AU  - Leophonte Samison Ramily
    AU  - Rakotomanana Mbolatiana Kiady Armando
    AU  - Voahanginirina Nathalie Ralimalala
    AU  - Volatantely Tobiniaina Ratovonjanahary
    AU  - Moril Sata
    AU  - Onivola Raharolahy
    AU  - Malalaniaina Andrianarison
    AU  - Irina Mamisoa Ranaivo
    AU  - Lala Soavina Ramarozatovo
    AU  - Fahafahantsoa Rabenja Rapelanoro
    Y1  - 2024/03/13
    PY  - 2024
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    DO  - 10.11648/j.ijcd.20240701.13
    T2  - International Journal of Clinical Dermatology
    JF  - International Journal of Clinical Dermatology
    JO  - International Journal of Clinical Dermatology
    SP  - 11
    EP  - 15
    PB  - Science Publishing Group
    SN  - 2995-1305
    UR  - https://doi.org/10.11648/j.ijcd.20240701.13
    AB  - Atopic dermatitis (AD) is a chronic disease that usually begins in childhood and can persist at any age. It is essential for adolescents entering to adulthood to have a complete understanding of this disease, including its self-management responsibilities. This study aimed to explore Malagasy adolescents and young adults’ perceptions of atopic dermatitis regarding the concept of self-management. This is a qualitative study using semi-structured interviews with adolescent and young adult patients suffering from AD, who were followed up at the Dermatology Department of the University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar. Interviews were recorded, transcribed verbatim, and analyzed using NVivo software version 10.2.2 (QSR International, Doncaster, Australia). Five male and seven female patients with mild to severe AD were included according to the Patient-Oriented Eczema Measure (POEM). The mean age was 19.83 years and the mean interview duration was 21.3 minutes. Despite a relatively long duration of AD, the nature of this condition, and the principles and goals of treatment are still poorly understood among young people. Consequently, many still hope for a complete cure for their AD. Our patients adhered to treatment and did not fear topical corticosteroids. This study highlights the importance of providing information about atopic dermatitis during childhood, and emphasizes the need to recommunicate this information directly to these patients during adolescence, aiming for an optimal transition process regarding disease self-management.
    
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Dermatology, University Hospital Mahavoky Atsimo, Mahajanga, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital of Care and Public Health Analakely, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Occupational Health and Safety, Inter-enterprise Medical Center, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital of Care and Public Health Analakely, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital of Morafeno, Toamasina, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

  • Department of Dermatology, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar

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