Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps

Santos, Mae Jhelene L.; Merrill, Kaitlyn A.; Gerdts, Jennifer; Ben‐Shoshan, Moshe; Protudjer, Jennifer L. P.

doi:10.3390/nu14040732

Cited by 23 publications

(13 citation statements)

References 45 publications

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“…However, teachers may not have received adequate support and training during the pandemic, as a result of the redeployment of nursing staff due to COVID-19-related demands [30]. Pre-pandemic, teachers had poor baseline food allergy knowledge [10]. The lack of school nursing support and the virtual training model likely did not provide sufficient education for newer teachers, who also never experienced in-person training pre-pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, teachers have low and varied food-allergy-related knowledge and experience. Our group recently published a review on international, school-based food allergy management practices [10]. Therein, we identified the variability and heterogeneity in management practices amongst schools and the knowledge gaps amongst teachers, and teachers' desires for more food allergy training and resources [10].…”

Section: Introductionmentioning

confidence: 99%

“…Our group recently published a review on international, school-based food allergy management practices [10]. Therein, we identified the variability and heterogeneity in management practices amongst schools and the knowledge gaps amongst teachers, and teachers' desires for more food allergy training and resources [10]. Due to limited resources and training available, it was unsurprising that teachers feel concern and anxiety related to managing chronic conditions in the school setting [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Elementary School Teachers’ Perceptions of COVID-19-Related Restrictions on Food Allergy Management

Santos

Riediger²,

Abrams³

et al. 2022

Nutrients

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(1) Background: Approximately 7% of Canadian children live with a food allergy (FA). Pre-COVID-19, ~20% of anaphylactic reactions occurred in schools. Yet, teachers reported poor FA-related knowledge, and experiences during the COVID-19 pandemic are not well-studied. Additionally, teachers’ management approaches vary widely. We aimed to describe elementary school teachers’ perceptions about FA management during the COVID-19 pandemic; (2) Methods: Using a semi-structured interview guide, English-speaking elementary school teachers in Winnipeg, Canada were interviewed virtually. Interviews were audio-recorded and transcribed verbatim. Data were analysed thematically; (3) Results: Most teachers were female and taught in public schools. Two themes were identified. Theme 1, COVID-19 restrictions made mealtimes more manageable, capturing the positive impacts of pandemic restrictions such as seating arrangements and enhanced cleaning. Limited lunchtime supervision prompted some teachers to assume this role. Theme 2, Food allergy management was indirectly adapted to fit changing COVID-19 restrictions, describing how changing restrictions influenced FA-related practices. FA training was offered virtually with less nursing support. Class cohorts and remote learning decreased teachers’ perceived risk and FA-related management responsibility; (4) Conclusions: COVID-19-related practices were perceived as positively influencing in-school FA management, although unintended consequences, such as increased supervisory roles for teachers and reduced nursing support, were described.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Elementary School Teachers’ Perceptions of COVID-19-Related Restrictions on Food Allergy Management

Santos

Riediger²,

Abrams³

et al. 2022

Nutrients

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“…Az intervenciós programok egy része az érintett gyermekek megsegítését célozza pszichoedukációval, önmonitorozási és problémamegoldási technikák (asszertivitás, a problémás szociális helyzetek felismerése) és különböző érzelemregulációs módszerek (relaxáció, pozitív "self-talk") átadásával [32,33]. A programok egy másik része azt tűzte ki célul, hogy a tágabb környezetben, az intézmények szintjén (elsősorban a gondozókra fókuszálva) emelje az edukáltságot, és segítse a megosztott felelősségvállalást [11,34]. Jelen tanulmány azokra a beavatkozási lehetőségekre fókuszál, amelyek a súlyos ételallergiával való együttélésben az adaptív szülői viselkedést és megküzdést segítik elő a különböző kompetenciák fejlesztésével.…”

Section: Az éTelallergiához Kötött Családi Szülői Szorongásunclassified

Láthatatlan akadályok – súlyos gyermekkori ételallergia a családban

Bertalan

Vadon

Csáki

et al. 2022

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A gyermekkori táplálékallergia olyan krónikus immunológiai állapot, mely a gyermekek körülbelül 6–8%-át érinti. Az élelmiszer-fehérjére adott immunmediált reakciók intenzitása az enyhe lefolyásútól a fatális kimenetelűig változik. Súlyos táplálékallergiáknál az allergénnek való kitettség esetén fennáll az anafilaxiás sokk veszélye, amely azonnali sürgősségi beavatkozást igényel. Tünetek hiányában az ételallergia láthatatlan a környezet számára, ami gyakran kommunikációs nehézséget és elkerülő magatartást idéz elő az érintett családoknál. A mindennapokban a szülőkre nagy felelősség hárul gyermekük állapotának képviseletében. A jelen összefoglaló tanulmány a gondviselői nézőpontot helyezi előtérbe, célja, hogy felhívja a figyelmet a gyermekkori súlyos ételallergia kihívásaira s a megfelelő menedzselés komplexitására. A tanulmány abba kíván betekintést nyújtani, hogy az érintett szülők milyen nehézségekkel szembesülnek, milyen jellegzetességeket mutatnak, s hogy az eddigi ajánlások és intervenciós vizsgálatok alapján milyen pszichológiai módszerek és technikák segíthetik a jobb alkalmazkodást, megküzdést, ezáltal a gyermekek egészségesebb személyiségfejlődését és az orvosi kezelésekhez történő megfelelő adherenciát. Orv Hetil. 2022; 163(47): 1855–1861.

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“…Food allergy is a complex immune-mediated disorder that affects all ages, especially children. Based on numerous epidemiological studies, FA has become a common chronic disease in children (3) and affects approximately 8% of children (4)(5)(6)(7)(8), and even up to 10% in developed countries (9). The prevalence of FA is increasing globally (10)(11)(12)(13)(14) and the types of foods causing allergies and serious allergic reactions are growing (2,15).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of parent-reported food allergy among children in China: A population-based cross-sectional survey

Feng

Luo

et al. 2022

Front. Immunol.

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ObjectiveThe prevalence of food allergy (FA) has been increasing in recent years and has become an important public health, food safety, and clinical nutrition problem. However, population-based studies on the prevalence of FA are very limited in China. This study aims to determine the prevalence and pattern of parent-reported FA among school children in Jiangxi Province, China.MethodsA multicenter cross-sectional study on FA was conducted on primary school children aged 6-11 years old using random cluster sampling with a questionnaire survey. Parent-reported FA was used and defined as individual-reported FA by parent or guardian through a questionnaire in this study.ResultAmong the total of 8,856 (96.36%) complete questionnaires received, 727 (8.2%) children had adverse reactions to food (ARF). The prevalence rates of parent-reported FA and doctor-diagnosed FA were 6.2% and 3.3%, respectively. Animal-derived foods were the main causative source of FA, and the three leading allergenic foods were shrimp, mango, and mollusks. Skin reactions were the most common clinical manifestations of FA, accounting for 63.7%, and 45.32% of the subjects with parent-reported FA experienced severe allergic reactions. There was a significant difference in parent-reported FA between different survey centers, and FA risk increased significantly in children with other allergic diseases (P<0.001) and small family size (P=0.026). The FA prevalence was significantly higher among children aged 8-11 years than those aged 6-7 years (P=0.020).ConclusionsA high prevalence of parent-reported FA was observed among children in general primary schools in Jiangxi Province, China. Shrimp, mango, and mollusks were the most common causative foods. The main common symptoms of FA were adverse reactions relating to the skin system. The rate of severe allergic reactions was also high in Jiangxi Children with reported FA. Local standards and policies for the prevention and management of FA need to be adjusted on a timely basis according to actual local conditions.

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Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps

Cited by 23 publications

References 45 publications

Elementary School Teachers’ Perceptions of COVID-19-Related Restrictions on Food Allergy Management

Elementary School Teachers’ Perceptions of COVID-19-Related Restrictions on Food Allergy Management

Láthatatlan akadályok – súlyos gyermekkori ételallergia a családban

Prevalence of parent-reported food allergy among children in China: A population-based cross-sectional survey

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