Sandra Lawton
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View article: Training Primary Care Practitioners In Dermoscopy Diagnostic Algorithms Enhances Diagnostic Accuracy and Triage of Suspected Skin Cancer: Scoping Review Evidence
Training Primary Care Practitioners In Dermoscopy Diagnostic Algorithms Enhances Diagnostic Accuracy and Triage of Suspected Skin Cancer: Scoping Review Evidence Open
Introduction: In many Western countries, access to a dermatologist can be difficult, while the incidence of skin cancer has risen steadily over the past 50 years. Objective: We reviewed the published literature to determine whether trainin…
View article: Training Primary Care Practitioners In Dermoscopy Diagnostic Algorithms Enhances Diagnostic Accuracy and Triage of Suspected Skin Cancer: Scoping Review Evidence
Training Primary Care Practitioners In Dermoscopy Diagnostic Algorithms Enhances Diagnostic Accuracy and Triage of Suspected Skin Cancer: Scoping Review Evidence Open
Introduction: In many Western countries, access to a dermatologist can be difficult, while the incidence of skin cancer has risen steadily over the past 50 years. Objective: We reviewed the published literature to determine whether trainin…
View article: Supporting self-care for eczema in the community: the Eczema Care Online research programme including two RCTs
Supporting self-care for eczema in the community: the Eczema Care Online research programme including two RCTs Open
Background Eczema is a common condition with significant impact on quality of life. The main cause of treatment failure is non-use of prescribed treatments because treatments are time-consuming to apply; they may sting when first applied t…
View article: Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online)
Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) Open
Background Eczema Care Online ( www.EczemaCareOnline.org.uk/ ) is an online self-management toolkit which includes tailored content for young people (13–25 years) and for parents of children that have eczema (0–12 years). Testing in two ra…
View article: Practicality, Validity, and Responsiveness of Using the Proxy Version of the Child Health Utility–9 Dimensions With Children Aged 2 to 5 Years
Practicality, Validity, and Responsiveness of Using the Proxy Version of the Child Health Utility–9 Dimensions With Children Aged 2 to 5 Years Open
Proxy CHU9D in 2- to 5-year-old children shows potential but further research is needed.
View article: Emollient application from birth to prevent eczema in high-risk children: the BEEP RCT
Emollient application from birth to prevent eczema in high-risk children: the BEEP RCT Open
Background Atopic eczema is a common childhood skin problem linked with asthma, food allergy and allergic rhinitis that impairs quality of life. Objectives To determine whether advising parents to apply daily emollients in the first year c…
View article: Online behavioural interventions for children and young people with eczema: a quantitative evaluation
Online behavioural interventions for children and young people with eczema: a quantitative evaluation Open
Background Two online behavioural interventions (one website for parents/carers of children with eczema; and one for young people with eczema) have been shown in randomised controlled trials to facilitate a sustained improvement in eczema …
View article: Cost-effectiveness of two online interventions supporting self-care for eczema for parents/carers and young people
Cost-effectiveness of two online interventions supporting self-care for eczema for parents/carers and young people Open
Objective To estimate the cost-effectiveness of online behavioral interventions (EczemaCareOnline.org.uk) designed to support eczema self-care management for parents/carers and young people from an NHS perspective. Methods Two within-trial…
View article: Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online)
Evidence to practice – lessons learnt in developing an implementation strategy for an online digital health intervention (Eczema Care Online) Open
Background – Research is not often readily taken up in healthcare, which results in research waste. Eczema Care Online (www.EczemaCareOnline.org.uk/) has been shown in randomised controlled trials to be an effective online self-management …
View article: The Long-Term Safety of Topical Corticosteroids in Atopic Dermatitis: A Systematic Review
The Long-Term Safety of Topical Corticosteroids in Atopic Dermatitis: A Systematic Review Open
Background Topical corticosteroids (TCS) are a first-line treatment for eczema, but there are concerns about their safety when used long-term. Objectives To systematically review adverse effects associated with longer-term use of TCS for e…
View article: Emollients for preventing atopic eczema: Cost‐effectiveness analysis of the <scp>BEEP</scp> trial
Emollients for preventing atopic eczema: Cost‐effectiveness analysis of the <span>BEEP</span> trial Open
Background Recent discoveries have led to the suggestion that enhancing skin barrier from birth might prevent eczema and food allergy. Objective To determine the cost‐effectiveness of daily all‐over‐body application of emollient during the…
View article: Atopic eczema in under 12s: diagnosis and management—summary of updated NICE guidance
Atopic eczema in under 12s: diagnosis and management—summary of updated NICE guidance Open
What you need to know• Do not offer emollient bath additives to children under 12 years old with atopic eczema
View article: Eczema Care Online behavioural interventions to support self-care for children and young people: two independent, pragmatic, randomised controlled trials
Eczema Care Online behavioural interventions to support self-care for children and young people: two independent, pragmatic, randomised controlled trials Open
Objective To determine the effectiveness of two online behavioural interventions, one for parents and carers and one for young people, to support eczema self-management. Design Two independent, pragmatic, parallel group, unmasked, randomis…
View article: ‘Eczema shouldn’t control you; you should control eczema’: qualitative process evaluation of online behavioural interventions to support young people and parents/carers of children with eczema
‘Eczema shouldn’t control you; you should control eczema’: qualitative process evaluation of online behavioural interventions to support young people and parents/carers of children with eczema Open
Background There is a lack of well-conducted randomized controlled trials evaluating the effectiveness of theory-based online interventions for eczema. To address these deficiencies, we previously developed and demonstrated the effectivene…
View article: Emollients for prevention of atopic dermatitis: 5‐year findings from the <scp>BEEP</scp> randomized trial
Emollients for prevention of atopic dermatitis: 5‐year findings from the <span>BEEP</span> randomized trial Open
Background The effectiveness of emollients for preventing atopic dermatitis/eczema is controversial. The Barrier Enhancement for Eczema Prevention trial evaluated the effects of daily emollients during the first year of life on atopic derm…
View article: Measuring Atopic Eczema Control and Itch Intensity in Clinical Practice
Measuring Atopic Eczema Control and Itch Intensity in Clinical Practice Open
Importance Measuring outcomes in clinical practice can aid patient care, quality improvement, and real-world evidence generation. The Harmonising Outcome Measures for Eczema (HOME) Clinical Practice initiative is developing a list of valid…
View article: Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema
Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema Open
Objectives To describe the development of Eczema Care Online (ECO), an online behaviour change intervention for young people with eczema (phase I); and explore and optimise the acceptability of ECO among this target group using think-aloud…
View article: Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research
Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research Open
Background Childhood eczema is often poorly controlled owing to underuse of emollients and topical corticosteroids (TCS). Parents/carers report practical and psychosocial barriers to managing their child’s eczema, including child resistanc…
View article: How participating in research made me a better pharmacist
How participating in research made me a better pharmacist Open
Background: The mainstay treatment for eczema is leave-on emollients.The aim of this study was to find out more about unwanted effects that have been reported with their use, as little is known due to a lack of formal reporting.Aims: To ga…
View article: Safety of topical corticosteroids in atopic eczema: an umbrella review
Safety of topical corticosteroids in atopic eczema: an umbrella review Open
Objective An umbrella review summarising all safety data from systematic reviews of topical corticosteroids (TCS) in adults and children with atopic eczema. Methods Embase, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and the C…
View article: How has the COVID-19 Pandemic Affected Eczema Self-Management and Help Seeking? A Qualitative Interview Study with Young People and Parents/Carers of Children with Eczema
How has the COVID-19 Pandemic Affected Eczema Self-Management and Help Seeking? A Qualitative Interview Study with Young People and Parents/Carers of Children with Eczema Open
Background Eczema can have a considerable impact on quality of life. Treatments can improve this, but management is complex. Barriers to eczema self-management may be impacted upon by environmental context, such as the COVID-19 pandemic. O…
View article: Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study
Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study Open
Eczema affects one in five children and can have a substantial impact on quality of life. This qualitative study aimed to explore children’s views and experiences of eczema and what may affect treatment adherence from their perspective. We…
View article: Supporting self-care for eczema: protocol for two randomised controlled trials of ECO (Eczema Care Online) interventions for young people and parents/carers
Supporting self-care for eczema: protocol for two randomised controlled trials of ECO (Eczema Care Online) interventions for young people and parents/carers Open
Introduction Eczema care requires management of triggers and various treatments. We developed two online behavioural interventions to support eczema care called ECO (Eczema Care Online) for young people and ECO for families. This protocol …
View article: Taking charge of eczema self-management: a qualitative interview study with young people with eczema
Taking charge of eczema self-management: a qualitative interview study with young people with eczema Open
Objectives To explore young people’s experiences of eczema self-management and interacting with health professionals. Design Secondary qualitative data analysis of data sets from two semistructured interview studies. Data were analysed usi…
View article: Daily emollient during infancy for prevention of eczema: the BEEP randomised controlled trial
Daily emollient during infancy for prevention of eczema: the BEEP randomised controlled trial Open
View article: Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings
Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings Open
Current evidence about the effects of hygiene and emollients in maintaining skin integrity in older people in residential and hospital settings is inadequate. We cannot draw conclusions regarding frequency of skin damage or side effects du…
View article: Development and initial testing of a new instrument to measure the experience of eczema control in adults and children: Recap of atopic eczema ( <scp>RECAP</scp> )
Development and initial testing of a new instrument to measure the experience of eczema control in adults and children: Recap of atopic eczema ( <span>RECAP</span> ) Open
RECAP has the potential to improve reporting of eczema control in research and clinical practice. Further exploration of measurement properties is required. Linked Comment: Pattinson and Bundy. Br J Dermatol 2020; 183:418-419. What's alrea…
View article: Different strategies for using topical corticosteroids in people with eczema
Different strategies for using topical corticosteroids in people with eczema Open
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To establish the effectiveness and safety of different ways of using topical corticosteroids in people with eczema.
View article: Future research priorities for lichen sclerosus – results of a James Lind Alliance Priority Setting Partnership
Future research priorities for lichen sclerosus – results of a James Lind Alliance Priority Setting Partnership Open
Lichen sclerosus (LS) is a chronic, inflammatory genital skin condition affecting men, women and children.Long-term complications include loss of normal anatomy from scarring, and malignant transformation.Uncertainties exist about the caus…
View article: The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the <scp>CLOTH</scp> ing for the relief of Eczema Symptoms ( <scp>CLOTHES</scp> ) randomized controlled trial
The views of children and young people on the use of silk garments for the treatment of eczema: a nested qualitative study within the <span>CLOTH</span> ing for the relief of Eczema Symptoms ( <span>CLOTHES</span> ) randomized controlled trial Open
Engaging children in the evaluation of the garments provided first-hand nuanced insights that enhanced understanding of the CLOTHES study as a whole. This nested study demonstrates that children can and indeed want to be engaged in dermato…