Development of an online intervention and embedded decision-aid to support self-management of acne vulgaris: qualitative interviews with healthcare professionals

Problem

Acne is common and has a significant impact on quality of life. Topical treatments are effective, but adherence is low. Acne Care Online is an online intervention to support acne self-management. Embedded within the intervention is a decision-aid tool to facilitate discussions in consultations with healthcare professionals (HCPs). This study aimed to explore experiences and views of HCPs and assess the acceptability of implementing the intervention.

Approach

We recruited HCPs working in primary care, using purposive sampling to seek a range of roles. Eighteen semi-structured qualitative interviews were conducted with; seven GPs, three nurses, five pharmacists and three paramedic prescribers. Interviews explored experiences of treating acne, thoughts on implementing an online intervention, and feedback on the output of the decision aid tool. Interviews were recorded and transcribed. Data were analysed using thematic analysis.

Findings

Challenges reported by HCPs in managing acne included patients’ limited understanding of effective treatments, perceived treatment non-adherence, addressing psychosocial impact and time-limited consultations. The decision-aid was perceived as potentially beneficial in addressing these challenges, and improving shared decision-making with patients. Suggestions for improvement included asking for additional information from patients, and providing HCPs with an option to see further detail about the decision aid.

Consequences

HCPs were positive about the potential for the intervention to be implemented as a useful adjunct to time-limited consultations in primary care. These interviews highlighted challenges faced by HCPs, and provided feedback on the decision aid tool which will inform the development of the intervention.