Treadgold Bethan Mair, Muller Ingrid, Teasdale Emma, Coulson Neil, Roberts Amanda, Santer Miriam
Primary Care Group, College of Medicine and Health, University of Exeter, Exeter, UK
Primary Care Research Centre, University of Southampton, Southampton, UK.
BJGP Open. 2023 Jun 27;7(2). doi: 10.3399/BJGPO.2022.0155. Print 2023 Jun.
Parents of children with eczema are increasingly turning to online parenting forums for advice about how to manage it. Little is known about how parents make sense of advice about eczema treatments in online forums, and how it affects their management of childhood eczema.
To explore how parents of children with eczema make sense of and act on advice about eczema treatments exchanged in online parenting forums.
DESIGN & SETTING: Qualitative interviews with parents of children with eczema from the UK.
Fifteen parents were recruited through online advertisements and snowball sampling. Semi-structured interviews were carried out face to face or by telephone, and analysed inductively using reflexive thematic analysis.
When seeking advice from online parenting forums about eczema treatments, parents described appraising the credibility of advice and considering the potential suitability of treatments that were recommended in the forum. Parents proceeded to make sense of online advice through either reading advice and not engaging in online discussions, or actively engaging in online discussions to direct topics and seek most relevant advice. Parents discussed advice received online in subsequent consultations with their GP and requested prescriptions of recommended treatments. Some parents described trying new treatments without consulting their GP.
Understanding how parents appraise, make sense of, and act on online advice could support healthcare professionals to disseminate advice appropriately, ask additional questions, and signpost parents to reliable online resources.
湿疹患儿的家长越来越多地转向在线育儿论坛,寻求有关如何管理孩子湿疹的建议。对于家长如何理解在线论坛上有关湿疹治疗的建议,以及这些建议如何影响他们对儿童湿疹的管理,我们知之甚少。
探讨湿疹患儿的家长如何理解在线育儿论坛上关于湿疹治疗的建议,并据此采取行动。
对来自英国的湿疹患儿家长进行定性访谈。
通过在线广告和滚雪球抽样招募了15名家长。面对面或通过电话进行半结构化访谈,并采用反思性主题分析法进行归纳分析。
当在在线育儿论坛上寻求关于湿疹治疗的建议时,家长们描述了评估建议的可信度,并考虑论坛上推荐的治疗方法的潜在适用性。家长们通过阅读建议但不参与在线讨论,或者积极参与在线讨论以引导话题并寻求最相关的建议,来理解在线建议。家长们在随后与全科医生的咨询中讨论了在线收到的建议,并要求开具推荐治疗方法的处方。一些家长描述说在没有咨询全科医生的情况下尝试新的治疗方法。
了解家长如何评估、理解和根据在线建议采取行动,有助于医疗保健专业人员适当地传播建议、提出更多问题,并为家长指明可靠的在线资源。