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Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research.
- Source :
- British Journal of General Practice; Jun2022, Vol. 72 Issue 719, pe378-e389, 12p
- Publication Year :
- 2022
-
Abstract
- <bold>Background: </bold>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.<bold>Aim: </bold>To develop an online behavioural intervention to help parents/carers manage and co-manage their child's eczema.<bold>Design and Setting: </bold>Intervention development using a theory-, evidence-, and person-based approach (PBA) with qualitative research.<bold>Method: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09601643
- Volume :
- 72
- Issue :
- 719
- Database :
- Complementary Index
- Journal :
- British Journal of General Practice
- Publication Type :
- Academic Journal
- Accession number :
- 157297225
- Full Text :
- https://doi.org/10.3399/BJGP.2021.0503