{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T19:02:49Z","timestamp":1779649369926,"version":"3.53.1"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100003980","name":"National Eczema Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100003980","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescents and young adults (AYA) with atopic dermatitis (AD) must transition from caregiver\u2010led to self\u2010managed care and eventually to adult healthcare providers. While transition readiness is well studied in other chronic conditions, it remains underexplored in AD. This study assesses transition readiness and perceived barriers to self\u2010management among AYA with AD and parents of AYA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional, online survey was conducted from June to July 2024 by the National Eczema Association among US\u2010based AYA (ages 12\u201322) with AD and parents of AYA with AD. Transition readiness was evaluated using the Transition Readiness Assessment Questionnaire (TRAQ 6.0). TRAQ scores \u2265\u20094 indicated transition readiness. Parent\u2010reported TRAQ scores assessed perceptions of their child's readiness. Group comparisons used\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and Chi\u2010square tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 307 respondents (211 AYA, 96 parents), AYA were older (18.8 vs. 16.2\u2009years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and more likely to be female (72.0% vs. 57.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) than the children of parent respondents. Mean TRAQ scores were higher for AYA than parents (3.94 vs. 2.98,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). After stratification, AYA scores remained higher for both adolescents (3.33 vs. 2.58,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and young adults (4.16 vs. 3.78,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008), with the largest discrepancy in appointment keeping. Older age, lower AD severity, and specialist care were associated with higher readiness (TRAQ \u2265\u20094). Most respondents rated self\u2010management as very important (89.6%), though only 40.3% felt very\/extremely confident. Top barriers included fear of treatment side effects (AYA 53%) and disease variability (parents 36%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AYA report greater transition readiness than parents perceive. Structured transition planning involving both groups may improve alignment and confidence in AD self\u2010management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pde.70117","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T07:08:56Z","timestamp":1763536136000},"page":"609-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Readiness and Barriers to Self\u2010Management in Pediatric Atopic Dermatitis Patients and Parents"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2686-0634","authenticated-orcid":false,"given":"Allison R.","family":"Loiselle","sequence":"first","affiliation":[{"name":"National Eczema Association  Novato California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica K.","family":"Johnson","sequence":"additional","affiliation":[{"name":"National Eczema Association  Novato California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Smith Begolka","sequence":"additional","affiliation":[{"name":"National Eczema Association  Novato California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.2010.251"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2018.08.028"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044777"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2014.03.008"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-022-04385-z"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/ds18-0003"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.08260"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.0157-2021"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.15533"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.15191"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044005"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018\u20102587"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2021.04.019"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsae006"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2022.2119864"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003868"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/cd18-0027"},{"issue":"10","key":"e_1_2_11_19_1","article-title":"Transition Readiness Into Adult Health Care in Children With Inflammatory Bowel Disease","volume":"15","author":"Alsufyani H. A.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.5223\/pghn.2023.26.2.88"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12872"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/cen.14584"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsx142"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.70117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pde.70117","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.70117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T18:19:52Z","timestamp":1779646792000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.70117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,18]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/pde.70117"],"URL":"https:\/\/doi.org\/10.1111\/pde.70117","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,18]]},"assertion":[{"value":"2025-05-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}