Skip to main content

Research Repository

Advanced Search

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

Wake, E.V.; Batchelor, Jonathan M.; Lawton, Sandra; Thomas, K.S.; Harrison, Eleanor F.; Cowdell, Fiona

Authors

E.V. Wake

Jonathan M. Batchelor

Sandra Lawton

Fiona Cowdell



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.

Citation

Wake, E., Batchelor, J. M., Lawton, S., Thomas, K., Harrison, E. F., & Cowdell, F. (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), https://doi.org/10.1111/bjd.15909

Journal Article Type Article
Acceptance Date Aug 15, 2017
Online Publication Date Aug 30, 2017
Publication Date Jan 31, 2018
Deposit Date Nov 9, 2017
Publicly Available Date Aug 31, 2018
Journal British Journal of Dermatology
Print ISSN 0007-0963
Electronic ISSN 1365-2133
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 178
Issue 1
DOI https://doi.org/10.1111/bjd.15909
Keywords Eczema; Atopic dermatitis; Silk garments; Children; Qualitative
Public URL http://eprints.nottingham.ac.uk/id/eprint/47964
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/bjd.15909/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf
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.

Files


The experiences of children and young people of using silk garments for the treatment of eczema a nested qualitative study within the CLOTHES randomis.pdf (652 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





You might also like



Downloadable Citations