Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums
Summary Background Acne vulgaris is common and can significantly impair quality of life, yet little is known about patients’ understanding of acne and its treatments. Oral antibiotics are widely used for acne despite concerns about antibiotic resistance. People are increasingly turning to online dis...
Gespeichert in:
| Veröffentlicht in: | British journal of dermatology (1951) 2017-09, Vol.177 (3), p.751-757 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 757 |
|---|---|
| container_issue | 3 |
| container_start_page | 751 |
| container_title | British journal of dermatology (1951) |
| container_volume | 177 |
| creator | Santer, M. Chandler, D. Lown, M. Francis, N.A. Muller, I. |
| description | Summary
Background
Acne vulgaris is common and can significantly impair quality of life, yet little is known about patients’ understanding of acne and its treatments. Oral antibiotics are widely used for acne despite concerns about antibiotic resistance. People are increasingly turning to online discussion forums for advice, and information on these sites may influence health beliefs and treatment adherence.
Objectives
To explore understandings about the use of oral antibiotics for acne and advice shared among messages posted on online forums.
Methods
We systematically searched for online forums and identified four where acne was frequently discussed. Discussion threads relating to oral antibiotics were analysed thematically.
Results
We extracted 136 pages of data comprising 65 discussions among 294 participants. We found a wide range of perceptions around effectiveness of antibiotics for acne and concerns about adverse effects. The delayed onset of action of antibiotics was a source of frustration and compounded dissatisfaction with healthcare providers, who were perceived by people as ‘fobbing them off’ with prolonged courses of ineffective treatment. Advice ranged from when to ask for or insist on referral to use of costly cleansers. Forum posts related to a wide range of severities, from ‘spots’ to severe acne, which may make it confusing for users to assess appropriateness of information.
Conclusions
Online forums offer opinions that could confuse patients, or lead to early abandonment of treatments, challenging consultations and patient dissatisfaction. Users expressed frustration about the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
What's already known about this topic?
Acne vulgaris is very common and can have considerable impact on quality of life.
Although some information is available about patients’ views of oral isotretinoin, little is known about views and experiences of the most common treatments for acne, including oral antibiotics.
Online discussion forums are an increasingly common source of information about health conditions, yet we know little about the advice exchanged online about acne.
What does this study add?
We found very diverse views about oral treatments in general and oral antibiotics in particular.
Sources of frustration included the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
Advice on |
| doi_str_mv | 10.1111/bjd.15398 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1870643568</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1941253537</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3888-a22e40fbe632209023c3d9e20ef93e1107bde099728ba9333e5c9fee842bac93</originalsourceid><addsrcrecordid>eNp1kM1O3DAURi3UCgbKoi9QWeoGFmGufSeJ3R1_bUEjsUFsLce5aT3NxBDHoHl7XIayQKo314ujo0-Hsc8CTkR-82bVnogStdphM4FVWUiB-IHNAKAuQFe4x_ZjXAEIhBJ22Z5UUihdyxn7fefpKfLQ8TDantth8o0Pk3cx_1tu20fviEeiP374xW0T0sStG-gbt_wh2d5PdvKPmZhSu3nRDL0fiLc-uhSjDwPvwpjW8RP72Nk-0uHrPWC33y9vz38Wy5sfV-eny8KhUqqwUtICuoYqlBI0SHTYapJAnUYSAuqmJdB5u2qsRkQqne6I1EI21mk8YEdb7f0YHhLFyazzEup7O1BI0QhVQ7XAslIZ_foOXYU0DnmcEXohZIkl1pk63lJuDDGO1Jn70a_tuDECzN_6Jtc3L_Uz--XVmJo1tW_kv9wZmG-BJ9_T5v8mc3Z9sVU-Azsajks</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1941253537</pqid></control><display><type>article</type><title>Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums</title><source>MEDLINE</source><source>Wiley Journals</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Santer, M. ; Chandler, D. ; Lown, M. ; Francis, N.A. ; Muller, I.</creator><creatorcontrib>Santer, M. ; Chandler, D. ; Lown, M. ; Francis, N.A. ; Muller, I.</creatorcontrib><description>Summary
Background
Acne vulgaris is common and can significantly impair quality of life, yet little is known about patients’ understanding of acne and its treatments. Oral antibiotics are widely used for acne despite concerns about antibiotic resistance. People are increasingly turning to online discussion forums for advice, and information on these sites may influence health beliefs and treatment adherence.
Objectives
To explore understandings about the use of oral antibiotics for acne and advice shared among messages posted on online forums.
Methods
We systematically searched for online forums and identified four where acne was frequently discussed. Discussion threads relating to oral antibiotics were analysed thematically.
Results
We extracted 136 pages of data comprising 65 discussions among 294 participants. We found a wide range of perceptions around effectiveness of antibiotics for acne and concerns about adverse effects. The delayed onset of action of antibiotics was a source of frustration and compounded dissatisfaction with healthcare providers, who were perceived by people as ‘fobbing them off’ with prolonged courses of ineffective treatment. Advice ranged from when to ask for or insist on referral to use of costly cleansers. Forum posts related to a wide range of severities, from ‘spots’ to severe acne, which may make it confusing for users to assess appropriateness of information.
Conclusions
Online forums offer opinions that could confuse patients, or lead to early abandonment of treatments, challenging consultations and patient dissatisfaction. Users expressed frustration about the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
What's already known about this topic?
Acne vulgaris is very common and can have considerable impact on quality of life.
Although some information is available about patients’ views of oral isotretinoin, little is known about views and experiences of the most common treatments for acne, including oral antibiotics.
Online discussion forums are an increasingly common source of information about health conditions, yet we know little about the advice exchanged online about acne.
What does this study add?
We found very diverse views about oral treatments in general and oral antibiotics in particular.
Sources of frustration included the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
Advice on some discussion threads seemed inappropriate because the severity of acne was not taken into account, for example advising sunshine for severe acne or dermatology referral for ‘some spots’.
What are the clinical implications of this work?
People seeking information about acne in online forums are likely to find bewildering advice with potentially negative as well as positive impacts.
Clinicians prescribing treatments for acne need to provide information and support around the delayed onset of action.
Health professionals can help avoid confusion by signposting people with acne towards reliable, evidence‐based resources to access outside the consultation.
Respond to this article
Linked Comment: Prior. Br J Dermatol 2017; 177:616</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/bjd.15398</identifier><identifier>PMID: 28218972</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acne ; Acne Vulgaris - drug therapy ; Acne Vulgaris - psychology ; Administration, Oral ; Adolescent ; Adult ; Anti-Bacterial Agents - administration & dosage ; Anti-Bacterial Agents - adverse effects ; Antibiotic resistance ; Antibiotics ; Attitude to Health ; Focus Groups ; Frustration ; Humans ; Internet ; Medical personnel ; Patient Acceptance of Health Care ; Patient Education as Topic - methods ; Patient Education as Topic - standards ; Perception ; Qualitative research ; Quality of life ; Side effects ; Social Media ; Treatment Outcome ; Young Adult</subject><ispartof>British journal of dermatology (1951), 2017-09, Vol.177 (3), p.751-757</ispartof><rights>2017 British Association of Dermatologists</rights><rights>2017 British Association of Dermatologists.</rights><rights>Copyright © 2017 British Association of Dermatologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-a22e40fbe632209023c3d9e20ef93e1107bde099728ba9333e5c9fee842bac93</citedby><cites>FETCH-LOGICAL-c3888-a22e40fbe632209023c3d9e20ef93e1107bde099728ba9333e5c9fee842bac93</cites><orcidid>0000-0001-7264-5260</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjd.15398$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjd.15398$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28218972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santer, M.</creatorcontrib><creatorcontrib>Chandler, D.</creatorcontrib><creatorcontrib>Lown, M.</creatorcontrib><creatorcontrib>Francis, N.A.</creatorcontrib><creatorcontrib>Muller, I.</creatorcontrib><title>Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description>Summary
Background
Acne vulgaris is common and can significantly impair quality of life, yet little is known about patients’ understanding of acne and its treatments. Oral antibiotics are widely used for acne despite concerns about antibiotic resistance. People are increasingly turning to online discussion forums for advice, and information on these sites may influence health beliefs and treatment adherence.
Objectives
To explore understandings about the use of oral antibiotics for acne and advice shared among messages posted on online forums.
Methods
We systematically searched for online forums and identified four where acne was frequently discussed. Discussion threads relating to oral antibiotics were analysed thematically.
Results
We extracted 136 pages of data comprising 65 discussions among 294 participants. We found a wide range of perceptions around effectiveness of antibiotics for acne and concerns about adverse effects. The delayed onset of action of antibiotics was a source of frustration and compounded dissatisfaction with healthcare providers, who were perceived by people as ‘fobbing them off’ with prolonged courses of ineffective treatment. Advice ranged from when to ask for or insist on referral to use of costly cleansers. Forum posts related to a wide range of severities, from ‘spots’ to severe acne, which may make it confusing for users to assess appropriateness of information.
Conclusions
Online forums offer opinions that could confuse patients, or lead to early abandonment of treatments, challenging consultations and patient dissatisfaction. Users expressed frustration about the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
What's already known about this topic?
Acne vulgaris is very common and can have considerable impact on quality of life.
Although some information is available about patients’ views of oral isotretinoin, little is known about views and experiences of the most common treatments for acne, including oral antibiotics.
Online discussion forums are an increasingly common source of information about health conditions, yet we know little about the advice exchanged online about acne.
What does this study add?
We found very diverse views about oral treatments in general and oral antibiotics in particular.
Sources of frustration included the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
Advice on some discussion threads seemed inappropriate because the severity of acne was not taken into account, for example advising sunshine for severe acne or dermatology referral for ‘some spots’.
What are the clinical implications of this work?
People seeking information about acne in online forums are likely to find bewildering advice with potentially negative as well as positive impacts.
Clinicians prescribing treatments for acne need to provide information and support around the delayed onset of action.
Health professionals can help avoid confusion by signposting people with acne towards reliable, evidence‐based resources to access outside the consultation.
Respond to this article
Linked Comment: Prior. Br J Dermatol 2017; 177:616</description><subject>Acne</subject><subject>Acne Vulgaris - drug therapy</subject><subject>Acne Vulgaris - psychology</subject><subject>Administration, Oral</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Anti-Bacterial Agents - adverse effects</subject><subject>Antibiotic resistance</subject><subject>Antibiotics</subject><subject>Attitude to Health</subject><subject>Focus Groups</subject><subject>Frustration</subject><subject>Humans</subject><subject>Internet</subject><subject>Medical personnel</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Education as Topic - methods</subject><subject>Patient Education as Topic - standards</subject><subject>Perception</subject><subject>Qualitative research</subject><subject>Quality of life</subject><subject>Side effects</subject><subject>Social Media</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1O3DAURi3UCgbKoi9QWeoGFmGufSeJ3R1_bUEjsUFsLce5aT3NxBDHoHl7XIayQKo314ujo0-Hsc8CTkR-82bVnogStdphM4FVWUiB-IHNAKAuQFe4x_ZjXAEIhBJ22Z5UUihdyxn7fefpKfLQ8TDantth8o0Pk3cx_1tu20fviEeiP374xW0T0sStG-gbt_wh2d5PdvKPmZhSu3nRDL0fiLc-uhSjDwPvwpjW8RP72Nk-0uHrPWC33y9vz38Wy5sfV-eny8KhUqqwUtICuoYqlBI0SHTYapJAnUYSAuqmJdB5u2qsRkQqne6I1EI21mk8YEdb7f0YHhLFyazzEup7O1BI0QhVQ7XAslIZ_foOXYU0DnmcEXohZIkl1pk63lJuDDGO1Jn70a_tuDECzN_6Jtc3L_Uz--XVmJo1tW_kv9wZmG-BJ9_T5v8mc3Z9sVU-Azsajks</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Santer, M.</creator><creator>Chandler, D.</creator><creator>Lown, M.</creator><creator>Francis, N.A.</creator><creator>Muller, I.</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7264-5260</orcidid></search><sort><creationdate>201709</creationdate><title>Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums</title><author>Santer, M. ; Chandler, D. ; Lown, M. ; Francis, N.A. ; Muller, I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-a22e40fbe632209023c3d9e20ef93e1107bde099728ba9333e5c9fee842bac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acne</topic><topic>Acne Vulgaris - drug therapy</topic><topic>Acne Vulgaris - psychology</topic><topic>Administration, Oral</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Anti-Bacterial Agents - adverse effects</topic><topic>Antibiotic resistance</topic><topic>Antibiotics</topic><topic>Attitude to Health</topic><topic>Focus Groups</topic><topic>Frustration</topic><topic>Humans</topic><topic>Internet</topic><topic>Medical personnel</topic><topic>Patient Acceptance of Health Care</topic><topic>Patient Education as Topic - methods</topic><topic>Patient Education as Topic - standards</topic><topic>Perception</topic><topic>Qualitative research</topic><topic>Quality of life</topic><topic>Side effects</topic><topic>Social Media</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santer, M.</creatorcontrib><creatorcontrib>Chandler, D.</creatorcontrib><creatorcontrib>Lown, M.</creatorcontrib><creatorcontrib>Francis, N.A.</creatorcontrib><creatorcontrib>Muller, I.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santer, M.</au><au>Chandler, D.</au><au>Lown, M.</au><au>Francis, N.A.</au><au>Muller, I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2017-09</date><risdate>2017</risdate><volume>177</volume><issue>3</issue><spage>751</spage><epage>757</epage><pages>751-757</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><abstract>Summary
Background
Acne vulgaris is common and can significantly impair quality of life, yet little is known about patients’ understanding of acne and its treatments. Oral antibiotics are widely used for acne despite concerns about antibiotic resistance. People are increasingly turning to online discussion forums for advice, and information on these sites may influence health beliefs and treatment adherence.
Objectives
To explore understandings about the use of oral antibiotics for acne and advice shared among messages posted on online forums.
Methods
We systematically searched for online forums and identified four where acne was frequently discussed. Discussion threads relating to oral antibiotics were analysed thematically.
Results
We extracted 136 pages of data comprising 65 discussions among 294 participants. We found a wide range of perceptions around effectiveness of antibiotics for acne and concerns about adverse effects. The delayed onset of action of antibiotics was a source of frustration and compounded dissatisfaction with healthcare providers, who were perceived by people as ‘fobbing them off’ with prolonged courses of ineffective treatment. Advice ranged from when to ask for or insist on referral to use of costly cleansers. Forum posts related to a wide range of severities, from ‘spots’ to severe acne, which may make it confusing for users to assess appropriateness of information.
Conclusions
Online forums offer opinions that could confuse patients, or lead to early abandonment of treatments, challenging consultations and patient dissatisfaction. Users expressed frustration about the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
What's already known about this topic?
Acne vulgaris is very common and can have considerable impact on quality of life.
Although some information is available about patients’ views of oral isotretinoin, little is known about views and experiences of the most common treatments for acne, including oral antibiotics.
Online discussion forums are an increasingly common source of information about health conditions, yet we know little about the advice exchanged online about acne.
What does this study add?
We found very diverse views about oral treatments in general and oral antibiotics in particular.
Sources of frustration included the delayed onset of action of antibiotics for acne, perceptions of only temporary effectiveness and adverse effects.
Advice on some discussion threads seemed inappropriate because the severity of acne was not taken into account, for example advising sunshine for severe acne or dermatology referral for ‘some spots’.
What are the clinical implications of this work?
People seeking information about acne in online forums are likely to find bewildering advice with potentially negative as well as positive impacts.
Clinicians prescribing treatments for acne need to provide information and support around the delayed onset of action.
Health professionals can help avoid confusion by signposting people with acne towards reliable, evidence‐based resources to access outside the consultation.
Respond to this article
Linked Comment: Prior. Br J Dermatol 2017; 177:616</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>28218972</pmid><doi>10.1111/bjd.15398</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7264-5260</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-0963 |
| ispartof | British journal of dermatology (1951), 2017-09, Vol.177 (3), p.751-757 |
| issn | 0007-0963 1365-2133 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1870643568 |
| source | MEDLINE; Wiley Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Acne Acne Vulgaris - drug therapy Acne Vulgaris - psychology Administration, Oral Adolescent Adult Anti-Bacterial Agents - administration & dosage Anti-Bacterial Agents - adverse effects Antibiotic resistance Antibiotics Attitude to Health Focus Groups Frustration Humans Internet Medical personnel Patient Acceptance of Health Care Patient Education as Topic - methods Patient Education as Topic - standards Perception Qualitative research Quality of life Side effects Social Media Treatment Outcome Young Adult |
| title | Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T14%3A37%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Views%20of%20oral%20antibiotics%20and%20advice%20seeking%20about%20acne:%20a%20qualitative%20study%20of%20online%20discussion%20forums&rft.jtitle=British%20journal%20of%20dermatology%20(1951)&rft.au=Santer,%20M.&rft.date=2017-09&rft.volume=177&rft.issue=3&rft.spage=751&rft.epage=757&rft.pages=751-757&rft.issn=0007-0963&rft.eissn=1365-2133&rft_id=info:doi/10.1111/bjd.15398&rft_dat=%3Cproquest_cross%3E1941253537%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1941253537&rft_id=info:pmid/28218972&rfr_iscdi=true |