Analysis of completion of core content was excellent: data for online intervention usage showed that most participants had completed the core module by 24 weeks: 299/340 parents and carers and 310/337 young people.
It was not possible to blind participants to treatment allocation, and this could have led to bias in the primary outcome, despite measures to adjust for prior belief in the intervention to minimise this potential bias in analysis. However, even if a contextual effect contributes to improvement in eczema, the effect is still a valuable benefit to people with eczema and their families, particularly when it improves their ability to cope with the condition.
Some of the recruitment and follow-up of participants in this study took place during the covid-19 pandemic. Qualitative research carried out during the trial suggested that this could have had both positive and negative impacts on participants’ eczema.
The effectiveness of online self-management support for eczema has not been assessed in adequately powered trialsOnline interventions providing evidence based support for eczema self-management led to a useful, sustained benefit in eczema severity over six and 12 months in children and young people We thank all patient and public involvement contributors, participants, families, practices, the National Institute for Health and Care Research Clinical Research Network, National Eczema Society, Eczema Outreach Support, and members of the Programme Steering Committee for their support.Contributors: MSa and KST conceived the study and initial study design in collaboration with IM, LY, PLi, HCW, JRC, MJR, SaL, BS, GG, TS, SiL, AR, and AA, with later input from JN, JH, SW, MSt, KG, KS, and TB.
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