NDLI: Experiences of carers managing childhood eczema and their views on its treatment: a qualitative study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Santer, Miriam Burgess, Hana Yardley, Lucy Ersser, Steven Lewis-Jones, Sue Muller, Ingrid Hugh, Catherine Little, Paul
Spatial Coverage	England
Description	Author Affiliation: Santer M ( Primary Medical Care, Aldermoor Health Centre, University of Southampton, Southampton. m.santer@soton.ac.uk)
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.
File Format	HTM / HTML
ISSN	09601643
e-ISSN	14785242
DOI	10.3399/bjgp12X636083
Journal	British Journal of General Practice
Issue Number	597
Volume Number	62
Language	English
Publisher	Royal College of General Practitioners
Publisher Date	2012-04-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Caregivers Therapy Research Support, Non-u.s. Gov't Psychology Adrenal Cortex Hormones Discipline Family Medicine Child, Preschool Infant Attitude To Health Attitude Of Health Personnel Physician-patient Relations Eczema Therapeutic Use Medication Adherence Diet Emollients
Content Type	Text
Resource Type	Article
Subject	Family Practice

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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