University of Southampton.
Br J Gen Pract. 2024 Jun 20;74(suppl 1):bjgp24X737805. doi: 10.3399/bjgp24X737805.
Acne is common and has a significant impact on quality of life. Topical treatments are first-line and effective, but non-adherence is common due to slow onset of action, or lack of advice on how to manage side effects.
The Acne Care Online programme is developing an online intervention to support acne self-management and help-seeking. This project aims to explore experiences and views of healthcare professionals (HCPs) treating acne to assess the acceptability and feasibility of implementing this intervention and embedded decision aid in practice.
This qualitative study recruited HCPs working in general practice. Email invitations were sent to eight research-active practices in Southwest England, and snowball sampling was used. Purposive sampling was used to seek diverse participants. Semi-structured virtual interviews were conducted, audio-recorded, and transcribed. Data were explored using thematic analysis.
Nine interviews were conducted, including seven GPs, one nurse, and one pharmacist. Findings highlighted challenges faced by HCPs managing acne in time-limited consultations, particularly around patients' limited understanding of effective treatments, frequent requests from patients for non-first-line treatments, treatment non-adherence, and addressing psychosocial impact. The intervention and embedded decision aid were perceived as beneficial in addressing these challenges, improving shared decision making, and providing a reliable resource for patients. Interviewees suggested integrating the intervention into electronic practice templates for effective implementation.
HCPs were positive about the potential for the intervention to be implemented as a useful tool in practice. Potential implementation barriers need to be considered, such as making the intervention quick to access in time-limited consultations.
痤疮很常见，对生活质量有重大影响。局部治疗是一线且有效的，但由于起效缓慢或缺乏如何管理副作用的建议，常出现不遵医嘱的情况。
痤疮在线护理项目正在开发一种在线干预措施，以支持痤疮的自我管理和寻求帮助。本项目旨在探讨治疗痤疮的医疗保健专业人员（HCPs）的经验和观点，以评估实施该干预措施和嵌入式决策辅助在实践中的可接受性和可行性。
这项定性研究招募了在普通诊所工作的 HCPs。向英格兰西南部的八家研究活跃的诊所发送了电子邮件邀请，并采用了雪球抽样法。采用目的性抽样来寻求多样化的参与者。进行了半结构化的虚拟访谈，录音并转录。使用主题分析来探索数据。
共进行了 9 次访谈，包括 7 名全科医生、1 名护士和 1 名药剂师。研究结果突出了 HCPs 在限时咨询中管理痤疮所面临的挑战，特别是患者对有效治疗方法的理解有限、患者频繁要求使用非一线治疗方法、治疗不依从以及解决心理社会影响等方面的挑战。该干预措施和嵌入式决策辅助被认为在解决这些挑战、改善共同决策和为患者提供可靠资源方面具有益处。访谈对象建议将干预措施整合到电子实践模板中，以实现有效的实施。
HCPs 对该干预措施作为实践中有用工具的潜力持积极态度。需要考虑潜在的实施障碍，例如使干预措施在限时咨询中能够快速访问。
