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基于年龄的食物过敏教育手册的制定:美国过敏、哮喘和免疫学会食物不良反应委员会工作组报告。

The Development of Age-Based Food Allergy Educational Handouts for Caregivers and Patients: A Work Group Report of the AAAAI Adverse Reactions to Foods Committee.

机构信息

Division of Immunology, Boston Children's Hospital, Boston, Mass; Department of Psychiatry, Harvard Medical School, Boston, Mass.

Division of Allergy and Immunology, Children's National Hospital, Washington, DC; Department of Pediatrics, George Washington University School of Medicine, Washington, DC.

出版信息

J Allergy Clin Immunol Pract. 2022 Oct;10(10):2552-2558. doi: 10.1016/j.jaip.2022.01.048. Epub 2022 Aug 25.

Abstract

BACKGROUND

Food allergy education is an ongoing process that must address unique safety concerns and psychosocial challenges at each developmental stage. Families require reliable information that is targeted to specific developmental stages to support the integration of food allergy management into daily life.

OBJECTIVE

The purpose of this project was to develop age-specific, evidence-based patient education handouts with practical recommendations for managing and coping with food allergies at different developmental stages.

METHODS

Handout content was based on: (1) practice guidelines for food allergy management; (2) literature addressing psychosocial and educational needs of patients with food allergy and their caregivers; and (3) clinical experience of the project team. Fifty-seven caregivers of patients (aged 0-21 years) with food allergy and 2 young adults with food allergy reviewed a draft of the handouts and completed an online survey to assess handout acceptability and usability and identify areas for improvement. Handouts were revised based on participant feedback.

RESULTS

The majority of participants (79%) rated the amount of information in the age-specific handouts as "just right," versus "not enough" (9%) or "too much" information (12%). Sixty-three percent reported that they would be "very likely" to use the handouts as a resource and 35% "somewhat likely." Almost all participants (88%-100% by item) agreed that the handouts used elements of plain language writing and clear communication.

CONCLUSION

Caregivers rated the age-based food allergy education handouts as understandable and useful. We anticipate that these handouts could be used during health care visits and directly accessed online by families.

摘要

背景

食物过敏教育是一个持续的过程,必须在每个发展阶段解决独特的安全问题和心理社会挑战。家庭需要可靠的信息,这些信息针对特定的发展阶段,以支持将食物过敏管理融入日常生活。

目的

本项目旨在开发特定年龄的、基于证据的患者教育讲义,其中包含在不同发育阶段管理和应对食物过敏的实用建议。

方法

讲义内容基于:(1)食物过敏管理实践指南;(2)针对食物过敏患者及其照顾者的心理社会和教育需求的文献;以及(3)项目团队的临床经验。57 名患有食物过敏的患者(年龄 0-21 岁)及其 2 名年轻成年人的照顾者查看了讲义草稿,并完成了在线调查,以评估讲义的可接受性和可用性,并确定需要改进的领域。根据参与者的反馈对讲义进行了修订。

结果

大多数参与者(79%)认为特定年龄的讲义中的信息量“恰到好处”,而不是“不够”(9%)或“太多”(12%)。63%的人表示他们“非常可能”将讲义用作资源,35%的人表示“有些可能”。几乎所有参与者(每项 88%-100%)都同意讲义使用了通俗易懂的写作和清晰的沟通方式。

结论

照顾者对基于年龄的食物过敏教育讲义的评价是可以理解和有用的。我们预计这些讲义可以在医疗保健访问期间使用,并由家庭直接在线访问。

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