title: Improving the patient-clinician and parent-clinician partnership in atopic dermatitis management.
abstract: Long-term adherence to carefully developed, individualized strategies is necessary for the optimum treatment outcomes in patients with atopic dermatitis (AD). However, the parents of children with AD frequently lack sufficient information about the disease and its treatment, hold incorrect and sometimes harmful beliefs about these issues, and too often do not follow through consistently with the treatment plan. The health care provider is the primary source of such education, so an effective provider relationship is fundamental to adherence. In addition to the provision of correct information and the correction of misinformation, clinicians must be aware of and must address barriers to adherence with AD therapy, especially parent anxiety about the safety of topical medications (corticosteroids and topical calcineurin inhibitors).
authors.affiliation: Northwestern University Feinberg School of Medicine, and Head, Division of Pediatric Dermatology, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605,, USA. amancini@northwestern.edu
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Mancini
authors.forename: Amy S
authors.initials: AS
authors.lastname: Paller
authors.forename: Eric L
authors.initials: EL
authors.lastname: Simpson
authors.forename: Charles N
authors.initials: CN
authors.lastname: Ellis
authors.forename: Lawrence F
authors.initials: LF
authors.lastname: Eichenfield
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D001494:Baths; D002648:Child; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000276:immunology / Q000628:therapy*; D003879:Dermatologic Agents / Q000627:therapeutic use; D005260:Female; D005512:Food Hypersensitivity / Q000276:immunology; D006266:Health Education / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D010290:Parents / Q000523:psychology; D010349:Patient Compliance; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011368:Professional-Family Relations
chemical_list: D000305:Adrenal Cortex Hormones; D003879:Dermatologic Agents