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CompletedNCT02916888Updated Jan 11, 2018

A Study Comparing the Quality of Life of Patients in the Treatment of Eczema by Pediatric Generalists and Specialists

An observational study in Eczema, Dermatitis and Dermatitis, Atopic, sponsored by Yale University. Completed at 1 site in United States. Open to participants aged Up to 7 Years. Per ClinicalTrials.gov, last updated 2018-01-11.

Sponsored by Yale University · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
26
Ages
Up to 7 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 251 studies in Eczema with a site in United States — 33 open to participants now, 47 under way, 9 of them phase 3. Eczema · United States.

Enrollment
31st of 34
26 · median 243
Started
2016
with 10 others
Observational
34 of 251
10 open now
Registered
74th of 251
by date

Among the 251 studies in Eczema with a site in United States, this one is the 31st largest by enrollment of the 34 observational ones that give a count, is one of 11 that started in 2016, is one of 34 observational ones, and was the 74th registered.

Eczema

505 studies on the registry are indexed under Eczema; 89 are open to participants now.

Browse Eczema studies →

Open to participants now

33 of the 251 studies in Eczema with a site in United States are open now. Recruiting first, the newest first:

28 more — sign in →

All 33 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 66 Eczema studies recruiting now, 31 (47%) set no upper age limit and 27 (41%) stop at 75 or younger; 34 take children under 18; 22 take healthy volunteers.

This study: Up to 7 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to investigate the differences in the quality of life of patients and caregivers who are treated by general pediatricians versus pediatric dermatologists for eczema (atopic dermatitis or AD).

Read the detailed description

Hypothesis:

We hypothesize that on average, the patients treated by the general pediatrician will have a smaller increase in quality of life at the end of the 2-week treatment period when compared to patients treated by the specialist.

Methods:

The primary endpoint will be the difference in patient and caregiver quality of life from baseline for the group treated by the general pediatrician and the group treated by the pediatric dermatologist. Secondary endpoints will be the difference in atopic dermatitis severity and TCS phobia from baseline.

Patients will be recruited from the Yale Pediatric Dermatology Clinic and Long Wharf Pediatrics and Adolescent Medicine in New Haven, CT.

Data Collection:

Assessment of AD by the investigator (EASI) and the patient/caregiver (POEM) will be completed at baseline on Day 0 in the clinic. Quality life measures (CDLQI/IDQoL/DFI) and steroid phobia measure (TOPICOP) will also be completed on Day 0. Follow-up clinical assessment will include skin examinations, and will be performed on Day 14. On the follow-up visit, the investigator will perform an assessment of AD severity using the EASI scoring method, ask patients/caregivers to re-take the CDLQI or IDQoL, DFI, POEM and TOPICOP, ask patients/caregivers to report adverse effects, and take digital photography utilizing the same standard poses as baseline. Patients' medication will be weighed to estimate amount of medication used in the 2-week treatment period. We will also instruct the patients and families to treat any subsequent AD flares in a similar manner as the first two weeks of the study, however they will treat until clear and may discontinue prior to 2 weeks of therapy.

Blinding:

This will be a single-blinded study. Patients will only know that there are 2 patient groups that are being treated by physicians, and that these 2 groups are being compared, but will not know that one group is being treated by a generalist and the other by a specialist. Given the study design, it will be impossible to blind investigators.

Treatment Administration:

There will be no research treatment/procedures that are not standard of care treatment. Standard of care treatment will be administered on an outpatient basis. All patients treated will receive a one-page handout, which briefly explains AD and educates families on how to prevent further atopic dermatitis outbreaks. All patients will also receive a page explaining how to apply corticosteroid ointment for treatment of AD.

Patients will adhere to twice daily administration of corticosteroid ointment for 2 weeks, and then will be assessed for clearance of AD. Caregivers or patients will document adherence at home daily in a chart that will be provided to them at their initial visit.

03

Conditions studied

  • Eczema
  • Dermatitis
  • Dermatitis, Atopic
  • Genetic Disease, Inborn
  • Hypersensitivity
  • Hypersensitivity, Immediate
  • Immune System Diseases
  • Skin Diseases
  • Skin Diseases, Eczematous
  • Skin Diseases, Genetic

Keywords

  • Atopic dermatitis
  • Topical corticosteroid
  • Pediatric
  • Eczema
  • Quality of life
04

Who can participate

Ages eligible
Up to 7 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients under 7 years old that have atopic dermatitis from the Greater New Haven area.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Meet the clinical criteria for the diagnosis of atopic dermatitis
  2. Have disease over at least 5% of their total body surface area.
  3. Less than 7 years of age.
  4. Families able to comprehend written instructions in English and able to complete questionnaires with assistance if needed.
  5. Parents/guardians able to understand and willing to sign a parental permission form.

Exclusion criteria

Exclusion Criteria:

  1. Clinically infected atopic dermatitis.
  2. Lack of follow-up after initial visit or regimen non-adherence.
  3. Patients who are allergic or intolerant of the topical medications employed in this study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
26 participants (actual)
Patient registry
No
Biospecimen retention
None retained

Groups and cohorts

  • Care provided by general pediatrician

    Standard of care management of atopic dermatitis by general pediatrician. This includes an initial visit with a 2-week follow-up.

    Other: Care provided by general pediatrician

  • Care provided by pediatric dermatologist

    Standard of care management of atopic dermatitis by pediatric dermatologist. This includes an initial visit with a 2-week follow-up.

    Other: Care provided by pediatric dermatologist

Interventions

  • OtherCare provided by general pediatrician

    Standard of care management of atopic dermatitis by a general pediatrician.

  • OtherCare provided by pediatric dermatologist

    Standard of care management of atopic dermatitis by a pediatric dermatologist.

06

What researchers measure

Primary outcomes

  1. Change in quality of life of patients

    Measured using Infant's Dermatitis Quality of Life Index (IDQoL) or Children's Dermatology Life Quality Index(CDLQI) depending on age

    Time frame: 2 weeks

Secondary outcomes

  1. Change in quality of life of patient caregivers

    Measured using Dermatitis Family Impact questionnaire (DFI)

    Time frame: 2 weeks

  2. Change in clinical severity of atopic dermatitis

    Measured using Eczema Area and Severity Index (EASI) or Patient-Oriented Eczema Measure (POEM)

    Time frame: 2 weeks

  3. Change in topical corticosteroid phobia in caregivers

    Measured using Topical Corticosteroid Phobia scale (TOPICOP)

    Time frame: 2 weeks

07

Study locations

1 site
  • Yale Dermatology Associates
    New Haven, Connecticut 06511, United States
08

References and documents

Publications

  • Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, Berger TG, Bergman JN, Cohen DE, Cooper KD, Cordoro KM, Davis DM, Krol A, Margolis DJ, Paller AS, Schwarzenberger K, Silverman RA, Williams HC, Elmets CA, Block J, Harrod CG, Smith Begolka W, Sidbury R. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol. 2014 Feb;70(2):338-51. doi: 10.1016/j.jaad.2013.10.010. Epub 2013 Nov 27. PubMed 24290431 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2016, a primary completion of Dec 2017 and a completion of Dec 2017. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 23, 2016
First posted
Sep 28, 2016
Start
Sep 2016
Primary completionActual
Dec 2017
CompletionActual
Dec 2017
Last update
Jan 11, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02916888
Lead sponsor
Yale University
Responsible party
Sponsor
First posted
Sep 28, 2016
Start date
Sep 2016
Primary completion
Dec 2017
Completion
Dec 2017
Last update
Jan 11, 2018

Study contacts

Richard Antaya, MD
principal investigator · Yale School of Medicine

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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