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Focus group parental opinions regarding treatment with topical corticosteroids on children with atopic dermatitis

S Veenje1, H Osinga1, I Antonescu1

  • 1Department of Paediatrics, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.

Allergologia Et Immunopathologia
|October 15, 2018
PubMed

Insights

Parental fear of topical corticosteroids in children with atopic dermatitis stems from a lack of knowledge. Improved education on their safe use can enhance treatment adherence for pediatric atopic dermatitis.

Area of Science:

  • Pediatric Dermatology
  • Public Health

Background:

  • Atopic dermatitis is prevalent in young children (0-5 years).
  • Current treatments include emollients and topical corticosteroids.
  • Parental fear of corticosteroids (corticophobia) leads to low adherence.

Purpose of the Study:

  • To identify factors influencing parental opinions on topical corticosteroids.
  • To understand the root causes of corticophobia in parents of children with atopic dermatitis.

Main Methods:

  • Qualitative focus group study.
  • Involved parents of children diagnosed with atopic dermatitis in secondary care.
  • Explored parental opinions, attitudes, information sources, and usage of topical corticosteroids.

Main Results:

  • Parents reported insufficient knowledge regarding the mechanism of action and side effects of topical corticosteroids.
  • Dermatologists and pediatricians highlighted benefits, contrasting with negative views from other healthcare workers and the public.
  • Conflicting information sources contribute to parental uncertainty and fear.

Conclusions:

  • Addressing parental knowledge gaps is crucial for improving adherence to topical corticosteroid therapy.
  • Enhanced education on mechanism, application, and dose reduction strategies is recommended.
  • Healthcare professionals must recognize and mitigate the impact of their attitudes on parental decision-making regarding topical corticosteroids.
Abstract

Keywords:
Adrenal cortex hormonesAtopic dermatitisFearsFocus group

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