Evidence map›Paper›PMID 27543590›Full record

Trial reportBMJ open2016

Parents' and carers' views about emollients for childhood eczema: qualitative interview study.

M Santer, I Muller, L Yardley, S Lewis-Jones, S Ersser, P Little

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Emollients and moisturisers for eczema.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Trial
  4. Adherence in Atopic Dermatitis.Advances in experimental medicine and biology · 2024
    Article
  5. Article
  6. How parents and children evaluate emollients for childhood eczema: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  7. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

M SanterPrimary Care & Population Sciences, Aldermoor Health Centre, University of Southampton, Southampton, UK.ORCID 0000-0001-7264-5260
I MullerPrimary Care & Population Sciences, Aldermoor Health Centre, University of Southampton, Southampton, UK.
L YardleyPrimary Care & Population Sciences, Aldermoor Health Centre, University of Southampton, Southampton, UK.
S Lewis-JonesNinewells Hospital & University of Dundee, Dundee, UK.
S ErsserUniversity of Leeds, Leeds, UK.
P LittlePrimary Care & Population Sciences, Aldermoor Health Centre, University of Southampton, Southampton, UK.
University of Southampton · GBUniversity of Dundee · GBUniversity of Leeds · GB

Funding

Department of Health PB-PG-0110-20243Department of Health PDF-2009-02-45
6 · The paper itself

Abstract

objectiveLeave-on emollients form the mainstay of eczema treatment, but adherence is poor. We aimed to explore parents'/carers' views on effectiveness and acceptability of leave-on emollients for childhood eczema through secondary analysis of data from 2 qualitative data sets.

settingStudy 1 recruited through mail-out from 6 general practices in southern England. Study 2 recruited from a feasibility trial of an intervention to support eczema self-care in 31 practices in the same area.

participantsStudy 1 included 28 interviews with carers of children aged ≤5 years with eczema. Study 2 included 26 interviews with carers of children aged ≤5 years with eczema.

methodsInterviews followed semistructured guides: study 1 explored carers' understandings around eczema treatments in order to develop a web-based self-care support intervention; study 2 explored carers' understandings of eczema and eczema treatments after using the intervention. Interviews were carried out face to face or by telephone, audio-recorded and transcribed. Secondary analysis of data from both studies focused on views and experiences of emollient use. Data were analysed using an inductive thematic approach facilitated by NVivo V.10 software.

resultsIn study 1, most participants felt emollients improved eczema but held mixed views about long-term use to prevent flare-ups. In study 2, where carers had used the web-based intervention, all participants held positive views about long-term emollient use. In both studies, participants expressed a range of preferences about emollient 'thickness'; some felt that 'thick' emollients (ointments) were most effective, while others found these difficult to use. Carers described a process of 'trial and error', trying emollients suggested by professionals, friends and family, or bought over-the-counter. Carers expressed a need for understanding differences between products and their effective use.

conclusionsProviding a rationale for long-term emollient use and choice of emollients could help improve adherence and help families gain more rapid control of eczema.

Indexed as

AdultAttitude to HealthCaregiversChildChild, PreschoolEczemaEmollientsFemaleHumansInfantInternetMaleMiddle AgedParentsPersonal SatisfactionPilot ProjectsEmollientsPRIMARY CAREQUALITATIVE RESEARCH

Identifiers

PMID27543590
PMCPMC5013451
OpenAlexW2510086887

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.