A scoping review of the caregiver burden of pediatric food allergy

Golding, Michael A.; Gunnarsson, Nina Veetnisha; Middelveld, Roelinde; Ahlstedt, S.; Protudjer, Jennifer L. P.

doi:10.1016/j.anai.2021.04.034

Cited by 25 publications

(31 citation statements)

References 76 publications

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“…11 In it, we found parents not only reported lower levels of HRQL, but also greater stress, anxiety, and financial costs, relative to those without a child with food allergy. 11 Surprisingly, few of the existing reviews of the burden of food allergy on children and teens have adopted a similarly broad approach and have focused largely on HRQL. 3,4,7,10 Given these gaps in the literature, many questions regarding the psychosocial burden of food allergy on children and teens remain unanswered, including whether the condition leaves children vulnerable to mental health issues, like anxiety and depression, or bullying.…”

Section: Backg Rou N Dmentioning

confidence: 66%

“…While the impact of food allergy on HRQL has been described in a number of review papers, few have traced the impact of food allergy on other areas of psychosocial functioning. However, a recent review paper by our group attempted to partially fill this gap in the literature by examining the impact of food allergy on the HRQL, psychosocial functioning, and finances of parents of children with food allergy 11 . In it, we found parents not only reported lower levels of HRQL, but also greater stress, anxiety, and financial costs, relative to those without a child with food allergy 11 .…”

Section: Introductionmentioning

confidence: 91%

“…However, a recent review paper by our group attempted to partially fill this gap in the literature by examining the impact of food allergy on the HRQL, psychosocial functioning, and finances of parents of children with food allergy 11 . In it, we found parents not only reported lower levels of HRQL, but also greater stress, anxiety, and financial costs, relative to those without a child with food allergy 11 . Surprisingly, few of the existing reviews of the burden of food allergy on children and teens have adopted a similarly broad approach and have focused largely on HRQL 3,4,7,10 .…”

Section: Introductionmentioning

confidence: 99%

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The burden of food allergy on children and teens: A systematic review

Golding

Batac

Gunnarsson

et al. 2022

Pediatric Allergy Immunology

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Background Over the last two decades, researchers have placed increasing attention on understanding how food allergy affects the health‐related quality of life (HRQL) and psychosocial well‐being of children and teens. In response, a number of reviews have been published that aim at synthesizing the literature. However, many of these papers focus narrowly on HRQL or suffer from methodological limitations. Method The current review aims to fill this gap by providing a comprehensive overview of the burden of pediatric food allergy by synthesizing the quantitative and qualitative literature. Results Findings from the present review provide evidence of reduced HRQL among children and teens with food allergy, particularly older children and those with more severe manifestations of the condition. In comparison to HRQL, the link between food allergy and psychosocial functioning is less clear; however, some evidence can be cited linking food allergy to greater levels of psychological distress. Qualitative evidence suggests that the burden of pediatric food allergy largely stems from worries surrounding exposures outside of the home and the social consequences of the condition. The current review also highlights several gaps in the literature, including a paucity of longitudinal research, research focused on predictors of psychological distress among children and teens with food allergy as well as a dearth of studies comparing rates of bullying in food‐allergic and non‐food‐allergic samples. Conclusion More emphasis should be placed on not only alleviating the social and psychological consequences of food allergy, but also on identifying and assisting those most acutely burdened by the condition.

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Section: Backg Rou N Dmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The burden of food allergy on children and teens: A systematic review

Golding

Batac

Gunnarsson

et al. 2022

Pediatric Allergy Immunology

Self Cite

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“… 8 In particular, parents reported poorer emotional HRQoL, stress and trait anxiety than their comparison groups. 8 Research on PA specifically has also shown that caregivers of individuals with PA can experience a negative impact on their own HRQoL. 4 , 9 , 10 A recent study investigated the impacts of PA on caregivers through the use of validated HRQoL instruments.…”

Section: Introductionmentioning

confidence: 98%

“…A systematic review of caregiver burden associated with paediatric food allergy found considerable evidence that caring for a child with a food allergy has a negative impact on parents’ HRQoL. 8 In particular, parents reported poorer emotional HRQoL, stress and trait anxiety than their comparison groups. 8 Research on PA specifically has also shown that caregivers of individuals with PA can experience a negative impact on their own HRQoL.…”

Section: Introductionmentioning

confidence: 99%

Exploring Health-Related Quality of Life Burden in Peanut Allergy and the Potential Benefit of Oral Immunotherapy: Estimation of Health State Utility Values for Children and Adolescents and Their Caregivers

Gallop¹,

Acaster²,

Vries³

et al. 2022

PPA

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Purpose This study aimed to estimate utility values for health states relating to oral immunotherapy (OIT) for peanut allergy (PA), for children with PA and their caregivers. Patients and Methods Two methods were used: an online survey and structured interviews. Both methods assessed current utility/untreated PA (health-related quality of life, HRQoL) and HRQoL in different health states: “up-dosing phase of treatment”, “maintenance phase” and “able to tolerate 6–8 peanuts if accidentally ingested”. The survey was conducted in individuals with and without experience of OIT; data collected included the EQ-5D-Y (child states) and EQ-5D-5L (caregiver states). Results In total, 100 caregivers and 38 adolescents completed the treatment-naïve survey, a separate sample of 50 caregivers participated in structured interviews. Seven caregivers and two adolescents with experience of OIT for PA completed the survey. Data from the three samples were pooled, the mean utility values were untreated PA: 0.796 (child), 0.855 (caregiver); up-dosing: 0.711 (child), 0.806 (caregiver); maintenance: 0.821 (child), 0.849 (caregiver), tolerate 6–8 peanuts: 0.859 (child), 0.884 (caregiver). The results show a gain in utility of 0.063 for children and 0.029 for caregivers between the untreated and tolerate 6–8 peanuts health states. Conclusion This study is the first to assess utilities relating to OIT for PA. The results show the potential benefit of OIT for individuals with PA and their caregivers and provide values for use in cost-effectiveness evaluation.

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Risk assessment behaviour when eating out in adults with food hypersensitivity

Knibb,

Hawkins,

Screti

et al. 2024

Clinical & Translational All

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BackgroundFood hypersensitivity (FHS) management requires daily risk assessments of all food and drinks consumed to prevent unpleasant and potentially fatal adverse reactions. Most research has focussed on food allergy in children and families. Little is known about the impact on adults or those with other FHS, such as food intolerance or coeliac disease. This study assessed differences in practices and risk assessment behaviours when eating out for adults with FHS.MethodsAdult UK residents (N = 930; 820 females, 90 males; 95% White; mean age 50 years [±16.6SD]), with food allergy (18%), food intolerance (23%) coeliac disease (44%) or multiple FHS (15%) completed an online survey.ResultsAdults checked information to identify foods causing a reaction always or most of the time when eating out. However, adults with food intolerance reported checking significantly less often than adults with other FHS (all ps < 0.001). Adults reporting more severe FHS, medical rather than self‐diagnosis of FHS, previous anaphylaxis, had called an ambulance or been in hospital due to a reaction checked information significantly more often (all ps < 0.001), but were also less confident in the information provided (all ps < 0.05). Adults with allergy, coeliac disease or multiple FHS were also less confident in written and verbal information provided than those with food intolerance (p < 0.01). The type of FHS, greater perceived severity of FHS and having a medical diagnosis consistently predicted risk assessment behaviours when eating out (all ps < 0.001).ConclusionClinicians, patients and the food industry should be aware that the type of FHS, patient‐perceived severity and past experience of reactions affect risk assessment behaviours when eating out. This should be considered when providing clinical advice and emergency plans.

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A scoping review of the caregiver burden of pediatric food allergy

Cited by 25 publications

References 76 publications

The burden of food allergy on children and teens: A systematic review

The burden of food allergy on children and teens: A systematic review

Exploring Health-Related Quality of Life Burden in Peanut Allergy and the Potential Benefit of Oral Immunotherapy: Estimation of Health State Utility Values for Children and Adolescents and Their Caregivers

Risk assessment behaviour when eating out in adults with food hypersensitivity

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