RT Journal Article
SR Electronic
T1 Developing a written action plan for children with eczema: a qualitative study
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP e81
OP e89
DO 10.3399/bjgp17X693617
VO 68
IS 667
A1 Kingsley Powell
A1 Emma Le Roux
A1 Jonathan P Banks
A1 Matthew J Ridd
YR 2018
UL http://bjgp.org/content/68/667/e81.abstract
AB Background Eczema is common in children but adherence to treatments is poor. Written action plans (WAPs) have been shown to help in asthma but the potential value, format, and content of an eczema WAP is unknown.Aim To explore the potential role of an eczema WAP, and to design an eczema-specific WAP.Design and setting A qualitative study of parents of children with eczema, primary and secondary care health professionals, and other stakeholders.Method A total of 41 semi-structured one-to-one interviews and two focus groups were audiorecorded, transcribed, and analysed thematically.Results Reported challenges of managing eczema included: parental confusion about treatment application; lack of verbal and written advice from GPs; differing beliefs about the cause and management of eczema; re-prescribing of failed treatments; and parents feeling unsupported by their GP. An eczema WAP was viewed as an educational tool that could help address these problems. Participants expressed a preference for a WAP that gives clear, individualised guidance on treatment use, presented in a step-up/step-down approach. Participants also wanted more general information about eczema, its potential triggers, and how to manage problem symptoms.Conclusion An eczema WAP may help overcome some of the difficulties of managing eczema, and support families and clinicians in the management of the condition. Further evaluation is needed to determine if the eczema WAP the authors have developed is both acceptable and improves the outcomes for affected children and their families.