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Research Letters | Feb 2013

Maternal Adherence Factors in the Treatment of Pediatric Atopic Dermatitis

Sarah D. Fenerty, BS; Jenna L. O’Neill, MD; Cheryl J. Gustafson, MD; Steven R. Feldman, MD, PhD

JAMA Dermatol. 2013;149(2):229-231. doi:10.1001/2013.jamadermatol.253.

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Effective control of atopic dermatitis in children requires frequent use of treatment, but adherence to topical treatment in this population is abysmal.¹ Caregiver involvement plays a crucial role in treatment. Mothers are frequently the primary caregivers and often control medication administration.

While much of the data on adherence to topical treatment regimens for chronic skin disease come from adult studies,²^- 3 adult impediments to adherence might also apply to mothers in the treatment of their children: inconvenience of use, time constraints, unclear or complex instructions, and fear of adverse effects. We sought to gain a better understanding of the poorly characterized maternal factors that affect medication use through a qualitative study to identify factors that influence mothers' medication administration in the management of pediatric atopic disease.

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Fenerty SD, O’Neill JL, Gustafson CJ, Feldman SR. Maternal Adherence Factors in the Treatment of Pediatric Atopic Dermatitis. JAMA Dermatol. 2013;149(2):229-231. doi:10.1001/2013.jamadermatol.253.

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