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Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research.
- Source :
-
The British journal of general practice : the journal of the Royal College of General Practitioners [Br J Gen Pract] 2022 May 26; Vol. 72 (719), pp. e378-e389. Date of Electronic Publication: 2022 May 26 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- 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.<br />Aim: To develop an online behavioural intervention to help parents/carers manage and co-manage their child's eczema.<br />Design and Setting: Intervention development using a theory-, evidence-, and person-based approach (PBA) with qualitative research.<br />Method: A systematic review and qualitative synthesis of studies ( n = 32) and interviews with parents/carers ( n = 30) were used to identify barriers and facilitators to effective eczema management, and a prototype intervention was developed. Think-aloud interviews with parents/carers ( n = 25) were then used to optimise the intervention to increase its acceptability and feasibility.<br />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.<br />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.<br /> (© The Authors.)
Details
- Language :
- English
- ISSN :
- 1478-5242
- Volume :
- 72
- Issue :
- 719
- Database :
- MEDLINE
- Journal :
- The British journal of general practice : the journal of the Royal College of General Practitioners
- Publication Type :
- Academic Journal
- Accession number :
- 35577586
- Full Text :
- https://doi.org/10.3399/BJGP.2021.0503