Evidence map›Paper›PMID 33514575›Full record

ArticleBMJ open2021

'Not just a piece of skin in front of you'-a qualitative exploration of the experiences of adolescents with eczema and psoriasis with healthcare professionals.

Isabella Joy de Vere Hunt, Abigail McNiven, Amanda Roberts, Himesh Parmar, Tess McPherson

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Isabella Joy de Vere HuntMedical Sciences Division, University of Oxford, Oxford, UK.ORCID 0000-0002-4238-0924
Abigail McNivenNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Amanda RobertsCentre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.
Himesh ParmarAston Business School, Birmingham, UK.
Tess McPhersonDepartment of Dermatology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK Tess.McPherson@ouh.nhs.uk.
University of Oxford · GBAston University · GBOxford University Hospitals NHS Trust · GBUniversity of Nottingham · GB

Funding

Department of Health PB-PG-0213-30006
6 · The paper itself

Abstract

backgroundThere is little qualitative research in the UK focussing on adolescents' experience of their healthcare providers, and inflammatory skin conditions are a common heath problem in adolescence.

aimTo explore the experiences of adolescents with eczema and psoriasis with healthcare professionals, and to distil the participants' key messages for their healthcare providers.

designThis is a secondary thematic analysis of interviews with adolescents with eczema or psoriasis.

participantsThere were a total of 41 text transcripts of interviews with young people with eczema or psoriasis who had given permission for secondary analysis; 23 of the participants had eczema, and 18 psoriasis. Participants were living in the UK at time of interview, and aged 15-24 years old.

resultsWe have distilled the following key messages from young people with eczema and psoriasis for healthcare providers: (1) address the emotional impact; (2) give more information, with the subtheme and (3) appreciate patient research. We identified the following eczema-specific themes: (ECZ-4) 'It's not taken seriously'; (ECZ-5) offer choice in treatment and (ECZ-6) lack of structure/conflicting advice. Two psoriasis-specific themes were identified: (PSO-4) feeling dehumanised/treat me as a person; and (PSO-5) think about how treatments will affect daily life.

conclusionThis qualitative data analysis highlights the need for greater recognition of the emotional impact of skin disease in adolescence, and for more comprehensive provision of information about the conditions. We call for greater sensitivity and flexibility in our approach to adolescents with skin disease, with important implications for healthcare delivery to this group.

Indexed as

EczemaPsoriasisSkin DiseasesAdolescentAdultDelivery of Health CareHealth PersonnelHumansQualitative ResearchYoung Adultdermatologyprimary carequalitative research

Identifiers

PMID33514575
PMCPMC7849900
OpenAlexW3124526033

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.