{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T04:01:44Z","timestamp":1792814504484,"version":"4.5.0"},"reference-count":24,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T00:00:00Z","timestamp":1609804800000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,12,9]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore young people\u2019s experiences of eczema self-management and interacting with health professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Secondary qualitative data analysis of data sets from two semistructured interview studies. Data were analysed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Participants were recruited from the UK primary care, dermatology departments and a community-based sample (eg, patient representative groups, social media).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Data included 28 interviews with young people with eczema aged 13\u201325 years (mean age=19.5 years; 20 female).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although topical treatments were generally perceived as effective, young people expressed doubts about their long-term effectiveness, and concerns around the safety and an over-reliance on topical corticosteroids. Participants welcomed the opportunity to take an active role in their eczema management, but new roles and responsibilities also came with initial apprehension and challenges, including communicating their treatment concerns and preferences with health professionals, feeling unprepared for transition to an adult clinic and obtaining treatments. Decisions regarding whether to engage in behaviours that would exacerbate their eczema (eg, irritants\/triggers, scratching) were influenced by young people\u2019s beliefs regarding negative consequences of these behaviours, and perceived control over the behaviour and its negative consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Behavioural change interventions must address the treatment concerns of young people and equip them with the knowledge, skills and confidence to take an active role in their own eczema management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-044005","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T14:15:39Z","timestamp":1609942539000},"page":"e044005","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Taking charge of eczema self-management: a qualitative interview study with young people with eczema"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3662-1488","authenticated-orcid":false,"given":"Kate","family":"Greenwell","sequence":"first","affiliation":[{"name":"Centre for Clinical and Community Applications of Health Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Ghio","sequence":"additional","affiliation":[{"name":"Primary Care, Population Science and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK"},{"name":"Psychology, School of Health and Society, University of Salford, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9341-6133","authenticated-orcid":false,"given":"Ingrid","family":"Muller","sequence":"additional","affiliation":[{"name":"Primary Care, Population Science and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Roberts","sequence":"additional","affiliation":[{"name":"Centre of Evidence-Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"McNiven","sequence":"additional","affiliation":[{"name":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Lawton","sequence":"additional","affiliation":[{"name":"Dermatology Department, The Rotherham NHS Foundation Trust, Rotherham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Santer","sequence":"additional","affiliation":[{"name":"Primary Care, Population Science and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"2025121512041577000_11.1.e044005.1","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1111\/jdv.15634","article-title":"Atopic eczema: burden of disease and individual suffering - results from a large EU study in adults","volume":"33","author":"Ring","year":"2019","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025121512041577000_11.1.e044005.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2011.01295.x"},{"key":"2025121512041577000_11.1.e044005.3","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1016\/j.jaci.2010.06.020","article-title":"Prediction of the incidence, recurrence, and persistence of atopic dermatitis in adolescence: a prospective cohort study","volume":"126","author":"Peters","year":"2010","journal-title":"J Allergy Clin Immunol"},{"key":"2025121512041577000_11.1.e044005.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2004.01.778"},{"key":"2025121512041577000_11.1.e044005.5","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1001\/jamadermatol.2013.10271","article-title":"Persistence of mild to moderate atopic dermatitis","volume":"150","author":"Margolis","year":"2014","journal-title":"JAMA Dermatol"},{"key":"2025121512041577000_11.1.e044005.6","unstructured":"National Institute for Health and Care Excellence (NICE) . 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