Evidence map›Paper›PMID 29203680›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Developing a written action plan for children with eczema: a qualitative study.

Kingsley Powell, Emma Le Roux, Jonathan P Banks, Matthew J Ridd

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Pooled it
  2. Trial
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  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
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  11. The content and conduct of GP consultations for dermatology problems: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
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  12. Article
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  15. Management of childhood eczema: reflections from secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  16. WAP plan.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  17. Article
  18. GPs' experiences of diagnosing and managing childhood eczema: a qualitative study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Kingsley PowellCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol.
Emma Le RouxCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol.
Jonathan P BanksNational Institute for Health Research Collaborations for Leadership in Applied Health Research and Care West (NIHR CLAHRC West), University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Matthew J RiddCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol.

Funding

Department of Health PDF-2014-07-013
6 · The paper itself

Abstract

backgroundEczema is common in children but adherence to treatments is poor. Written action plans (WAPs) have been shown to help in asthma but the potential value, format, and content of an eczema WAP is unknown.

aimTo explore the potential role of an eczema WAP, and to design an eczema-specific WAP. DESIGN AND

settingA qualitative study of parents of children with eczema, primary and secondary care health professionals, and other stakeholders.

methodA total of 41 semi-structured one-to-one interviews and two focus groups were audiorecorded, transcribed, and analysed thematically.

resultsReported challenges of managing eczema included: parental confusion about treatment application; lack of verbal and written advice from GPs; differing beliefs about the cause and management of eczema; re-prescribing of failed treatments; and parents feeling unsupported by their GP. An eczema WAP was viewed as an educational tool that could help address these problems. Participants expressed a preference for a WAP that gives clear, individualised guidance on treatment use, presented in a step-up/step-down approach. Participants also wanted more general information about eczema, its potential triggers, and how to manage problem symptoms.

conclusionAn eczema WAP may help overcome some of the difficulties of managing eczema, and support families and clinicians in the management of the condition. Further evaluation is needed to determine if the eczema WAP the authors have developed is both acceptable and improves the outcomes for affected children and their families.

Indexed as

Drug MonitoringGeneral PracticeProgram DevelopmentChildChild HealthChild, PreschoolEczemaFocus GroupsHumansInfantInterviews as TopicNeeds AssessmentParentsPatient Education as TopicPatient ParticipationPatient Satisfactionatopic eczema/dermatitischildeczemaprimary carequalitative researchself-managementwritten action plans

Identifiers

PMID29203680
PMCPMC5774967

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.