title: A Review of Multidisciplinary Interventions in Atopic Dermatitis.
abstract: Multidisciplinary interventions have been developed for patients with atopic dermatitis (AD) and their families, with the aim of improving outcomes such as disease control, adherence, and quality of life. We reviewed the content of different multidisciplinary approaches to intervention for AD and evidence for their impact on key outcome measures. We also provided data from our multidisciplinary outpatient program for pediatric AD. Studies included in the review suggest benefits of multidisciplinary interventions as models of treatment or adjuncts to standard medical care, with a positive impact on outcomes including disease severity and itching/scratching. There were limitations to existing studies, including heterogeneous methods used to assess quality of life outcomes across studies and lack of controlled studies assessing the outcome of clinical care programs. Further research will be useful in assessing the impact of multidisciplinary interventions on important outcomes such as treatment adherence and sleep, identifying the elements of multidisciplinary interventions that are most critical for improved outcomes, and identifying the best candidates for multidisciplinary intervention approaches.
authors.affiliation: Division of Immunology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, USA. sara.spielman@childrens.harvard.edu.
authors.forename: Sara C
authors.initials: SC
authors.lastname: Spielman
authors.affiliation: Division of Immunology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, USA. jennifer.lebovidge@childrens.harvard.edu.|Harvard Medical School, Boston, MA 02115, USA. jennifer.lebovidge@childrens.harvard.edu.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: LeBovidge
authors.affiliation: Division of Immunology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, USA. karol.timmons@childrens.harvard.edu.
authors.forename: Karol G
authors.initials: KG
authors.lastname: Timmons
authors.affiliation: Division of Immunology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, USA. lynda.schneider@childrens.harvard.edu.|Harvard Medical School, Boston, MA 02115, USA. lynda.schneider@childrens.harvard.edu.
authors.forename: Lynda C
authors.initials: LC
authors.lastname: Schneider
keywords: atopic dermatitis; eczema; education; interdisciplinary; multidisciplinary; quality of life; treatment