Spray on skin improves psychosocial functioning in pediatric burns patients: A randomized controlled trial

Martin, Graham, Swannell, Sarah, Mill, Julie, Mott, Jonathan, Evans, Jackie, Frederiksen, Nadine, Hilder, Melanie and Kimble, Roy (2008) Spray on skin improves psychosocial functioning in pediatric burns patients: A randomized controlled trial. Burns, 34 4: 498-504. doi:10.1016/j.burns.2007.08.004


Author Martin, Graham
Swannell, Sarah
Mill, Julie
Mott, Jonathan
Evans, Jackie
Frederiksen, Nadine
Hilder, Melanie
Kimble, Roy
Title Spray on skin improves psychosocial functioning in pediatric burns patients: A randomized controlled trial
Journal name Burns   Check publisher's open access policy
ISSN 0305-4179
Publication date 2008
Year available 2007
Sub-type Article (original research)
DOI 10.1016/j.burns.2007.08.004
Volume 34
Issue 4
Start page 498
End page 504
Total pages 7
Editor S. Wolf
Place of publication Oxford, England
Publisher Elsevier, Science Direct
Collection year 2008
Language eng
Subject C1
321002 Dermatology
730204 Child health
Abstract Purpose: Microskin(TM) is a sprayed on, computer color-matched, skin camouflage which can last for up to 5 days after application. It binds to the epidermis and the patient can sweat and swim with it on. The purpose of the current study was to determine whether Microskin(TM) produces psychosocial benefit in pediatric burns patients. Procedure: Twenty children with mature burn scars took part in the study and used Microskin(TM) for 5 weeks. Initially, 10 children were randomized to a treatment group while the remaining 10 became a wait-list group for 7 weeks. The wait-list group subsequently received Microskin(TM) for 5 weeks. Before and after using Microskin(TM), children completed three psychosocial measures; the Strengths and Difficulties Questionnaire (SDQ), the Family Assessment Device--General Functioning scale (FAD-GF), and the Microskin(TM) Questionnaire (MQ--a questionnaire about their experience using Microskin(TM) developed specifically for this study). All children were followed up with the same measures 6 months after their completed use of Microskin(TM).Results After the 5-week Microskin(TM) trial there was improvement on all scales of the SDQ for the 10 children in the first treatment group but not for the wait-list group. After the wait-list group used Microskin(TM) for 5 weeks they too improved on all scales. Combining the results for all 20 children from before to after using Microskin(TM) there was a statistically significant improvement in the SDQ Emotional Symptoms and Total Difficulties. There was also improved perception of family functioning after using Microskin(TM). Six-month follow-up data showed continued psychosocial improvement. Overall, children felt more confident, happier, and enjoyed social outings more when they had Microskin(TM) on, with 95% intending to continue to use Microskin(TM). Conclusions: Microskin(TM) improves psychosocial functioning in pediatric burn patients and is well-tolerated and acceptable. The small sample size precludes sophisticated statistical analyses and generalization of results. There is a need for a full scale randomized controlled study of Microskin(TM) with a larger sample size.
Keyword Mental health
Pediatrics
Microskin(TM)
Mature burn scars
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Released online Dec 2007 - including in HERDC 2008

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2008 Higher Education Research Data Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 05 Mar 2008, 16:43:43 EST