Development of eczema care online, a digital intervention to support eczema self-management in young people

Greenwell, K; Santer, M; Ghio, D; Sivyer, K; Teasdale, EJ; Wilcynska, S; Roberts, A; Yardley, L; Muller, I

Abstract

Background: This research aimed to develop Eczema Care Online (ECO), a digital
intervention to support eczema self-management in young people (13-25 years).
Methods: Theory-, evidence- and person-based approaches to intervention development
were used. In Phase 1, interviews (primary research and secondary analysis) with young
people (n=28), and a systematic review of qualitative studies developed an in-depth
understanding of this target group’s psychosocial context. In Phase 2, guiding principles
were created to address key behavioural issues, needs, and challenges identified in Phase
1. Behavioural analysis and logic modelling described the intervention and its hypothesised
mechanisms, and mapped intervention content onto behaviour change theory (COM-B,
Theoretical Domains Framework). Finally, think-aloud interviews explored young people’s
(n=25) reactions to an intervention prototype. Optimisation was iterative, moving between
data collection, analysis, and modifying the intervention.
Findings: Think-aloud interview findings provided support for the importance and
acceptability of the intervention features highlighted in the guiding principles. ECO
addressed young people’s information gaps, treatment concerns, and unhelpful beliefs, thus
providing them with a more complete understanding of managing their eczema in the
context of their everyday lives. Young people valued the design features intended to engage
this group, mainly the interactive quiz, quotes from peers, and videos delivering key
behaviour-focused messages. Behaviour change content that was confusing or
misinterpreted was identified and re-written.
Discussion: Findings demonstrated that ECO was acceptable and engaging to young people
with eczema. The person-based approach allowed us to understand and accommodate the
perspectives of young people with eczema to maximise intervention acceptability.

Citation

Greenwell, K., Santer, M., Ghio, D., Sivyer, K., Teasdale, E., Wilcynska, S., …Muller, I. Development of eczema care online, a digital intervention to support eczema self-management in young people. Presented at 33rd Annual Conference of the European Health Psychology Society, Dubronvnik, Croatia

• Presentation Conference Type: Other
• Conference Name: 33rd Annual Conference of the European Health Psychology Society
• Conference Location: Dubronvnik, Croatia
• End Date: Sep 7, 2019
• Publication Date: Sep 5, 2019
• Deposit Date: Jul 27, 2020
• Publisher URL: https://2019.ehps.net/wp-content/uploads/2019/08/EHPS2019_Abstracts_booklet_08082019.pdf
• Related Public URLs: https://2019.ehps.net/
• Additional Information: Event Type : Conference; Projects : Eczema Care Online