Views and experiences of managing eczema: systematic review and thematic synthesis of qualitative studies
Research output: Contribution to journal › Article › peer-review
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.
|Journal||British Journal Of Dermatology|
|Early online date||12 Jun 2020|
|Publication status||Early online - 12 Jun 2020|
- Views and experiences of managing eczema
Rights statement: This is the peer reviewed version of the following article: Teasdale, E., Muller, I., Sivyer, K., Ghio, D., Greenwell, K., Wilczynska, S., Roberts, A., Ridd, M., Francis, N., Yardley, L., Thomas, K. and Santer, M. (2020), Views and experiences of managing eczema: systematic review and thematic synthesis of qualitative studies. Br J Dermatol. Accepted Author Manuscript. doi:10.1111/bjd.19299, which has been published in final form at https://doi.org/10.1111/bjd.19299. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Accepted author manuscript (Post-print), 12.6 MB, PDF document
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