Virtual group visits to reduce psychosocial distress and racial disparities in pediatric vitiligo and alopecia areata patients

• Published in: Pediatric dermatology 2021-11, Vol.38 (S2), p.132-134
• Main Authors: Khosla, Natalia N., Grullon, Karina, Rosenblatt, Adena E.
• Format: Article
• Language: English
• Subjects: Adolescent; Alopecia; Alopecia Areata - therapy; Baldness; Child; Child, Preschool; Children; Dermatology; dyspigmentation; Female; group visits; Health care access; healthcare delivery; Humans; Inequality; inflammatory disorders; Male; Parents; Parents & parenting; Patients; Pediatrics; Racial differences; racial disparities; Skin; Vitiligo; Vitiligo - therapy
• ISSN: 0736-8046; 1525-1470
• DOI: 10.1111/pde.14782

We examined the potential for virtual, pediatric group visits to reduce racial disparities in psychosocial isolation and access to care among children of color with pediatric vitiligo and alopecia areata as well as their caregivers. We have conducted 10 visits with 30 pediatric skin of color patients between 5 and 16 years old: 18 patients with alopecia areata, 12 with vitiligo, 59% female, 64% Black, and 23% Latinx, and 33 parents. After the visits, children and parents felt they had more people they knew and could reach out to about their dermatologic condition, the visits exceeded both children’s and parents’ expectations, and both children and parents reported that they would continue attending future group visits if offered. Group visits in the virtual format may present an opportunity for reducing racial disparities in psychosocial isolation and access to care across geographic locations in pediatric dermatology.