Identifying acne treatment uncertainties via a James Lind Alliance Priority Setting Partnership

Alison L. Layton, E Anne Eady, Maggie Peat, Heather Whitehouse, Nick Levell, Matthew Ridd, Fiona Cowdell, Mahendra Patel, Stephen Andrews, Christine Oxnard, Mark Fenton, Lester Firkins

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objectives
The Acne Priority Setting Partnership (PSP) was set up to identify and rank treatment uncertainties by bringing together people with acne, and professionals providing care within and beyond the National Health Service (NHS).

Setting
The UK with international participation.

Participants
Teenagers and adults with acne, parents, partners, nurses, clinicians, pharmacists, private practitioners.

Methods
Treatment uncertainties were collected via separate online harvesting surveys, embedded within the PSP website, for patients and professionals. A wide variety of approaches were used to promote the surveys to stakeholder groups with a particular emphasis on teenagers and young adults. Survey submissions were collated using keywords and verified as uncertainties by appraising existing evidence. The 30 most popular themes were ranked via weighted scores from an online vote. At a priority setting workshop, patients and professionals discussed the 18 highest-scoring questions from the vote, and reached consensus on the top 10.

Results
In the harvesting survey, 2310 people, including 652 professionals and 1456 patients (58% aged 24 y or younger), made submissions containing at least one research question. After checking for relevance and rephrasing, a total of 6255 questions were collated into themes. Valid votes ranking the 30 most common themes were obtained from 2807 participants. The top 10 uncertainties prioritised at the workshop were largely focused on management strategies, optimum use of common prescription medications and the role of non-drug based interventions. More female than male patients took part in the harvesting surveys and vote. A wider range of uncertainties were provided by patients compared to professionals.

Conclusions
Engaging teenagers and young adults in priority setting is achievable using a variety of promotional methods. The top 10 uncertainties reveal an extensive knowledge gap about widely used interventions and the relative merits of drug versus non-drug based treatments in acne management.
Original languageEnglish
Number of pages11
JournalBMJ Open
Volume5
Issue number7
DOIs
Publication statusPublished - 1 Jul 2015

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