Managing simple food allergy in community settings: A pilot study investigating a new model of care
| Autor: | Katrina J. Allen, Margaret Danchin, Harriet Hiscock, Natalie De Bono, Mimi L.K. Tang |
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| Rok vydání: | 2015 |
| Předmět: |
Program evaluation
medicine.medical_specialty Pediatrics Referral business.industry education Drug allergy medicine.disease Mental health law.invention Food group 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Food allergy 030225 pediatrics Family medicine Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine business |
| Zdroj: | Journal of Paediatrics and Child Health. 52:315-320 |
| ISSN: | 1034-4810 |
| DOI: | 10.1111/jpc.13026 |
| Popis: | Aim The prevalence of food allergy in Australia has increased, paralleled by an increase in waiting time to access tertiary paediatric allergy care. We aimed to test whether a new model of care, based on serum specific IgE testing, was feasible and acceptable to Australian families. Methods A prospective pilot intervention study was conducted in community paediatric practices within 20–40 km of The Royal Children's Hospital, Melbourne. Children ≤7 years with likely food allergy referred to the Department of Allergy and Immunology at RCH were included; children with anaphylaxis, drug allergy or complex food allergy (>three food groups) were excluded. Community general paediatricians, recruited through the Australian Paediatric Research Network, were trained via webinars on the management of four common food allergy-related scenarios. Paediatrician and child and family parameters were assessed at baseline and 3 months, including safety. Results 34/45 (76%) eligible families and 10/12 (83%) paediatricians participated. Paediatricians managed 27/34 (80%) of children independently, with 7/34 (20%) requiring referral to an allergist for more complex food allergy. Paediatricians reported improved knowledge and competency in managing food allergy: (mean (standard deviation) scores pre = 35 (5.3) and post = 43.3 (3.9) training). The majority of children received appropriate management; there were no anaphylaxis episodes. There was no significant change in child quality of life or parent mental health. Conclusions Management of simple food allergy by community paediatricians appears feasible and acceptable to paediatricians and families alike. Future research will evaluate this approach in an adequately powered and controlled trial. |
| Databáze: | OpenAIRE |
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