Integrating Motivational Interviewing in Family Medicine Management of Pediatric Atopic Dermatitis: A Literature Review

Abstract

Introduction: Pediatric atopic dermatitis imposes substantial clinical and family burdens, while treatment adherence is limited by caregiver concerns and complex routines. Objective: To evaluate the rationale for integrating motivational interviewing into family medicine management of pediatric atopic dermatitis. Method: A narrative review synthesized selected peer-reviewed literature on disease burden, adherence, family-centered care, behavioral counseling, and primary care implementation. Result and Discussion: Evidence supports structured disease assessment, therapeutic education, and collaborative communication. Motivational interviewing has improved adherence-related outcomes in other pediatric chronic diseases, but direct evidence in pediatric atopic dermatitis remains insufficient. Caregiver concerns about topical treatment and implementation barriers, particularly consultation time and training maintenance, warrant attention. Conclusions: Motivational interviewing is a plausible adjunct to evidence-based dermatological treatment, not an established substitute. Condition-specific trials and culturally adapted implementation studies are needed