Individual prevention courses for occupational skin diseases: changes in and relationships between proximal and distal outcomes

Schuler, Michael, Spanier, Katja, Lukasczik, Matthias, Schwarze, Monika, Musekamp, Gunda, Osborne, Richard H., Faller, Hermann and Pohrt, Ute 2015, Individual prevention courses for occupational skin diseases: changes in and relationships between proximal and distal outcomes, Contact dermatitis, vol. 72, no. 6, pp. 371-380, doi: 10.1111/cod.12367.

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Title Individual prevention courses for occupational skin diseases: changes in and relationships between proximal and distal outcomes
Author(s) Schuler, Michael
Spanier, Katja
Lukasczik, Matthias
Schwarze, Monika
Musekamp, Gunda
Osborne, Richard H.ORCID iD for Osborne, Richard H.
Faller, Hermann
Pohrt, Ute
Journal name Contact dermatitis
Volume number 72
Issue number 6
Start page 371
End page 380
Total pages 10
Publisher Wiley
Place of publication Weinheim, Germany
Publication date 2015-06
ISSN 1600-0536
Keyword(s) Skindex-29
occupational skin disease
Science & Technology
Life Sciences & Biomedicine
heiQ (TM)
Summary BACKGROUND: To treat people with occupational contact dermatitis, the German Accident Prevention and Insurance Association in the Health and Welfare Services offers 2-day individual prevention (IP) seminars. OBJECTIVES: We investigated whether there are short-term and medium-term changes in proximal (e.g. behaviour) and distal (e.g. symptoms) outcomes after an IP seminar, whether changes in proximal outcomes are associated with changes in distal outcomes, and whether subgroups can be identified that benefit in particular. PATIENTS/MATERIALS/METHODS: In a prospective study, 502 participants of 85 IP courses completed the health education impact questionnaire (heiQ™) and skin symptom questionnaire (Skindex-29) at the start of the course, immediately thereafter, and after 6 months. Change was assessed according to standardized effect size. Regression techniques were used to analyse associations between proximal and distal outcomes. RESULTS: After 6 months, participants showed improved self-management skills and preventive behaviour, and less fear of job loss, disease-related symptoms, and emotional distress. Significant associations between proximal and distal outcomes were found. Participants who felt more limited by their skin disease showed greater effects. CONCLUSIONS: The results are consistent with the assumption that IP courses provide a range of benefits for people with occupational contact dermatitis. Changes in distal outcomes may be influenced by changes in proximal outcomes.
Language eng
DOI 10.1111/cod.12367
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920117 Skin and Related Disorders
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Wiley
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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