Knowledge mobilisation: an exploratory qualitative interview study to confirm and envision modification of lay and practitioner eczema mindlines to improve consultation experiences and self-management in primary care in the UK

Abstract

ObjectivesTo investigate whether initial eczema mindlines, ‘collectively reinforced, internalised, tacit guidelines’, are an accurate representation of the experiences of lay people and practitioners in primary care and to explore how these mindlines may best be revised to improve eczema care.DesignExploratory qualitative interviews with constant comparative analysis and data mining.SettingUK, primary care.ParticipantsPeople with eczema or parents of children with eczema (n=19) and primary care practitioners (n=13).ResultsInterview data were analysed using constant comparison of new data with existing initial eczema mindlines to identify areas of agreement and disagreement. Data were mined for participant’s thoughts aboutwhosemindlines should be modified,howthis may be achieved andwhatcore content is essential. Eczema mindlines and the spiral of knowledge creation, from which they evolved, intuitively made sense. Participants offered examples of how their eczema knowledge is continually produced and transformed as they interact with others. They reported diverse and wide-ranging influences on their thinking and recognised the critical relationship between lay and practitioner mindlines. For this reason they advocated modifying lay and practitioner mindlines in parallel. Participants advised amendment based on consistent information directed to all who influence eczema care. Information should come from trusted sources and be easy to access, distilled, practical, contextually relevant and amenable to assimilation.ConclusionsThe purpose here is to improve primary care consultation experiences and self-management in eczema. The remaining challenge is to find novel, simple and pragmatic methods of modifying eczema mindlines to instil shared and consistent understanding. Given the prevalence of eczema and the scope of people who influence self-care, interventions should transcend patient-practitioner boundaries and address the wider community. One conceptually congruent approach is to create aBa, which in this case would be a virtual space for generating and sharing eczema knowledge.

Can co-created knowledge mobilisation interventions alter and enhance mindlines to improve childhood eczema care? A UK-based Social Impact Framework evaluation

“… 25 26 Second, an interview study with a wider population to confirm and expand understanding of lay and practitioner eczema mindlines. 27 …”

“…First, an ethnographic study to map lay and practitioner eczema mindlines in one deprived inner-city area in the UK 25 26. Second, an interview study with a wider population to confirm and expand understanding of lay and practitioner eczema mindlines 27…”

Knowledge mobilisation: a UK co-creation study to devise strategies to amend lay and practitioner atopic eczema mindlines to improve consultation experiences and self-management practices in primary care

“…12 Further work illuminates the inter-relationship between the two and therefore the need for efforts to amend mindlines to be a shared venture which transcends lay-practitioner boundaries and instils shared and consistent understanding. 32 Co-methodologies in healthcare are increasingly considered to be a 'good thing'. The language of 'coworking' remains contested.…”

“… 12 Further work illuminates the inter-relationship between the two and therefore the need for efforts to amend mindlines to be a shared venture which transcends lay–practitioner boundaries and instils shared and consistent understanding. 32 …”