Experiences of carersmanaging childhood eczema and their views on its treatment: A qualitative study
Authors: Santer, M., Burgess, H., Yardley, L., Ersser, S., Lewis-Jones, S., Muller, I., Hugh, C. and Little, P.
Journal: British Journal of General Practice
Volume: 62
Issue: 597
ISSN: 0960-1643
DOI: 10.3399/bjgp12X636083
Abstract:Background: Childhood eczema causes significant impact on quality of life for some families, yet nonconcordance with treatment is common. Aim: To explore parents' and carers' views of childhood eczema and its treatment. Design and setting: Qualitative interview study in primary care in the south of England. Method: Carers of children aged ≤5 years with a recorded diagnosis of eczema, who reported that eczema was still a problem, were invited to participate. Thirty-one parents were interviewed from 28 families. Results: Many parents expressed frustration with both medical care and prescribed treatments. They felt their child's suffering was not 'taken seriously', and experienced messages about a 'trial and error' prescribing approach and assurance that their child would 'grow out of it'as a further 'fobbing off', or dismissal. Many carers were ambivalent about eczema treatments, mainly topical corticosteroids but also emollients. Dietary exclusions as a potential cure were of interest tomost families, although they perceived healthcare professionals as uninterested in this. Families varied in the extent to which they felt able tomanage eczema and the length of time taken to gain control. In some instances, this was linked to not understanding advice or receiving conflicting advice from different healthcare providers. Conclusion: Poor concordance with treatments seems unsurprising in the presence of such dissonance between carers' and healthcare providers'agendas. Acknowledging the impact of the condition, greater attention to how key messages are delivered and addressing carers' treatment beliefs are likely to improve engagement with effective self-care. ©British Journal of General Practice.
Source: Scopus
Experiences of carers managing childhood eczema and their views on its treatment: a qualitative study.
Authors: Santer, M., Burgess, H., Yardley, L., Ersser, S., Lewis-Jones, S., Muller, I., Hugh, C. and Little, P.
Journal: Br J Gen Pract
Volume: 62
Issue: 597
Pages: e261-e267
eISSN: 1478-5242
DOI: 10.3399/bjgp12X636083
Abstract:BACKGROUND: Childhood eczema causes significant impact on quality of life for some families, yet non-concordance with treatment is common. AIM: To explore parents' and carers' views of childhood eczema and its treatment. DESIGN AND SETTING: Qualitative interview study in primary care in the south of England. METHOD: Carers of children aged ≤5 years with a recorded diagnosis of eczema, who reported that eczema was still a problem, were invited to participate. Thirty-one parents were interviewed from 28 families. RESULTS: Many parents expressed frustration with both medical care and prescribed treatments. They felt their child's suffering was not 'taken seriously', and experienced messages about a 'trial and error' prescribing approach and assurance that their child would 'grow out of it' as a further 'fobbing off', or dismissal. Many carers were ambivalent about eczema treatments, mainly topical corticosteroids but also emollients. Dietary exclusions as a potential cure were of interest to most families, although they perceived healthcare professionals as uninterested in this. Families varied in the extent to which they felt able to manage eczema and the length of time taken to gain control. In some instances, this was linked to not understanding advice or receiving conflicting advice from different healthcare providers. CONCLUSION: Poor concordance with treatments seems unsurprising in the presence of such dissonance between carers' and healthcare providers' agendas. Acknowledging the impact of the condition, greater attention to how key messages are delivered and addressing carers' treatment beliefs are likely to improve engagement with effective self-care.
Source: PubMed
Experiences of carers managing childhood eczema and their views on its treatment: a qualitative study
Authors: Santer, M., Burgess, H., Yardley, L., Ersser, S., Lewis-Jones, S., Muller, I., Hugh, C. and Little, P.
Journal: BRITISH JOURNAL OF GENERAL PRACTICE
Volume: 62
Issue: 597
ISSN: 0960-1643
DOI: 10.3399/bjgp12X636083
Source: Web of Science (Lite)
Experiences of carers managing childhood eczema and their views on its treatment: a qualitative study.
Authors: Santer, M., Burgess, H., Yardley, L., Ersser, S., Lewis-Jones, S., Muller, I., Hugh, C. and Little, P.
Journal: The British journal of general practice : the journal of the Royal College of General Practitioners
Volume: 62
Issue: 597
Pages: e261-e267
eISSN: 1478-5242
ISSN: 0960-1643
DOI: 10.3399/bjgp12x636083
Abstract:Background
Childhood eczema causes significant impact on quality of life for some families, yet non-concordance with treatment is common.Aim
To explore parents' and carers' views of childhood eczema and its treatment.Design and setting
Qualitative interview study in primary care in the south of England.Method
Carers of children aged ≤5 years with a recorded diagnosis of eczema, who reported that eczema was still a problem, were invited to participate. Thirty-one parents were interviewed from 28 families.Results
Many parents expressed frustration with both medical care and prescribed treatments. They felt their child's suffering was not 'taken seriously', and experienced messages about a 'trial and error' prescribing approach and assurance that their child would 'grow out of it' as a further 'fobbing off', or dismissal. Many carers were ambivalent about eczema treatments, mainly topical corticosteroids but also emollients. Dietary exclusions as a potential cure were of interest to most families, although they perceived healthcare professionals as uninterested in this. Families varied in the extent to which they felt able to manage eczema and the length of time taken to gain control. In some instances, this was linked to not understanding advice or receiving conflicting advice from different healthcare providers.Conclusion
Poor concordance with treatments seems unsurprising in the presence of such dissonance between carers' and healthcare providers' agendas. Acknowledging the impact of the condition, greater attention to how key messages are delivered and addressing carers' treatment beliefs are likely to improve engagement with effective self-care.Source: Europe PubMed Central