The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the CLOTHES randomised controlled trial

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Wake, E.V. and Batchelor, Jonathan M. and Lawton, Sandra and Thomas, K.S. and Harrison, Eleanor F. and Cowdell, Fiona (2018) The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the CLOTHES randomised controlled trial. British Journal of Dermatology, 178 (1). pp. 183-190. ISSN 1365-2133

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Abstract

Background: Many children suffer with skin diseases, but to date, most dermatological research has been done ‘on’ rather than ‘with’ children; in this study we actively sought the experiences of children and young people. Atopic eczema (AE) is a chronic, itchy, inflammatory skin condition that affects around 20% of children and can impact on health and wellbeing for children and their families. The role of specialist clothing in the management of AE is poorly understood.

Objectives: The aim of this study, which was nested in a randomised controlled trial was to qualitatively examine child participants’ experiences of using silk garments for the treatment of AE.

Methods: Eighteen children aged 5-15, who took part in the CLOTHES trial, participated in age-appropriate individual interviews or focus groups.

Results: Thematic analysis generated 4 themes directly related to the garments: i) expectations of the garments; ii) wearing the silk garments; iii) did they help? and iv) thoughts about the garments. The conclusions from this nested qualitative study are that: there was some limited improvement in eczema for some children but that the hoped for ‘miracle cure’ did not transpire. A mixed picture of knowledge, beliefs and experiences of using the silk garments emerged.

Conclusion: Engaging children in the evaluation of the garments provided first hand nuanced insights that enhanced understanding of the CLOTHES study as a whole. This nested study demonstrates that children can and indeed want to be engaged in dermatological research in meaningful ways that add to our understanding of treatment options.

Item Type: Article
RIS ID: https://nottingham-repository.worktribe.com/output/908045
Additional Information: This is the peer reviewed version of the following article: Wake, E.V., Batchelor, J., Lawton, S., Thomas, K.S., Harrison, E.F., Cowdell, F.C., the U.K. Dermatology Clinical Trials Network's CLOTHES Trial Team (2018), The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the CLOTHing for the relief of Eczema Symptoms (CLOTHES) randomized controlled trial. British Journal of Dermatology. doi: 10.1111/bjd.15909, which has been published in final form at http://dx.doi.org/10.1111/bjd.15909. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: Eczema; Atopic dermatitis; Silk garments; Children; Qualitative
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Units > Clinical Trials Unit
Identification Number: https://doi.org/10.1111/bjd.15909
Depositing User: Eprints, Support
Date Deposited: 09 Nov 2017 12:15
Last Modified: 04 May 2020 19:29
URI: https://eprints.nottingham.ac.uk/id/eprint/47964

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