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Action plan for childhood eczema puts children first

Dr Emma La Roux

Dr Emma Le Roux

26 September 2018

Parents of children with eczema know that it can be extremely challenging keeping on top of medications. Effective management often requires a combination of topical medications, and it can be frustrating for parents trying to liaise with GPs to manage their child's’ symptoms. Dr Emma Le Roux worked with Action Plans for Children with Eczema (APACHE) to develop a written plan for childhood eczema that puts children first.

Using funding from the Elizabeth Blackwell Institute Clinical Primer Scheme Dr Le Roux has been working with APACHE to develop a Written Action Plan (WAP) - written, individualised care plans designed to support patient self-management. Initially, this involved contributing towards the quantitative systematic reviews of the evidence base for WAPs in primary care. This necessitated updating the literature search, screening and extracting data from papers and input into the final paper, which is now published.

Then, the project identified potential pitfalls and ideas in a WAP for eczema for use by parents and clinicians in primary care in a series of interviews and focus groups. Dr Le Roux led a qualitative sub-study investigating GPs confidence and experience in managing and treating children with eczema. She led the analysis, presented the work at a variety of scientific symposia and published it in 2018.

Dr Le Roux also contributed to the APACHE study directly, undertaking the qualitative GP interviews and developing a coding framework for all interview transcripts. She designed the first Written Action Plan for children with eczema, and contributed to further drafts. To date two further papers have been published.

Dr Le Roux is a practising GP with a specialism in dermatology. She also works as a Speciality Doctor in Dermatology at Cheltenham General Hospital, has been awarded a GP Fellowship by the UK Dermatology Clinical Trials Network, and aspires to an academic career in Dermatological Primary Care Research.

While on the Clinical Primer Scheme, Dr Le Roux has been able to attend a wide variety of pertinent courses, and she has secured funding for an NIHR In Practice Fellowship (Oct 2017-March 2020). During this fellowship she is undertaking a secondary analysis of routine General Practice consultations for skin problems in the ‘One in a Million’ archive.

Within this she is exploring shared decision making for the management of skin problems and self-management advice offered. She is the RCGP Clinical Champion for Dermatology, carrying out a ‘Spotlight Project’ to highlight Dermatology in Primary Care. She has recently led the development of an RCGP dermatology toolkit for busy primary care practitioners.

“The Elizabeth Blackwell Institute award, together with my GP Fellowship, has enabled me to develop relationships with several clinical and non-clinical researchers, who are highly experienced at conducting dermatology clinical trials. I have also been able to continue with my distance learning research methods course through Manchester University.” She added, “Involvement with the APACHE study has inspired me to continue with academic work, and enabled me to develop my ideas for future research.”

Further information

Read two of Dr Emma Le Roux's further papers:

Developing a written action plan for children with eczema: a qualitative study

GP and parent dissonance about the assessment and treatment of childhood eczema in primary care: a qualitative study

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