Integrating sleep behavioral modifications into pediatric atopic dermatitis management
Yu, Jessica Y.
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OBJECTIVE: To determine the effects on parental quality of life in managing sleep disturbances associated with their child’s atopic dermatitis by integrating sleep behavioral interventions in pediatric atopic dermatitis management. DESIGN: Randomized Control Trial SETTING: Boston Medical Center Pediatrics and Pediatric Dermatology Program Participants: 126 pediatricians, dermatologists and pediatric dermatologists; 384 parents of children ages less 6 years old with atopic dermatitis; and 384 children ages less than 6 years old with atopic dermatitis INTERVENTIONS: This study will provide two webinar modules on sleep behavioral intervention made by experienced psychologists and sleep medicine specialists from existing multidisciplinary care settings for the intervention arm of recruited pediatricians, dermatologists, and pediatric dermatologists. MAIN OUTCOME MEASURES: The main outcome measured is the score changes in a 26-item parental quality of life questionnaire at the initial first visit and 12-month follow-up appointments. A monthly electronic 5-subscale survey will be sent to all recruited physicians to assess the frequency of addressing and counseling on sleep behavioral interventions to their pediatric AD patients and their parents. PRACTICE IMPLICATIONS: Primary pediatric physicians and dermatologists, including pediatric dermatologists, should recognize, address, and integrate sleep behavioral counseling and interventions in pediatric atopic dermatitis management. Sleep behavioral interventions should be addressed in anticipation of development of sleep disturbances given the potential impact on children with AD and importance of quality sleep in a growing child. Recognizing and counseling on sleep disturbances can improve parental/caretaker confidence in caring for their child, which may overall improve the quality of life for the parent, child and family.
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