How to manage food allergy in nursery or school

Oriel, Roxanne C.; Wang, Julie

doi:10.1097/aci.0000000000000438

Cited by 7 publications

(17 citation statements)

References 55 publications

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“…This study found that, at baseline, school personnel had moderate self‐efficacy in FAM such as assuring a safe school setting for students with FA, co‐working with other professional and families, managing allergens avoidance, guaranteeing full participation to activities to students with FA and putting in place a personalized FA care plan. However, consistent with literature data they reported low scores in AM, especially in recognizing anaphylaxis symptoms and administering proper drugs. After the specific multidisciplinary training course, all scores improved.…”

Section: Discussionsupporting

confidence: 90%

Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis

Polloni¹,

Baldi

Lazzarotto³

et al. 2020

Pediatric Allergy Immunology

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Background Despite a relatively high risk for allergic reactions, including anaphylaxis, schools are not sufficiently trained and confident in handling children suffering from food allergy. This study aimed to measure the improvement of school personnel's self‐efficacy in managing food allergy and anaphylaxis at school after a specific multidisciplinary training course. Methods A total of 592 teachers and school caretakers completed the School Personnel Self‐Efficacy‐Food Allergy and Anaphylaxis Questionnaire (S.PER.SE‐FAAQ) before and after the course. The median difference, along with I quartile and III quartile, in scores between baseline and post‐intervention assessment was calculated. A conditional regression tree was fitted for each outcome measured after the educational intervention. Results At baseline, school personnel reported low self‐efficacy in anaphylaxis management (AM), especially in recognizing anaphylaxis symptoms and administering proper drugs. After the specific multidisciplinary training course, all scores improved. AM scores particularly showed a significant increase. School personnel's post‐training self‐efficacy was found to be related to initial levels. Some indicative threshold values emerged. Remarkably, participants with a low self‐efficacy at baseline seemed to particularly benefit from the training. Conclusions Results highlighted the effectiveness of specific multidisciplinary training courses in improving teachers’ and school caretakers’ self‐efficacy in managing food allergy and anaphylaxis. The S.PER.SE‐FAAQ is confirmed to be an easy and helpful tool to assess the level of food allergy and anaphylaxis management in the school staff and training effectiveness.

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Section: Discussionsupporting

confidence: 90%

Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis

Polloni¹,

Baldi

Lazzarotto³

et al. 2020

Pediatric Allergy Immunology

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“…A prevenção de riscos à exposição desnecessária aos alérgenos é um grande desafio na escola, principalmente por se tratar de um ambiente coletivo, onde há o envolvimento de muitos atores. A lavagem das mãos dos profissionais, principal atividade para a prevenção e eliminação de infecções na área de saúde (Ministério da Saúde, 2013a), baseada nas diretrizes da OMS e outras organizações internacionais, foi apontada como medida importante (Oriel & Wang, 2018) para evitar a propagação de alérgenos.…”

Section: ) Melhorar a Segurança Dos Medicamentos Utilizados Nas Reaçunclassified

“…Não estabelecer uma política radical de restrição dos alérgenos nas escolas , foi considerada uma medida de alerta, pois acredita-se que criaria uma falsa sensação de segurança na escola, pois os alérgenos continuariam entrando escondidos, e o estudante alérgico estaria mais exposto. Não se pode esquecer também de reforçar a vigilância das crianças que tem diagnóstico de alergia alimentar grave (Feuille et al, 2017;Oriel & Wang, 2018) .…”

Section: ) Melhorar a Segurança Dos Medicamentos Utilizados Nas Reaçunclassified

“…Um Protocolo de Limpeza de superfícies e dos brinquedos precisa ser criado principalmente em creches e pré-escolas, onde temos bebês e crianças pequenas na fase oral, e que levam tudo a boca Oriel & Wang, 2018).…”

Section: ) Melhorar a Segurança Dos Medicamentos Utilizados Nas Reaçunclassified

“…Uma ação amplamente utilizada em outros países é o Plano de ação individualizado de emergência para alunos com alergias alimentares (Cabrera et al, 2017;NASN School Nurse, 2013;Oriel & Wang, 2018;Portnoy & Shroba, 2014;Pouessel et al, 2017;Schoessler & White, 2013;Sicherer et al, 2017;Steffens et al, 2017;Tanner & Clarke, 2016;Tsuang & Wang, 2016), onde a enfermeira escolar é a responsável pela confecção deste plano e todo manejo da criança alérgica. Outra medida apontada foi a necessidade de ampliar a cobertura de enfermeiros em todo horário escolar Pouessel et al, 2017;Senado Federal, 2018;Sicherer et al, 2017;Silva et al, 2016;Tanner & Clarke, 2016;Vale et al, 2013).…”

Section: ) Treinamento Em Primeiros Socorros E Plano De Emergênciaunclassified

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Gestão do cuidado seguro da criança alérgica ao leite: a saúde do escolar e suas perspectivas

Andrade

Brum

Messias

2020

RSD

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Implementing information and communication technology education on food allergy and anaphylaxis in the school setting

Poza‐Guedes

González‐Pérez

2021

Clinical & Translational All

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Introduction: Every year, 1/10,000 children experiences a food-anaphylactic reaction. Most of these events, including attack-related deaths, may happen during the school hours. In the current study, we assessed the influence of information and communication technologies (ICT) in the school-staff's education on food allergy and anaphylaxis (FAA). Methods:The target population of this intervention was non-university teaching centers from the local Regional Education Council, including both state and private institutions. The digital intervention was supported by the free-of-charge and open-source learning-management Aulatic Educational Platform. Structured questionnaires were developed to evaluate the educators' knowledge, feelings, and self-efficacy on FAA, in addition to a satisfaction and quality survey of the training program. Results: A total of 1748 school-educators were virtually enrolled from May 2016 to June 2020 in one of the 8-week course editions, with 80.6% of attendees successfully completing the full training. All scores concerning school-staff's basic knowledge and self-efficacy on FAA significantly improved after the educational intervention, reaching a high level of satisfaction among participants (98.5%) over the 4-year educational program. Conclusion:Our results highlighted the effectiveness of a focused e-learning activity to improve teachers and school caretakers in the management of food allergic scholars and anaphylactic reactions during the school hours.The use of ICTs tools should become an integrated part of curricular frameworks in non-university education, leading to a better care of FAA school children.

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How to manage food allergy in nursery or school

Cited by 7 publications

References 55 publications

Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis

Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis

Gestão do cuidado seguro da criança alérgica ao leite: a saúde do escolar e suas perspectivas

Implementing information and communication technology education on food allergy and anaphylaxis in the school setting

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