Current transition management of adolescents and young adults with allergy and asthma: a European survey

Ekaterina Khaleva; Marta Vazquez-Ortiz; Pasquale Comberiati; Audrey DunnGalvin; Helena Pite; Katharina Blumchen; Teresa Garriga-Baraut; Valerie Hox; Alexandra F. Santos; Claudia Gore; Rebecca C. Knibb; Cherry Alviani; Charlotte G. Mortz; Elizabeth Angier; Bettina Duca; Britt Jensen; Silvia Sanchez-Garcia; M. Hazel Gowland; Frans Timmermans; Oliver Pfaar; Graham Roberts

doi:10.1186/s13601-020-00340-z

Current transition management of adolescents and young adults with allergy and asthma: a European survey

Ekaterina Khaleva, Marta Vazquez-Ortiz, Pasquale Comberiati, Audrey DunnGalvin, Helena Pite, Katharina Blumchen, Teresa Garriga-Baraut, Valerie Hox, Alexandra F. Santos, Claudia Gore, Rebecca C. Knibb, Cherry Alviani, Charlotte G. Mortz, Elizabeth Angier, Bettina Duca, Britt Jensen, Silvia Sanchez-Garcia, M. Hazel Gowland, Frans Timmermans, Oliver PfaarGraham Roberts^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Abstract: Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.

Original language	English
Article number	40
Journal	Clinical and Translational Allergy
Volume	10
Issue number	1
DOIs	https://doi.org/10.1186/s13601-020-00340-z
Publication status	Published - 7 Oct 2020

Bibliographical note

© The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing,
adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and
the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material
in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material
is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the
permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativeco
mmons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/
zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Keywords

Adolescent
Allergy
Healthcare professional
Transition
Young adult

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Current transition management of adolescents and young adults with allergy and asthma
© The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data
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Khaleva, E., Vazquez-Ortiz, M., Comberiati, P., DunnGalvin, A., Pite, H., Blumchen, K., Garriga-Baraut, T., Hox, V., Santos, A. F., Gore, C., Knibb, R. C., Alviani, C., Mortz, C. G., Angier, E., Duca, B., Jensen, B., Sanchez-Garcia, S., Gowland, M. H., Timmermans, F., ... Roberts, G. (2020). Current transition management of adolescents and young adults with allergy and asthma: a European survey. Clinical and Translational Allergy, 10(1), Article 40. https://doi.org/10.1186/s13601-020-00340-z

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abstract = "Abstract: Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.",

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note = "{\textcopyright} The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article{\textquoteright}s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article{\textquoteright}s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativeco mmons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.",

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doi = "10.1186/s13601-020-00340-z",

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Khaleva, E, Vazquez-Ortiz, M, Comberiati, P, DunnGalvin, A, Pite, H, Blumchen, K, Garriga-Baraut, T, Hox, V, Santos, AF, Gore, C, Knibb, RC, Alviani, C, Mortz, CG, Angier, E, Duca, B, Jensen, B, Sanchez-Garcia, S, Gowland, MH, Timmermans, F, Pfaar, O & Roberts, G 2020, 'Current transition management of adolescents and young adults with allergy and asthma: a European survey', Clinical and Translational Allergy, vol. 10, no. 1, 40. https://doi.org/10.1186/s13601-020-00340-z

TY - JOUR

T1 - Current transition management of adolescents and young adults with allergy and asthma: a European survey

AU - Khaleva, Ekaterina

AU - Vazquez-Ortiz, Marta

AU - Comberiati, Pasquale

AU - DunnGalvin, Audrey

AU - Pite, Helena

AU - Blumchen, Katharina

AU - Garriga-Baraut, Teresa

AU - Hox, Valerie

AU - Santos, Alexandra F.

AU - Gore, Claudia

AU - Knibb, Rebecca C.

AU - Alviani, Cherry

AU - Mortz, Charlotte G.

AU - Angier, Elizabeth

AU - Duca, Bettina

AU - Jensen, Britt

AU - Sanchez-Garcia, Silvia

AU - Gowland, M. Hazel

AU - Timmermans, Frans

AU - Pfaar, Oliver

AU - Roberts, Graham

N1 - © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativeco mmons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

PY - 2020/10/7

Y1 - 2020/10/7

N2 - Abstract: Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.

AB - Abstract: Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.

KW - Adolescent

KW - Allergy

KW - Healthcare professional

KW - Transition

KW - Young adult

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DO - 10.1186/s13601-020-00340-z

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SN - 2045-7022

VL - 10

JO - Clinical and Translational Allergy

JF - Clinical and Translational Allergy

IS - 1

M1 - 40

ER -

Current transition management of adolescents and young adults with allergy and asthma: a European survey

Abstract

Bibliographical note

Keywords

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