Maslin Kate, Meyer Rosan, Reeves Liane, Mackenzie Heather, Swain Anne, Stuart-Smith Wendy, Loblay Rob, Groetch Marion, Venter Carina
School of Health Sciences & Social Work, University of Portsmouth, Portsmouth, UK ; David Hide Asthma and Allergy Research Centre, Isle of Wight, UK.
Department of Gastroenterology, Great Ormond Street Hospital for Sick Children, London, UK.
Clin Transl Allergy. 2014 Nov 14;4:37. doi: 10.1186/2045-7022-4-37. eCollection 2014.
A knowledgeable and competent dietitian is an integral part of the food allergy multidisciplinary team, contributing to effective diagnosis and management of food allergic disorders. Little is currently known about the food allergy training needs and preferences of dietitians. The purpose of this paper is to measure and compare self-reported food allergy competencies of dietitians based in the UK, Australia and USA.
A survey of USA-based paediatric dietitians was developed to measure self-reported proficiency and educational needs in the area of food allergy. The survey was modified slightly and circulated online to paediatric and adult dietitians in the UK and Australia. Descriptive statistics and Pearson correlations are presented.
A total of 797 dietitians completed the questionnaire. Competency in "developing food challenge protocols" and "managing feeding problems" were rated the poorest overall across all three settings. A higher level of competency was significantly positively associated with length of practice as a dietitian, percentage of caseload composed of patients with food allergy and training in food allergy. The most popular topics for further training were food additives, pharmacological reactions and oral allergy syndrome.
There is a need amongst dietitians to increase their knowledge in different aspects of food allergy diagnosis and management, specifically the areas of developing food challenge protocols and management of feeding problems. This study provides valuable information for designing targeted food allergy education for dietitians.
知识渊博且胜任工作的营养师是食物过敏多学科团队不可或缺的一部分，有助于食物过敏疾病的有效诊断和管理。目前对于营养师的食物过敏培训需求和偏好了解甚少。本文旨在衡量和比较英国、澳大利亚和美国营养师自我报告的食物过敏能力。
针对美国儿科营养师开展了一项调查，以衡量其在食物过敏领域自我报告的专业水平和教育需求。该调查稍作修改后在网上分发给英国和澳大利亚的儿科及成人营养师。呈现了描述性统计数据和皮尔逊相关性。
共有797名营养师完成了问卷。在所有三种情况下，“制定食物激发试验方案”和“处理喂养问题”方面的能力总体评分最低。较高水平的能力与营养师的从业时长、食物过敏患者在病例总量中所占百分比以及食物过敏培训显著正相关。进一步培训最受欢迎的主题是食品添加剂、药理反应和口腔过敏综合征。
营养师需要增加在食物过敏诊断和管理不同方面的知识，特别是在制定食物激发试验方案和处理喂养问题方面。本研究为设计针对营养师的针对性食物过敏教育提供了有价值的信息。
