Diaper Rash Clinical Trial
Official title:
Effects of Argan Spinosa Oil in the Treatment of Diaper Dermatitis in Infants and Toddlers: A Quasi-Experimental Trial
The study hypothesized that using the traditional medicinal product of Argan spinosa oil is more effective than conventional topical steroid ointment on the speed up of the healing process and alleviation the symptoms in children with diaper dermatitis after seven consecutive days of the treatment
Non-probability convenience sampling technique was used. Before the sampling started, a
randomization plan was developed using the Statistical Package for the Social Sciences
(SPSS).
Treatment Approach Initial and Follow up Visits The pediatrician did the initial consultation
and evaluation in a private room that assured child information privacy at the baseline day
in order to determine the DD severity level using the 5-point grading scale, after that
he/she prescribed the treatment with sequentially numbered, sealed, and randomized envelope.
The pediatrician was not informed about the bottles code, and then the researcher conducted a
face-to-face interview in a private room with parents of children who were included in the
study. The interviews were guided by a structured checklist were developed based on
literature by the researcher. The checklist collected information regarding 27 variables that
are potential, or suspected, to be associated with risk factors with DD.
The researcher talked to children's caregivers, explained the study process and provided
general consistent tips to the all of them, including firstly washing the affected area only
with warm water, disposing the area to the fresh air and keep the area dry; secondly
spreading the prescribed trial medications on the affected area sparingly over the lesions
borders forth times per day, then diaper the baby; finally not to apply any on the affected
area such as wet wipes, essence contained soaps, barrier cream or other medications during
the seventh day of the trial. The home follow-up visits took place and the researcher
re-evaluated diaper area using the 5-point grading scale in the first, third and seventh day
of trial.
Treatment Intervention Organic Argan Spinosa Oil was available in different specialist stores
in Northern Jordan, the samples were produced in Pakistan, according to the certificate
information of the product, the content is organic Argan Spinosa Oil and it was extracted in
August 2017 from the hardcore of the fruit by a traditional hand cold-press method. The
composition of the oil as shown on the bottle label was: Campesterol (0.2%), Avenasterol
(4.1%), Beta-tocopherol (.1%), Gama tocopherol (86.5%), Delta tocopherol (7.0%),
Alpha-tocopherol (5.5%), Spinasterol (44.4%) and Tocopherol Totaux (738 mg/kg). The oil
samples were carefully handled to avoid contamination and correctly stored and maintained in
brown glass sealed bottles.
Topical hydrocortisone 1% ointment was purchased from different pharmacies in Northern
Jordan, the samples were produced in Jordan by Hayat Pharmaceutical Industries, according to
the certificate information of the product, the content is Econazole Nitrate 1% and
Triamcinolone Acetonide 0.1% and it was produced in March 2017.
All medications were randomly coded by the researcher as "A" for Argan Spinosa Oil and "B"
for topical hydrocortisone 1% ointment, then provided to the assessed Pediatrician (who was
not aware of the bottles cod) with sequentially numbered, sealed, and randomized. Children's
Caregivers were instructed to apply sparingly to the affected areas forth times per day for
both groups for planed seven consecutive days. The volume of medications was varied depending
on child weight and age.
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