Evidence map›Paper›PMID 39900107›Full record

Trial reportClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2025

Acceptance and Commitment Therapy Eczema Management Program for Children With Eczema: A Pilot Randomised Controlled Trial.

Yuen Yu Chong, Wai Tong Chien, Huan Yu Mou, Sui Ping Leung, Oi Yin Wong, Shu Yan Lam

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04919330 (Embodying a Compassionate Self Through Acceptance and Commitment Therapy for Parents and Children With Eczema), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04919330 nacompletednot on this map

Embodying a Compassionate Self Through Acceptance and Commitment Therapy for Parents and Children With Eczema: A Family Based Eczema Management Programme

TypeinterventionalSponsorChinese University of Hong KongRan2021 to 2023Enrolled78ConditionsEczemaArmsFamily Acceptance and Commitment Therapy-based Eczema Management Programme, Wait-list Control Group
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yuen Yu ChongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0001-5664-2051
Wai Tong ChienThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0001-5321-5791
Huan Yu MouThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Sui Ping LeungDepartment of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Hong Kong SAR, China.
Oi Yin WongDepartment of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Hong Kong SAR, China.
Shu Yan LamDepartment of Paediatrics and Adolescent Medicine, Tuen Mun Hospital, Hong Kong SAR, China.

Funding

The Nethersole Institute of Continuing Holistic Health Education Research Grant
6 · The paper itself

Abstract

introductionEczema significantly affects the quality of life of affected children and their families, with psychological stress often overlooked. Acceptance and Commitment Therapy (ACT) provides a supplementary approach to address these psychological challenges and enhance overall care.

objectiveThis pilot randomised controlled trial aimed to examine the feasibility, acceptability and preliminary effectiveness of the Family ACT-based Eczema Management Program (FACT-EMP).

methodsParents and children aged 6-12 diagnosed with eczema from three outpatient clinics in Hong Kong were randomly assigned to either the FACT-EMP group, receiving four weekly ACT-based sessions plus eczema management education, or a waitlist control group receiving routine care. Feasibility and acceptability were assessed through recruitment, retention and completion rates, supplemented by focus group feedback on parental experiences. Primary clinical outcomes were children's eczema Severity Scoring of Atopic Dermatitis (SCORAD) and parental self-efficacy. Secondary outcomes included parental distress, quality of life, psychological flexibility and self-compassion of both parents and children.

resultsFrom July 2021 to June 2023, 181 of 944 screened parent-child dyads met the inclusion criteria, and 78 were randomised and analysed (parents' mean [SD] age, 41.3 [11.0] years; 70 mothers [89.7%]; children's mean [SD] age, 8.3 [1.9] years; 53 boys [67.9%]). Recruitment, retention and completion rates were 43.1%, 87.2% and 76.9%, respectively. No significant between-group differences in SCORAD scores were observed immediately post-intervention. At 3-month post-intervention, SCORAD scores decreased significantly more in the FACT-EMP group than in the waitlist control group (adjusted mean difference, aMD, -7.73; 95% CI, -13.92 to -1.54). Parental self-efficacy scores also improved significantly more in the FACT-EMP group than the control, with an aMD of 18.69 (95% CI, 13.80 to 33.58) immediately post-intervention and 28.90 (95% CI, 13.93 to 43.84) at 3 months.

conclusionFACT-EMP is potentially feasible, acceptable and effective in improving children's eczema symptoms and enhancing parents' self-efficacy in disease management over 3 months.

trial registrationNCT04919330.

Indexed as

Acceptance and Commitment TherapyEczemaParentsAdultChildFemaleHong KongHumansMalePilot ProjectsQuality of LifeSelf EfficacySeverity of Illness IndexTreatment Outcomeacceptance and commitment therapychildreneczemaparentspsychological flexibility

Identifiers

PMID39900107
PMCPMC12325139

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.