Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research.
atopic eczema
caregivers
family practice
internet-based intervention
paediatric dermatology
qualitative research
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
received:
20
08
2021
accepted:
01
02
2022
pubmed:
17
5
2022
medline:
31
5
2022
entrez:
16
5
2022
Statut:
epublish
Résumé
Childhood eczema is often poorly controlled owing to underuse of emollients and topical corticosteroids (TCS). Parents/carers report practical and psychosocial barriers to managing their child's eczema, including child resistance. Online interventions could potentially support parents/carers; however, rigorous research developing such interventions has been limited. To develop an online behavioural intervention to help parents/carers manage and co-manage their child's eczema. Intervention development using a theory-, evidence-, and person-based approach (PBA) with qualitative research. A systematic review and qualitative synthesis of studies ( Qualitative research identified that parents/carers had concerns about using emollients and TCS, incomplete knowledge and skills around managing eczema, and reluctance to transitioning to co-managing eczema with their child. Think-aloud interviews highlighted that, while experienced parents/carers felt they knew how to manage eczema, some information about how to use treatments was still new. Techniques for addressing barriers included providing a rationale explaining how emollients and TCS work, demonstrating how to use treatments, and highlighting that the intervention provided new, up-to-date information. Parents/carers need support in effectively managing and co-managing their child's eczema. The key output of this research is Eczema Care Online for Families, an online intervention for parents/carers of children with eczema, which is being evaluated in a randomised trial.
Sections du résumé
BACKGROUND
Childhood eczema is often poorly controlled owing to underuse of emollients and topical corticosteroids (TCS). Parents/carers report practical and psychosocial barriers to managing their child's eczema, including child resistance. Online interventions could potentially support parents/carers; however, rigorous research developing such interventions has been limited.
AIM
To develop an online behavioural intervention to help parents/carers manage and co-manage their child's eczema.
DESIGN AND SETTING
Intervention development using a theory-, evidence-, and person-based approach (PBA) with qualitative research.
METHOD
A systematic review and qualitative synthesis of studies (
RESULTS
Qualitative research identified that parents/carers had concerns about using emollients and TCS, incomplete knowledge and skills around managing eczema, and reluctance to transitioning to co-managing eczema with their child. Think-aloud interviews highlighted that, while experienced parents/carers felt they knew how to manage eczema, some information about how to use treatments was still new. Techniques for addressing barriers included providing a rationale explaining how emollients and TCS work, demonstrating how to use treatments, and highlighting that the intervention provided new, up-to-date information.
CONCLUSION
Parents/carers need support in effectively managing and co-managing their child's eczema. The key output of this research is Eczema Care Online for Families, an online intervention for parents/carers of children with eczema, which is being evaluated in a randomised trial.
Identifiants
pubmed: 35577586
pii: BJGP.2021.0503
doi: 10.3399/BJGP.2021.0503
pmc: PMC9119812
doi:
Substances chimiques
Dermatologic Agents
0
Emollients
0
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e378-e389Subventions
Organisme : Wellcome Trust
ID : 205039/Z/16/Z
Pays : United Kingdom
Commentaires et corrections
Type : CommentIn
Informations de copyright
© The Authors.
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