Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research

作者：Katy Sivyer, Emma Teasdale, Kate Greenwell, Mary Steele, Daniela Ghio, Matthew J Ridd, Amanda Roberts, Joanne R Chalmers, Sandra Lawton, Sinéad Langan, Fiona Cowdell, Emma Le Roux, Sylvia Wilczynska, Hywel C Williams, Kim S Thomas, Lucy Yardley, Miriam Santer, Ingrid Müller · 发表于：British Journal of General Practice · 年份：2022 · DOI：10.3399/bjgp.2021.0503 · 被引用次数：14 · 研究领域：Dermatology and Skin Diseases、Asthma and respiratory diseases、Dermatological diseases and infestations

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: = 25) were then used to optimise the intervention to increase its acceptability and feasibility. 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 Ecz...