Food Allergy Diagnosis and Management Practices Among Pediatricians

Gupta, Ruchi S.; Lau, Claudia H.; Dyer, Ashley; Sohn, Min-Woong; Altshuler, Barry A.; Kaye, Bennett A.; Necheles, Jonathan

doi:10.1177/0009922813518425

Cited by 17 publications

(19 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One additional explanation for our results may be that the source of diagnosis differed from the source of care such that parents who received a pediatrician-diagnosis may have been subsequently referred toand received care froman allergist. This is in line with previous work that found that the majority of pediatricians reported referring patients with FA symptoms to an allergist (Gupta et al, 2014).…”

Section: Discussionsupporting

confidence: 92%

Examining Differences in Parent Knowledge About Pediatric Food Allergies

Luke

Flessner

2019

Journal of Pediatric Psychology

View full text Add to dashboard Cite

Objective Pediatric food allergy (FA) is a serious health condition that has become increasingly prevalent. Parents often play a primary role in assessing and managing risk for their child’s FAs, making it critical that they remain informed of the most recent guidelines for FA management. This study aimed to examine if diagnostic source (i.e., pediatrician vs. allergist) and child- and parent-level variables predicted parental FA knowledge using a comprehensive measure. Methods The Food Allergy Knowledge Test (FAKT) was administered to parents (N = 518) of children aged 3–17 years with (n = 349) and without (n = 169; i.e., control group) FAs using internet-sampling procedures. The sample was further partitioned into parents of children diagnosed by an allergist or a pediatrician, and control group parents who did or did not endorse knowing someone with an FA. Results Significant group differences were found with respect to the overall FAKT score and diagnostic source. Among the FA group, parental relationship to child, income, identification with a minority status, parental anxiety, and child possession of an emergency action plan were significant predictors of FAKT scores. Conclusions Knowledge of FA was poor across all groups. Education for caregivers both with and without food-allergic children is important to ensure FA safety in multiple settings. Future directions and limitations are discussed.

show abstract

Section: Discussionsupporting

confidence: 92%

Examining Differences in Parent Knowledge About Pediatric Food Allergies

Luke

Flessner

2019

Journal of Pediatric Psychology

View full text Add to dashboard Cite

show abstract

“…Even for children with similar health profiles, physicians did not all recommend the same treatment and response to allergic reactions (see Gupta et al . ). This created a variety of treatment recommendations, even among children with the same health condition, for food allergies.…”

Section: Resultssupporting

confidence: 75%

“…Nurses reported that different physicians wrote different orders based on variations in children's health status (for example, whether they had asthma, which could increase the risk of a serious allergic reaction). Even for children with similar health profiles, physicians did not all recommend the same treatment and response to allergic reactions (see Gupta et al 2014). This created a variety of treatment recommendations, even among children with the same health condition, for food allergies.…”

Section: Clarifying the Recommendationmentioning

confidence: 99%

‘Everybody has to think – do I have any peanuts and nuts in my lunch?’ School nurses, collective adherence, and children's food allergies

Muñoz

2018

Sociology Health & Illness

View full text Add to dashboard Cite

Developing robust explanations for patients' non-adherence to medical treatments is a pressing clinical concern. Social scientists have emphasised the importance of taking a 'patient-centred' approach to the study of illness management. Using data from a qualitative study of the management of children's food allergies, I found that school nurses created what I term collective adherence - the translation of individual medical recommendations into prescriptions to be followed by entire communities. School nurses secured collective adherence by aligning physicians, schools, and families around a particular interpretation of medical recommendations, setting guidelines of behaviour for the entire school community to follow, and balancing the diverging needs of illness sufferers and non-illness sufferers. This study contributes to the study of adherence by examining the medical recommendation as a dynamic prescription, extending adherence to the study of ancillary providers' interaction with medical recommendations, and examining the impact of illness on non-family ties. I conclude with a discussion of implications for the field of school nursing; and potential applications of the collective adherence framework to the management of health conditions and health risks.

show abstract

“…However, adherence to guidelines is usually poor, despite all efforts made in their implementation [28]. There are several international food allergy guidelines [7][8][9][10][12][13][14][15][16], as well as Brazilian consensuses [25,29,30], but there are as yet few studies that evaluate the adherence of pediatricians to these recommendations [23,31,32]. As our questionnaire evaluated adherence to international guidelines, it may be used elsewhere without restriction.…”

Section: Discussionmentioning

confidence: 99%

Brazilian pediatricians’ adherence to food allergy guidelines—A cross-sectional study

et al. 2020

View full text Add to dashboard Cite

Food allergy is an emerging clinical condition in pediatrics, so recommendations on its management have been widely published. Studying pediatricians' adherence to these clinical practice guidelines (CPG) and understanding the reasons for their non-compliance can help to promote better management of this condition. A cross-sectional study was conducted by a survey among Brazilian pediatricians, randomly selected during the 38 th Brazilian Congress of Pediatrics, which took place in October, 2017. A validated questionnaire with 16 questions addressing knowledge and practice on food allergy, as well as self-reported adherence to international guidelines was applied. Of the total of 415 pediatricians from all regions of the country who were surveyed, only 69 (16.7%) had a satisfactory adherence rate (�80%). Adequate adherence to the guidelines was associated with the variables: 'evaluating more than 10 children with suspected cow's milk allergy (CMA) per month'; 'having read the Brazilian consensus'; or 'being aware of any international food allergy guideline'. In 8 of the 10 questions that assessed conscious adherence, a minority of those surveyed (20.3-42.3% variation) stated that they knew that their response was in line with the guidelines. This finding was statistically significant (p<0.05) in 7 of these 8 questions. The self-reported adherence of Brazilian pediatricians to international food allergy guidelines was low. Pediatricians who evaluated a higher number of children with suspected CMA or who were aware of the recommendations, had a higher rate of adherence. The results of the survey found that lack of resource was the major reported barrier to guideline adherence but lack of awareness must be a relevant non perceived barrier. This study shows the pedia-tricians´self-reported adherence to food allergy guidelines in a widely overview for the first PLOS ONE |

show abstract

Food Allergy Diagnosis and Management Practices Among Pediatricians

Cited by 17 publications

References 19 publications

Examining Differences in Parent Knowledge About Pediatric Food Allergies

Examining Differences in Parent Knowledge About Pediatric Food Allergies

‘Everybody has to think – do I have any peanuts and nuts in my lunch?’ School nurses, collective adherence, and children's food allergies

Brazilian pediatricians’ adherence to food allergy guidelines—A cross-sectional study

Contact Info

Product

Resources

About