1. Perceptions on Management of Atopic Dermatitis in Children Under 2 Years by Community Pediatricians: A Focus Group Study.
- Author
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Hamideh, Noor, Venkatesh, Pooja, Zhao, Sharon, Ariza, Adolfo J., Bolanos, Liliana, Necheles, Jonathan, and Fishbein, Anna B.
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ATOPIC dermatitis treatment , *STATISTICS , *FOCUS groups , *ADRENOCORTICAL hormones , *CAREGIVERS , *HEALTH services accessibility , *ATTITUDES of medical personnel , *RESEARCH methodology , *SKIN care , *COMMUNITY health services , *FEAR , *PRIMARY health care , *QUALITATIVE research , *PSYCHOLOGY of caregivers , *RESEARCH funding , *ELECTRONIC health records , *CUTANEOUS therapeutics , *STATISTICAL sampling , *NURSE practitioners , *THEMATIC analysis , *LONGITUDINAL method - Abstract
Atopic dermatitis (AD) is a common skin condition and is undertreated in children under 2 years, whom there are no specific guidelines for. We sought to understand barriers to AD treatment and primary care pediatricians' (PCPs) suggested solutions. We conducted semi-structured focus groups (n = 5) with PCPs (n = 17) on how the undertreatment of AD can be addressed. Data were analyzed using an inductive qualitative approach. Participants noted that the perceived undertreatment of AD in children under 2 years could be explained by topical corticosteroid (TCS) use hesitancy, lack of caregiver adherence to PCP recommendations, and under-documentation of AD in the electronic medical record (EMR). Proposed suggestions for improving AD management included caregiver and PCP education on TCS safety; stepwise management guidelines for this age group; and EMR aids to help document and manage AD. Research is warranted to create and disseminate clinician-friendly AD management guidelines for this age group. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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