Hu Wendy, Loblay Robert, Ziegler John, Kemp Andrew
Department of Allergy, Immunology and Infectious Diseases, The Children's Hospital at Westmead, Sydney, Australia.
Pediatr Allergy Immunol. 2008 May;19(3):264-9. doi: 10.1111/j.1399-3038.2007.00644.x. Epub 2008 Jan 24.
A significant body of food allergy research has been conducted with families recruited from consumer organizations (COs). However, there has been no systematic comparison of the characteristics of such families with those attending specialist allergy clinics (ACs), nor have parental views on food allergy COs been examined in detail. To address these questions, 44 families with food allergic children recruited from hospital clinics and 25 families recruited from a CO: (i) completed a survey with items concerning demographic details, allergy features, and sources of allergy information, and (ii) participated in qualitative interviews and focus groups concerning their experiences. Significant differences were found in reported number of food allergies and nut allergy, seeking of second opinions, adrenaline autoinjector possession (but not use) and sources of food allergy information. Parents valued COs as sources of practical information and emotional support, but viewed advice which did not acknowledge their individual circumstances and heightened anxiety from contact with other anxious parents as being unhelpful. Research conducted with CO members is valuable, but may have limited generalizability to other populations. To supplement the information and support provided by ACs, all parents should be given the opportunity to join a CO, with guidance from their clinician towards those aspects of membership which are most likely to be helpful.
大量食物过敏研究是针对从消费者组织(COs)招募的家庭开展的。然而,尚未对这类家庭与前往专科过敏诊所(ACs)就诊的家庭的特征进行系统比较,也未详细考察家长对食物过敏消费者组织的看法。为解决这些问题,从医院诊所招募了44个有食物过敏儿童的家庭,从一个消费者组织招募了25个家庭:(i)完成了一项关于人口统计学细节、过敏特征和过敏信息来源的调查,(ii)参与了关于他们经历的定性访谈和焦点小组讨论。结果发现,在报告的食物过敏和坚果过敏数量、寻求第二种意见、持有肾上腺素自动注射器(但不是使用情况)以及食物过敏信息来源方面存在显著差异。家长们重视消费者组织作为实用信息和情感支持的来源,但认为那些不考虑他们个人情况的建议,以及与其他焦虑的家长接触而加剧的焦虑是没有帮助的。对消费者组织成员开展的研究很有价值,但对其他人群的普遍适用性可能有限。为补充过敏诊所提供的信息和支持,所有家长都应有机会在临床医生的指导下,加入最有可能提供帮助的消费者组织。