Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study
Eczema affects one in five children and can have a substantial impact on quality of life. This qualitative study aimed to explore children’s views and experiences of eczema and what may affect treatment adherence from their perspective. We conducted semi-structured, face-to-face interviews with chil...
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doaj-fdecd4aa8d0a4366bcb0fc5cd0efd0212021-04-02T19:35:49ZengMDPI AGChildren2227-90672021-02-01815815810.3390/children8020158Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative StudyEmma Teasdale0Katy Sivyer1Ingrid Muller2Daniela Ghio3Amanda Roberts4Sandra Lawton5Miriam Santer6Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCentre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton SO17 1BJ, UKPrimary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKPrimary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCentre of Evidence Based Dermatology, University of Nottingham, Nottingham NG7 2RD, UKDepartment of Dermatology, Rotherham NHS Foundation Trust, Rotherham, S60 2UD, UKPrimary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKEczema affects one in five children and can have a substantial impact on quality of life. This qualitative study aimed to explore children’s views and experiences of eczema and what may affect treatment adherence from their perspective. We conducted semi-structured, face-to-face interviews with children with eczema aged 6–12 years from March to July 2018. Interviews were transcribed verbatim and analysed using inductive thematic analysis. We found that children do not typically view eczema as a long-term condition, and topical treatments (predominately emollients) were seen to provide effective symptom relief. Uncertainty around co-managing at home was expressed as children typically felt that parental reminders and assistance with applying different types of topical treatments were still needed. For some children, eczema can be difficult to manage at school due to a lack of convenient access and appropriate spaces to apply creams and psychosocial consequences such as attracting unwanted attention from peers and feeling self-conscious. Treatment adherence could be supported by reinforcing that eczema is a long-term episodic condition, providing clear information about regular emollient use, practical advice such as setting reminders to support co-management at home, and working with schools to facilitate topical treatment use when necessary.https://www.mdpi.com/2227-9067/8/2/158childrenco-managementeczemaqualitativetreatment adherence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Emma Teasdale Katy Sivyer Ingrid Muller Daniela Ghio Amanda Roberts Sandra Lawton Miriam Santer |
spellingShingle |
Emma Teasdale Katy Sivyer Ingrid Muller Daniela Ghio Amanda Roberts Sandra Lawton Miriam Santer Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study Children children co-management eczema qualitative treatment adherence |
author_facet |
Emma Teasdale Katy Sivyer Ingrid Muller Daniela Ghio Amanda Roberts Sandra Lawton Miriam Santer |
author_sort |
Emma Teasdale |
title |
Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study |
title_short |
Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study |
title_full |
Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study |
title_fullStr |
Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study |
title_full_unstemmed |
Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study |
title_sort |
children’s views and experiences of treatment adherence and parent/child co-management in eczema: a qualitative study |
publisher |
MDPI AG |
series |
Children |
issn |
2227-9067 |
publishDate |
2021-02-01 |
description |
Eczema affects one in five children and can have a substantial impact on quality of life. This qualitative study aimed to explore children’s views and experiences of eczema and what may affect treatment adherence from their perspective. We conducted semi-structured, face-to-face interviews with children with eczema aged 6–12 years from March to July 2018. Interviews were transcribed verbatim and analysed using inductive thematic analysis. We found that children do not typically view eczema as a long-term condition, and topical treatments (predominately emollients) were seen to provide effective symptom relief. Uncertainty around co-managing at home was expressed as children typically felt that parental reminders and assistance with applying different types of topical treatments were still needed. For some children, eczema can be difficult to manage at school due to a lack of convenient access and appropriate spaces to apply creams and psychosocial consequences such as attracting unwanted attention from peers and feeling self-conscious. Treatment adherence could be supported by reinforcing that eczema is a long-term episodic condition, providing clear information about regular emollient use, practical advice such as setting reminders to support co-management at home, and working with schools to facilitate topical treatment use when necessary. |
topic |
children co-management eczema qualitative treatment adherence |
url |
https://www.mdpi.com/2227-9067/8/2/158 |
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