Programme for prevention of foot dermatoses in patients with work‐related skin diseases: Follow‐up data of a prospective cohort study (OCCUPES)

Abstract

AbstractBackgroundA programme based on health education has been developed to prevent foot dermatoses (FD) in patients with work‐related skin diseases (WRSD).ObjectiveTo evaluate the effectiveness of the programme in a prospective cohort study (OCCUPES).MethodsSix and 12 months after completing the programme, follow‐up questionnaires were sent to 231 patients with WRSD and FD. Assessments included occupational footwear and foot care, self‐reported disease course, and health‐related quality of life.ResultsResponse to follow‐ups was >70%. Wearing functional socks and changing footwear and socks during one work shift increased (all p < 0.001). Complaints about occupational footwear decreased, including sweating and exposure to moisture/wetness. More than 60% reported improved FD while quality of life significantly increased. After 12 months, all foot symptoms were less frequent, including itch (p = 0.009), pain when walking (p = 0.005), pain in rest (p = 0.015) and smell (p = 0.001). The programme received very good ratings by the participants.ConclusionsThe intervention was effective in improving occupational footwear, foot care and preventive behaviour. It resulted in a reduced burden of FD and should be implemented in the general care of patients with WRSD.