PMID- 25594910
OWN - NLM
STAT- MEDLINE
DCOM- 20160328
LR  - 20150703
IS  - 1440-1754 (Electronic)
IS  - 1034-4810 (Linking)
VI  - 51
IP  - 7
DP  - 2015 Jul
TI  - Factors impacting parental burden in food-allergic children.
PG  - 696-8
LID - 10.1111/jpc.12794 [doi]
AB  - AIM: This study aims to determine factors impacting the parental burden in 
      immunoglobulin E (IgE)-mediated food-allergic children (FAC), focusing on 
      attitudes towards adrenaline autoinjectors (AAIs). METHODS: Questionnaires were 
      sent to parents of diagnosed IgE-mediated FAC attending follow-up allergy clinic 
      appointments at two Sydney hospitals in May-September 2013. The questionnaires 
      ascertained parental attitudes, confidence and knowledge regarding AAIs and 
      included the validated, Food Allergy Quality of Life-Parental Burden (FAQL-PB) 
      questionnaire. RESULTS: The response rate was 68%. Of FAC, 62% were male aged 
      1-17 years (median 6.0). There was a high proportion of children with multiple 
      food allergies (52% allergic to >2 foods), coexistant eczema (85%) and asthma 
      (54%). Sixty-three per cent reported a past history of anaphylaxis and 42% 
      reported reactions in the last 6 months. AAI had been prescribed for 84%. FAC 
      with a history of anaphylaxis were more likely to have had an AAI prescribed (P < 
      0.0001). There was no difference in FAQL-PB mean scores with age or AAI 
      prescription status. The PB score was greater if the parent had administered the 
      AAI (P = 0.02) and where the child was allergic to >2 foods (P < 0.0001).The 
      Ninety per cent of parents reported that the AAI increased or did not change the 
      child's quality of life, the family or FACs freedom. Three per cent of parents 
      whose FAC children were prescribed an AAI reported increased stress related to 
      AAI prescription. CONCLUSION: Severity of food allergy, number of food allergens 
      and past anaphylaxis rather than prescription of an AAI appear to be major 
      influences on parental burden.
CI  - (c) 2015 The Authors. Journal of Paediatrics and Child Health (c) 2015 Paediatrics 
      and Child Health Division (Royal Australasian College of Physicians).
FAU - Allen, Clare W
AU  - Allen CW
AD  - Department of General Medicine, The Children's Hospital at Westmead, Sydney, New 
      South Wales, Australia.
AD  - Discipline of Paediatrics and Child Health, University of Sydney, Sydney, New 
      South Wales, Australia.
AD  - Department of Clinical Immunology and Allergy, Royal North Shore Hospital, 
      Sydney, New South Wales, Australia.
FAU - Bidarkar, Manasee S
AU  - Bidarkar MS
AD  - Allergy and Immunology, The Children's Hospital at Westmead, Sydney, New South 
      Wales, Australia.
AD  - Discipline of Paediatrics and Child Health, University of Sydney, Sydney, New 
      South Wales, Australia.
FAU - vanNunen, Sheryl A
AU  - vanNunen SA
AD  - Sydney Medical School - Northern, University of Sydney, Sydney, New South Wales, 
      Australia.
AD  - Department of Clinical Immunology and Allergy, Royal North Shore Hospital, 
      Sydney, New South Wales, Australia.
FAU - Campbell, Dianne E
AU  - Campbell DE
AD  - Allergy and Immunology, The Children's Hospital at Westmead, Sydney, New South 
      Wales, Australia.
AD  - Discipline of Paediatrics and Child Health, University of Sydney, Sydney, New 
      South Wales, Australia.
LA  - eng
PT  - Journal Article
DEP - 20150115
PL  - Australia
TA  - J Paediatr Child Health
JT  - Journal of paediatrics and child health
JID - 9005421
RN  - 0 (Sympathomimetics)
RN  - 37341-29-0 (Immunoglobulin E)
RN  - YKH834O4BH (Epinephrine)
SB  - IM
MH  - Adolescent
MH  - Anaphylaxis/drug therapy/immunology/*psychology
MH  - *Attitude to Health
MH  - Child
MH  - Child, Preschool
MH  - *Cost of Illness
MH  - Epinephrine/therapeutic use
MH  - Female
MH  - Food Hypersensitivity/drug therapy/immunology/*psychology
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Immunoglobulin E
MH  - Infant
MH  - Injections
MH  - Male
MH  - Parents/*psychology
MH  - *Quality of Life
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
MH  - Sympathomimetics/therapeutic use
OTO - NOTNLM
OT  - adrenaline auto injector
OT  - food allergy
OT  - parental burden
OT  - quality of life
EDAT- 2015/01/17 06:00
MHDA- 2016/03/29 06:00
CRDT- 2015/01/17 06:00
PHST- 2015/11/11 00:00 [accepted]
PHST- 2015/01/17 06:00 [entrez]
PHST- 2015/01/17 06:00 [pubmed]
PHST- 2016/03/29 06:00 [medline]
AID - 10.1111/jpc.12794 [doi]
PST - ppublish
SO  - J Paediatr Child Health. 2015 Jul;51(7):696-8. doi: 10.1111/jpc.12794. Epub 2015 
      Jan 15.