Evidence map›Paper›PMID 35443955›Full record

ArticleBMJ open2022

Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema.

Kate Greenwell, Daniela Ghio, Katy Sivyer, Mary Steele, Emma Teasdale, Matthew J Ridd, Amanda Roberts, Joanne R Chalmers, Sandra Lawton, Sinead Langan and 10 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  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. Cost-effectiveness of two online interventions supporting self-care for eczema for parents/carers and young people.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Online behavioural interventions for children and young people with eczema: a quantitative evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
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

20 authors at 8 institutions in 1 country.

Kate GreenwellCentre for Clinical and Community Applications of Health Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK K.Greenwell@soton.ac.uk.ORCID 0000-0002-3662-1488
Daniela GhioDivision of Psychology & Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0002-0580-0205
Katy SivyerCentre for Clinical and Community Applications of Health Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID 0000-0003-4349-0102
Mary SteeleCentre for Clinical and Community Applications of Health Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Emma TeasdaleSchool of Primary Care, Population Health and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0001-9147-193X
Matthew J RiddPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID 0000-0002-7954-8823
Amanda RobertsCentre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.
Joanne R ChalmersCentre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0002-2281-7367
Sandra LawtonDepartment of Dermatology, Rotherham NHS Foundation Trust, Rotherham, UK.
Sinead LanganFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-7022-7441
Fiona CowdellFaculty of Health Education and Life Sciences, Birmingham City University, Birmingham, UK.ORCID 0000-0002-9355-8059
Emma Le RouxSchool of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK.
Sylvia WilczynskaSchool of Primary Care, Population Health and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
Hannah JonesFaculty of Medicine, University of Southampton, Southampton, UK.
Emilia WhittakerFaculty of Medicine, University of Southampton, Southampton, UK.
H C WilliamsCentre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.
Kim Suzanne ThomasCentre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0001-7785-7465
Lucy YardleyCentre for Clinical and Community Applications of Health Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Miriam SanterSchool of Primary Care, Population Health and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
Ingrid MullerSchool of Primary Care, Population Health and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0001-9341-6133
University of Southampton · GBUniversity of Nottingham · GBUniversity of Bristol · GBBirmingham City University · GBLondon School of Hygiene & Tropical Medicine · GBManchester Academic Health Science Centre · GBThe Rotherham NHS Foundation Trust · GBUniversity of Hertfordshire · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivesTo describe the development of Eczema Care Online (ECO), an online behaviour change intervention for young people with eczema (phase I); and explore and optimise the acceptability of ECO among this target group using think-aloud interviews (phase II).

methodsTheory-based, evidence-based and person-based approaches to intervention development were used. In phase I, a qualitative systematic review and qualitative interviews developed an in-depth understanding of the needs and challenges of young people with eczema. Guiding principles highlighted key intervention design objectives and features to address the needs of this target group to maximise user engagement. Behavioural analysis and logic modelling developed ECO's hypothesised programme theory. In phase II, qualitative think-aloud interviews were carried out with 28 young people with eczema and the intervention was optimised based on their feedback.

resultsThe final intervention aimed to reduce eczema severity by supporting treatment use (emollients, topical corticosteroids/topical calcineurin inhibitors), management of irritants/triggers, emotional management and reducing scratching. Generally, young people expressed positive views of intervention content and design in think-aloud interviews. Quotes and stories from other young people with eczema and ECO's focus on living with eczema (not just topical treatments) were valuable for normalising eczema. Young people believed ECO addressed knowledge gaps they had from childhood and the safety information about topical corticosteroids was reassuring. Negative feedback was used to modify ECO.

conclusionsA prototype of the ECO intervention was developed using rigorous and complementary intervention development approaches. Subsequent think-aloud interviews helped optimise the intervention, demonstrated ECO is likely to be acceptable to this target group, and provided support for our guiding principles including key design objectives and features to consider when developing interventions for this population. A randomised controlled trial and process evaluation of the intervention is underway to assess effectiveness and explore user engagement with the intervention's behavioural goals.

Indexed as

EczemaSelf-ManagementAdolescentAdrenal Cortex HormonesBehavior TherapyChildHumansAdrenal Cortex Hormoneseczemapaediatric dermatologyprimary carequalitative research

Identifiers

PMID35443955
PMCPMC9021764
OpenAlexW4224241982

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.