Views and experiences of managing eczema : systematic review and thematic synthesis of qualitative studies

Teasdale, E, Ghio, D ORCID: https://orcid.org/0000-0002-0580-0205, Muller, I, Sivyer, K, Greenwell, K, Wilczynska, S, Roberts, A, Ridd, MJ, Francis, N, Yardley, L, Thomas, KS and Santer, M 2020, 'Views and experiences of managing eczema : systematic review and thematic synthesis of qualitative studies' , British Journal Of Dermatology .

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Abstract

Background The number of qualitative studies on eczema has increased rapidly in recent years. Systematically reviewing these can provide greater understandings of people’s perceptions of eczema and eczema treatments.
Objectives We sought to systematically review and thematically synthesise qualitative studies exploring views and experiences of people with eczema and parents/carers of children with eczema.
Methods We searched MEDLINE, PsycINFO, CINAHL and EMBASE from the earliest date available to February 2019. We selected papers focusing on views and experiences of eczema, eczema treatments, and barriers/facilitators to eczema self‐management. We excluded papers focusing on health service provision models or health professionals’ views.
Results We synthesised 39 papers (reporting 32 studies) from 13 countries. We developed four analytical themes: 1) Eczema not viewed as long‐term condition, 2) Significant psychosocial impact not acknowledged by others, 3) Hesitancy (patient/carer uncertainty) about eczema treatments and 4) Insufficient information and advice. Our findings suggest people with eczema and their carers experience frustration at having to manage a condition that is often seen by others as mundane but has significant psychosocial impact and is difficult to manage due to concerns about, and burden of, treatment. This frustration can be exacerbated by experiences of conflicting and/or insufficient information and advice from health professionals, family and others.
Conclusions Effective self‐management of eczema could be supported by addressing beliefs and concerns about treatments; seeking positive ways to promote a ‘control not cure’ message; acknowledging psychosocial impacts of eczema and treatment burden; and providing clear consistent advice or signposting towards reliable information.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title: British Journal Of Dermatology
Publisher: Wiley
ISSN: 0007-0963
Related URLs:
Funders: National Institute for Health Research (NIHR) Programme Grants for Applied Research programme, National Institute for Health Research (NIHR) Post-Doctoral Research Fellowship
Depositing User: Dr Daniela Ghio
Date Deposited: 10 Jul 2020 07:55
Last Modified: 18 Aug 2020 14:01
URI: http://usir.salford.ac.uk/id/eprint/57323

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