Canon Nicole, Gharfeh Maya, Guffey Danielle, Anvari Sara, Davis Carla M
Department of Medicine, Baylor College of Medicine, Houston, Texas.
Department of Pediatrics, Section of Immunology, Allergy and Retrovirology, Baylor College of Medicine, Houston, Texas.
Allergy Rhinol (Providence). 2019 Jun 20;10:2152656719856324. doi: 10.1177/2152656719856324. eCollection 2019 Jan-Dec.
Almost 6 million children suffer from food allergies with roughly 2 affected per classroom. Deficiencies in knowledge and discrepancies in attitudes within school staff when addressing food allergies are associated with barriers to care. In this study, school teacher knowledge, beliefs, and attitudes were measured before and after a food allergy educational session.
Three hundred seventy-five personnel of similar age, socioeconomic status, ethnicity, and educational level completed the Chicago Food Allergy Research survey before and after a 1-hour educational session in 6 private schools in Houston randomly assigned into an intervention (n = 4) and control group (n = 2). Responses were measured using frequencies and percentages. The group score differences and survey question comparisons were evaluated with a linear mixed-effects model.
Posttest, the intervention group had knowledge scores 19.58% points higher than control (95% confidence interval = 16.62-22.53; < .001) with no differences pretest. Odds of agreeing that injectable epinephrine is important was higher in the intervention schools posteducation. Within the intervention group, personnel were more likely to agree to injectable epinephrine use for children posteducation.
A 1-hour educational session improved knowledge and attitudes in personnel in the intervention schools. Given the growing prevalence of food allergy, the emphasis on food allergy education is crucial to allow for familiarization of the condition, early recognition of anaphylaxis, and promotion of injectable epinephrine use.
近600万儿童患有食物过敏症,平均每个教室约有2名患病儿童。学校工作人员在应对食物过敏方面的知识不足和态度差异与护理障碍相关。在本研究中,对学校教师在食物过敏教育课程前后的知识、信念和态度进行了测量。
375名年龄、社会经济地位、种族和教育水平相近的人员,在休斯顿6所私立学校参加了1小时的教育课程,这些学校被随机分为干预组(n = 4)和对照组(n = 2),并在课程前后完成了芝加哥食物过敏研究调查。使用频率和百分比来衡量回答情况。通过线性混合效应模型评估组间得分差异和调查问题比较。
在测试后,干预组的知识得分比对照组高19.58个百分点(95%置信区间 = 16.62 - 22.53;P <.001),而在测试前两组没有差异。在接受教育后的干预学校中,认为注射用肾上腺素很重要的同意率更高。在干预组内,工作人员在接受教育后更有可能同意为儿童使用注射用肾上腺素。
1小时的教育课程提高了干预学校工作人员的知识和态度。鉴于食物过敏的患病率不断上升,强调食物过敏教育对于了解病情、早期识别过敏反应以及推广注射用肾上腺素的使用至关重要。