在线、团体、低强度心理干预，适用于成年人、儿童和有食物过敏的父母。

Online, group, low-intensity psychological intervention for adults, children, and parents with food allergy.

机构信息

School of Psychology, Faculty of Health & Medical Sciences, University of Surrey, Guildford, United Kingdom.

School of Psychology, Faculty of Health & Medical Sciences, University of Surrey, Guildford, United Kingdom; Surrey & Borders National Health Sevice Partnership Trust, United Kingdom.

出版信息

Ann Allergy Asthma Immunol. 2024 Oct;133(4):453-461. doi: 10.1016/j.anai.2024.07.025. Epub 2024 Jul 26.

DOI:10.1016/j.anai.2024.07.025

PMID:39069154

Abstract

BACKGROUND

Food allergy (FA) impairs psychological wellbeing because of constant vigilance, planning and preparation, dietary and social restrictions, and fear of accidental ingestion, though psychological interventions are sparse.

OBJECTIVE

To examine online, group, low-intensity psychological interventions for adults, children, young people (CYP), and parents with food allergies.

METHODS

The randomized controlled trials assessed the feasibility and signal of the efficacy of a psychological intervention for adults, CYP, and parents with FA. Participants were randomized to receive the psychological intervention or treatment as usual. The intervention consisted of two, 3-hour manualized online sessions spaced 1 week apart. All participants completed relevant Food Allergy Quality of Life Questionnaires (FAQLQ) and worry (Penn State Worry Questionnaires), in addition to exploratory outcomes, at baseline, 1 month, and 3 months.

RESULTS

A total of 129 participants (n = 44 adults, n = 52 CYP, and n = 33 parents) were recruited and randomized; 95 (74%) (n = 36 adults, n = 35 CYP, and n = 24 parents) were retained at 3 months. Owing to baseline differences, mean change was used for parent and CYP outcomes. The psychological intervention demonstrated large FAQLQ benefits across adults (g = -1.12, 95% CI -0.41 to -1.28), CYP (g = 1.23, 95% CI 0.51-1.95), and parents (g = 1.43, 95% CI 0.54-2.30) compared with controls at 3-months.

CONCLUSION

This study provides encouraging findings regarding the feasibility of online, group, low-intensity psychological interventions, in terms of recruitment and retention as well as a signal of efficacy on FAQLQ. A definitive trial including health economic analysis and FA-specific psychological measures with consideration of best routes to implementation, is warranted.

TRIAL REGISTRATION

Clinicaltrials.gov Identifiers: NCT04763889 (adults), NCT04770727 (CYP), and NCT04774796 (parents).

摘要

背景

食物过敏（FA）会因持续警惕、计划和准备、饮食和社交限制以及担心意外摄入而损害心理健康，尽管心理干预措施很少。

目的

研究针对成年人、儿童和青少年（CYP）以及食物过敏父母的在线、小组、低强度心理干预措施。

方法

这项随机对照试验评估了针对成年人、CYP 和食物过敏父母的心理干预措施的可行性和疗效信号。参与者被随机分配接受心理干预或常规治疗。干预措施包括两次，每次 3 小时，间隔 1 周的手册化在线课程。所有参与者都在基线、1 个月和 3 个月时完成了相关的食物过敏生活质量问卷（FAQLQ）和担忧（宾夕法尼亚州立大学担忧问卷），以及探索性结果。

结果

共招募了 129 名参与者（n = 44 名成年人，n = 52 CYP，n = 33 名父母）并进行了随机分组；95 名（74%）（n = 36 名成年人，n = 35 CYP，n = 24 名父母）在 3 个月时保留下来。由于基线差异，采用平均变化值来评估父母和 CYP 的结果。心理干预措施在成年人（g = -1.12，95%CI -0.41 至 -1.28）、CYP（g = 1.23，95%CI 0.51 至 1.95）和父母（g = 1.43，95%CI 0.54 至 2.30）方面均显示出对 FAQLQ 的显著改善，与对照组相比。