Psychosocial Adjustment and Adherence among Youth with Food Allergy

食物过敏青少年的心理社会调整和依从性

基本信息

批准号：
9977909
负责人：
Linda Herbert
金额：
$ 13.26万
依托单位：
CHILDREN'S RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-08-10 至 2021-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9977909
关键词：
Address Adherence Adolescence Advisory Committees Affect Age Allergens Allergic Reaction Anaphylaxis Anxiety Behavior Behavioral Caring Child Child Care Child Support Childhood Clinic Clinical Communities Data Diagnosis Direct Costs Ensure Epinephrine Facilities and Administrative Costs Family Food Food Hypersensitivity Funding Goals Health Health Food Health behavior Health system Hypersensitivity Individual Intervention Interview K-Series Research Career Programs Measures Medical Mentored Patient-Oriented Research Career Development Award Mentors Modeling Outcome Parents Participant Patient Care Personality Population Population Heterogeneity Positioning Attribute Poverty Predisposition Psychosocial Assessment and Care Quality of life Race Reaction Reporting Research Research Methodology Research Personnel Research Project Grants Research Training Risk Sampling Schools Severities Statistical Methods Testing Time Training Treatment Cost Treatment Efficacy United States Work Youth base biopsychosocial bullying career development clinical care coping cost estimate critical period executive function experience follow-up health belief improved innovation medical food multidisciplinary patient oriented peer peer support post intervention prevent psychosocial psychosocial adjustment public health relevance satisfaction sex skills social socioeconomics therapy design therapy development young adult

项目摘要

DESCRIPTION (provided by applicant): The goals of this Mentored Patient-Oriented Research Career Development Award (K23) are to 1) identify facilitators and barriers of child food allergy-related anxiety, quality of life, and adherence (defined as allergen avoidance and epinephrine carriage) and 2) develop a pilot intervention to promote food allergy adjustment and adherence that can ultimately be implemented into food allergy clinics. Current estimates indicate 4-8% of children in the United States are diagnosed with food allergy, and more than 40% of US children with food allergy experience severe allergic reactions. The majority of fatal food allergic reactions occur during adolescence and young adulthood, indicating that adolescence is a period of risk for reduced allergen avoidance and epinephrine carriage. Food allergy also leads to significant parent and child anxiety regarding allergen exposure with marked effects on quality of life, and at least 1/3 of children experience food allergy- related bullying. The proposed research project will include 1) longitudinal assessment of psychosocial functioning and adherence among 150 children (ages 10-14) with at least one of the 8 most common food allergies to identify facilitators and barriers to healthy food allergy psychosocial adjustment and adherence, 2) qualitative assessment of 30 parent-child dyads from the longitudinal assessment to further identify key facilitators and barriers, and 3) a 4 session pilot intervention with 20 children with food allergy (ages 10-14) to assess the impact of the intervention on food allergy anxiety, quality of life, and adherence. Specific short-term training goals of this K23 award include 1) training in peer relationships assessment and intervention development, 2) training in advanced statistical methods and innovative clinical intervention approaches, and 3) advanced training in medical food allergy management. The proposed research and training plan will be supported by a multidisciplinary mentor and scientific advisory team with expertise in the medical and behavioral fields of pediatric food allergy, clinical intervention design and implementation, peer relationships, diversity factors related to health behavior, and advanced research methods, as well as the institutional support of Children's National Health System. The candidate's long-term goal is to be an independent investigator who develops and investigates innovative patient-oriented clinical interventions that promote healthy coping and adherence/illness management behaviors among youth with food allergy from diverse backgrounds. The unique, longitudinal data regarding youth with food allergy that will be collected and the clinical intervention that will be developed as part of this K23 will directly position the candidate as a competitive candidate for funding as an independent investigator. This research has the potential for high impact in the community of youth with food allergy and may have direct implications on its medical and psychosocial management.

描述（适用提供）：这项受过指导的以患者为导向的研究职业发展奖（K23）的目标是1）确定与儿童食物过敏相关的动画，生活质量和依从性（定义为过敏原和肾上腺素的携带者）的促进者和障碍，并促进食品促进食品的临时性调整，以促进食物促进式促进食物。目前的估计表明，美国有4-8％的儿童被诊断出患有食物过敏，超过40％的食物过敏儿童经历了严重的过敏反应。大多数致命的食物过敏反应发生在青春期和成年期间，这表明青少年是避免过敏原和肾上腺素载体降低的风险。食物过敏还会导致有关过敏原暴露的父母和儿童焦虑，对生活质量产生明显影响，至少有1/3的儿童经历食物过敏 - 相关的欺凌。拟议的研究项目将包括1）对150名儿童（10-14岁）的心理社会功能和依从性的纵向评估，至少有8种最常见的食物过敏中的一种，以确定健康食品过敏的心理社会心理适应和依从性的促进者和障碍，2）对30个朝鲜的近距离评估和30个近距离评估，并进一步识别一位近距离的人，以进一步确定一位近距离的人，以进一步识别一位近距离的人，以进一步确定一位近距离评估。飞行员与20名患有食物过敏的儿童（10-14岁）的干预，以评估干预对食物过敏动画，生活质量和依从性的影响。该K23奖的特定短期培训目标包括1）同伴关系评估和干预开发的培训，2）先进的统计方法和创新的临床干预方法培训，以及3）医疗食品过敏管理的高级培训。拟议的研究和培训计划将得到一个多学科心态和科学咨询团队的支持，该团队在儿科食品过敏，临床干预设计和实施，同伴关系，与健康行为相关的多样性以及高级研究方法以及儿童国家健康系统的机构支持方面具有专业知识。候选人的长期目标是成为一名独立的研究者，他开发和调查了创新的以患者为导向的临床干预措施，以促进来自潜水员背景的食物过敏的年轻人的健康应对和理解/疾病管理行为。有关将收集食物过敏的青年的独特，纵向数据以及将作为该K23的一部分开发的临床干预措施将直接将候选人作为竞争性候选人作为独立研究员的竞争候选人。这项研究有可能在食物过敏的青年社区中产生重大影响，并可能对其医疗和社会心理管理产生直接影响。