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Development of a Conceptual Model of Chronic Hand Eczema (CHE) Based on Qualitative Interviews with Patients and Expert Dermatologists
- Source :
- Advances in Therapy
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Introduction Chronic hand eczema (CHE) is a relapsing inflammatory dermatologic disease. Signs and symptoms can have a significant impact on patients’ health-related quality of life (HRQoL). The aim of this study is to characterize the core signs, symptoms and impacts of CHE to develop a conceptual model. Methods A structured literature search and qualitative interviews with 20 adult CHE patients in the US and 5 expert dermatologists were conducted to explore the patient experience of CHE signs, symptoms and impacts. Findings were used to support the development of a conceptual model. Results There was a paucity of CHE qualitative research in the literature, supporting the need for the prospective qualitative research. The primary signs and symptoms identified from the literature review and interviews included itch, dryness, cracking, pain, thickened skin and bleeding. The most salient impacts included embarrassment and appearance concerns, frustration, impacts on work and sleep disturbance. Saturation was achieved for all signs, symptoms and impact concepts. Conclusions Findings from this literature review and in-depth qualitative interviews supported the development of a comprehensive conceptual model documenting the signs, symptoms and impacts relevant to CHE patients. Such a model is of considerable value given the lack of existing studies in the literature focused on the qualitative exploration of the CHE patient experience. Limitations included the patient sample being only from the US and not including some CHE subtypes.
- Subjects :
- Adult
Male
030213 general clinical medicine
Health-related quality of life
media_common.quotation_subject
Symptom
Eczema
Embarrassment
Review
Disease
Chronic hand eczema
Young Adult
03 medical and health sciences
0302 clinical medicine
Quality of life
Qualitative research
Patient experience
Humans
Medicine
Pharmacology (medical)
Prospective Studies
Interview
Aged
media_common
Literature review
Sleep disorder
Hand eczema
integumentary system
business.industry
General Medicine
Middle Aged
Models, Theoretical
Hand
medicine.disease
United States
Impact
030220 oncology & carcinogenesis
Chronic Disease
Conceptual model
Female
Symptom Assessment
business
Clinical psychology
Subjects
Details
- ISSN :
- 18658652 and 0741238X
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Advances in Therapy
- Accession number :
- edsair.doi.dedup.....06df918085b978a3926505f11757544c