Psychosocial and Socioeconomic Barriers to Treatment Adherence in Pediatric Atopic Dermatitis  

作　　者：Kelly Frasier Darianne Zimmer Grace Herrick Marissa Ruppe Mahnoor Mukarram Bret-Ashleigh Coleman Madeline Coleman Therese Anne Limbana Brooke Blan Evadne Rodriguez Kelly Frasier;Darianne Zimmer;Grace Herrick;Marissa Ruppe;Mahnoor Mukarram;Bret-Ashleigh Coleman;Madeline Coleman;Therese Anne Limbana;Brooke Blan;Evadne Rodriguez(Northwell Health, New Hyde Park, NY, USA;Riverside School of Medicine, University of California, Riverside, CA, USA;Alabama College of Osteopathic Medicine, Dothan, AL, USA;Kiran Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA;College of Osteopathic Medicine, Midwestern University Arizona, Glendale, AZ, USA;Edward Via College of Osteopathic Medicine, Auburn, AL, USA;Edward Via College of Osteopathic Medicine, Blacksburg, VA, USA;College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY, USA;School of Medicine, University of Missouri-Columbia, Columbia, MO, USA)

机构地区：[1]Northwell Health, New Hyde Park, NY, USA [2]Riverside School of Medicine, University of California, Riverside, CA, USA [3]Alabama College of Osteopathic Medicine, Dothan, AL, USA [4]Kiran Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA [5]College of Osteopathic Medicine, Midwestern University Arizona, Glendale, AZ, USA [6]Edward Via College of Osteopathic Medicine, Auburn, AL, USA [7]Edward Via College of Osteopathic Medicine, Blacksburg, VA, USA [8]College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY, USA [9]School of Medicine, University of Missouri-Columbia, Columbia, MO, USA

出　　处：《Open Journal of Medical Psychology》2024年第4期87-102,共16页医学心理学（英文）

摘　　要：Research Background: Atopic dermatitis (AD) is a chronic inflammatory skin condition in children that significantly impacts physical health and quality of life. Adherence to treatment regimens is crucial for effective disease management but is often hindered by various psychosocial and socioeconomic barriers. Parental mental health issues, family dynamics, financial constraints, and limited access to specialized care contribute to inconsistent treatment adherence, exacerbating the condition. Purpose/Aim: The aim of this study is to explore the multifaceted barriers to treatment adherence in children with AD and evaluate the effectiveness of current interventions targeting these challenges. The study seeks to identify strategies that can improve adherence and health outcomes by addressing psychosocial and socioeconomic factors. Method: The method involves a comprehensive review of existing literature on the impact of psychosocial and socioeconomic factors on treatment adherence in children with AD. The study also examines various interventions designed to address these barriers, including community support programs, family-centered interventions, financial aid, integrated care models, and telehealth solutions. Results: Results indicate that psychosocial barriers, such as parental anxiety and depression, significantly hinder effective disease management. Family dynamics, including poor communication and single-parent households, complicate adherence efforts. Socioeconomic factors, such as financial constraints and limited healthcare access, further impede adherence. Interventions that address these barriers show promise in improving treatment adherence and health outcomes. Community support programs and family-centered interventions enhance parental mental health and family communication. Financial aid programs and integrated care models help mitigate economic and logistical challenges. Telehealth solutions improve access to specialized care, particularly in underserved areas. Conclusion: The study concludes that aResearch Background: Atopic dermatitis (AD) is a chronic inflammatory skin condition in children that significantly impacts physical health and quality of life. Adherence to treatment regimens is crucial for effective disease management but is often hindered by various psychosocial and socioeconomic barriers. Parental mental health issues, family dynamics, financial constraints, and limited access to specialized care contribute to inconsistent treatment adherence, exacerbating the condition. Purpose/Aim: The aim of this study is to explore the multifaceted barriers to treatment adherence in children with AD and evaluate the effectiveness of current interventions targeting these challenges. The study seeks to identify strategies that can improve adherence and health outcomes by addressing psychosocial and socioeconomic factors. Method: The method involves a comprehensive review of existing literature on the impact of psychosocial and socioeconomic factors on treatment adherence in children with AD. The study also examines various interventions designed to address these barriers, including community support programs, family-centered interventions, financial aid, integrated care models, and telehealth solutions. Results: Results indicate that psychosocial barriers, such as parental anxiety and depression, significantly hinder effective disease management. Family dynamics, including poor communication and single-parent households, complicate adherence efforts. Socioeconomic factors, such as financial constraints and limited healthcare access, further impede adherence. Interventions that address these barriers show promise in improving treatment adherence and health outcomes. Community support programs and family-centered interventions enhance parental mental health and family communication. Financial aid programs and integrated care models help mitigate economic and logistical challenges. Telehealth solutions improve access to specialized care, particularly in underserved areas. Conclusion: The study concludes that a

关 键 词：Pediatric Atopic Dermatitis Treatment Adherence Psychosocial Barriers Socioeconomic Barriers 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]