Evaluation of a Behavioral Intervention to Promote Food Allergy Self-Management Among Early Adolescents

促进青少年食物过敏自我管理的行为干预评估

基本信息

批准号：
10586326
负责人：
Linda Herbert
金额：
$ 56.53万
依托单位：
CHILDREN'S RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-11-01 至 2027-10-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10586326
关键词：
Accidents Address Adherence Adolescence Adolescent Affect Age Allergens Allergic Reaction Anaphylaxis Anxiety Assertiveness Asthma Attenuated Award Baltimore Behavior Behavior Therapy Caregivers Child Health Chronic Disease Clinical Communication Development Early Intervention Eating Education Emergency Care Emergency Situation Emergency treatment Epinephrine Ethnic Origin Evaluation Exposure to Focus Groups Food Food Hypersensitivity Food Safety Fright Health Professional Health behavior Home Ingestion Intervention Knowledge Knowledge Management Life Minor National Institute of Allergy and Infectious Disease Outcome Parents Participant Patients Pilot Projects Population Probability Problem Solving Quality of life Race Randomized Reporting Research Research Project Grants Risk Risk Reduction Self Efficacy Self Management Social support Stress Training United States Variant Visit Work Youth acceptability and feasibility anxiety management arm bullying care systems comorbidity critical developmental period early adolescence emergency preparedness evidence base executive function experience follow-up food allergen group intervention health care service utilization health disparity high risk high risk population improved mental training novel peer peer support prevent primary caregiver programs psychosocial self-management program skills social skills socioeconomics treatment as usual treatment response young adult

项目摘要

PROJECT SUMMARY / ABSTRACT Food allergy is highly prevalent, burdensome, and stressful. Food allergy affects up to 7% of adolescents in the United States, or two adolescents in every classroom. Anaphylaxis, a multi-systemic allergic reaction, can be fatal if not treated with epinephrine quickly, and can only be prevented by strict allergen avoidance. The daily burden of allergen avoidance, fear about allergen exposure and emergency treatment, and food allergy-related bullying can incur stress and anxiety on patients and caregivers and is related to lower quality of life. Daily adherence to allergen avoidance and emergency preparedness is challenging, particularly during early adolescence when executive functioning skills are still developing, conformity to peer norms are predominant, and food allergy management responsibility shifts from caregiver to adolescent. Most fatal food-induced anaphylaxis cases occur during adolescence/young adulthood when allergens are unknowingly ingested away from home, treatment with epinephrine is delayed, and/or asthma is comorbid. Early adolescents need to be equipped with the skills and self-efficacy to engage in food allergy self-management behaviors that minimize accidental allergen exposures and increase the probability of prompt treatment. Behavioral interventions that promote illness self-management and adjustment are common in other chronic illness populations. However, there are no evidence-based behavioral interventions that promote early adolescent food allergy self- management. The proposed research project will evaluate a novel behavioral intervention that promotes early adolescent food allergy self-management and adjustment through 1) food allergy education, 2) problem-solving, communication, assertiveness, and anxiety management skill building, and 3) peer support. The Food Allergy Mastery (FAM) program is a 6-session food allergy self-management program that will be delivered to early adolescents with food allergy, a high-risk population that is growing in size, and a primary caregiver by a trained interventionist. The specific aims are: 1) To evaluate the intervention’s impact on food allergy knowledge and self-management skills, 2) To determine the intervention’s impact on food allergy self-management behavior and psychosocial functioning and healthcare utilization, and as an exploratory aim 3) to determine if early adolescents’ race/ethnicity moderates response to treatment, including food allergy knowledge, skills, self- management behavior, psychosocial functioning, and healthcare utilization. The study has the potential to positively impact the health care utilization of youth with food allergy by evaluating a scalable behavioral intervention for adolescents and their caregivers. The intervention will equip youth with food allergy knowledge and self-management skills by bolstering their food allergy-related knowledge and problem-solving, social skills, and social support and attenuating food allergy anxiety. Successful development and implementation of the FAM Program that promotes the attainment of integration of food allergy into daily life has the potential to decrease health care utilization reducing emergency visits and improve food allergy-related quality of life.

项目摘要 /摘要食物过敏是高度普遍，朴实的和压力很大的。食物过敏会影响多达7％的青少年在每个教室中的美国，或两个青少年。过敏反应，一种多系统的过敏反应，可以是如果未用肾上腺素治疗的致命，则只能通过严格的避免过敏原治疗。每天避免过敏原的负担，对过敏原暴露和紧急治疗以及与食物过敏有关的负担欺凌会对患者和看护人产生压力和焦虑，并且与生活质量较低有关。日常的遵守过敏原避免和应急准备是挑战的，尤其是在早期青少年在执行职能技能仍在发展时，符合同伴规范的一致性是主导的，食物过敏管理责任从照顾者转变为青少年。最致命的食物引起的过敏反应发生在青春期/年轻成年期间发生过敏原时未知摄入过敏原时发生在家中，肾上腺素的治疗被延迟，/或哮喘合并症。早期的青少年需要配备了从事食物过敏自我管理行为的技能和自我效能意外过敏原暴露并增加迅速治疗的可能性。行为干预措施在其他慢性疾病人群中，促进疾病的自我管理和调整很常见。然而，没有基于证据的行为干预措施可以促进早期的青春期食物过敏自我管理。拟议的研究项目将评估一种新型的行为干预措施，以提早促进青春期食物过敏的自我管理和调整1）食物过敏教育，2）解决问题，沟通，自信和动画管理技能构建以及3）同伴支持。食物过敏掌握（FAM）计划是一项六阶段的食物过敏自我管理计划，将交付给早期食物过敏的青少年，大小的高风险人口以及受过训练的初级护理人员干预主义者。具体目的是：1）评估干预措施对食物过敏知识的影响和自我管理能力，2）确定干预对食物过敏自我管理行为的影响和社会心理功能和医疗保健利用，作为探索性目的3）确定是否早期青少年的种族/种族适度对治疗的反应，包括食物过敏知识，技能，自我管理行为，社会心理功能和医疗保健利用。该研究有可能通过评估可扩展行为的食物过敏，对青年的医疗保健利用产生积极影响干预青少年及其护理人员。干预措施将为青年提供食物过敏知识通过加强与食物过敏相关的知识和解决问题，社交技能，以及社会支持和衰减食物过敏动画。成功发展和实施FAM 促进食物过敏到日常生活的属性的计划有可能减少医疗保健利用减少紧急就诊并改善与食物过敏相关的生活质量。