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المؤلفون: Simon Tso
المصدر: The British Journal of General Practice
مصطلحات موضوعية: Parents, self-management, General Practice, MEDLINE, Eczema, Primary care, Secondary Care, written action plans, Dermatitis, Atopic, Medication Adherence, Secondary care, Interviews as Topic, primary care, 03 medical and health sciences, 0302 clinical medicine, Nursing, Patient Education as Topic, immune system diseases, Stakeholder Participation, otorhinolaryngologic diseases, Medicine, Humans, 030212 general & internal medicine, Letters, Program Development, skin and connective tissue diseases, Child, Daily routine, Qualitative Research, atopic eczema/dermatitis, business.industry, Professional judgement, Research, 030503 health policy & services, Child Health, Infant, Focus Groups, Patient Satisfaction, Child, Preschool, Patient Participation, 0305 other medical science, Family Practice, business, Needs Assessment, Qualitative research
الوصف: 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.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::584ecd5cbb5bef1a33ef27cc9d699835
https://europepmc.org/articles/PMC6001985/