Physicians' perceptions of an eczema action plan for atopic dermatitis

Area of Science:

• Dermatology
• Pediatrics
• Health Services Research

Background:

• Poor adherence to topical atopic dermatitis treatments can necessitate systemic therapies.
• Written Action Plans (WAPs) are effective for asthma adherence and may benefit atopic dermatitis.
• An Eczema Action Plan (EAP) was developed to address adherence in pediatric atopic dermatitis.

Purpose of the Study:

• To evaluate physician perceptions of an Eczema Action Plan (EAP).
• To assess physician openness to integrating an EAP into clinical practice for atopic dermatitis management.

Main Methods:

• An Eczema Action Plan (EAP) was adapted from pediatric asthma protocols.
• Surveys assessing EAP practicality and usefulness were distributed to pediatricians and pediatric dermatologists.
• Qualitative analysis was conducted on survey responses regarding EAP layout, graphics, readability, accuracy, and utility.

Main Results:

• Physicians rated the EAP favorably for layout, graphics, readability, accuracy, and usefulness.
• 100% of pediatricians and 60% of pediatric dermatologists expressed likelihood to use the EAP.
• While pediatric dermatologists often had existing materials, pediatricians did not, indicating a potential need for the EAP.

Conclusions:

• Pediatricians show a strong willingness to adopt an Eczema Action Plan (EAP).
• The EAP demonstrates potential for improving adherence and outcomes in pediatric atopic dermatitis.
• Feasible widespread implementation of the EAP is suggested if efficacy is confirmed.