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 Pfaar

Graham Roberts^*

^*Corresponding author for this work

grid.5491.9 0000 0004 1936 9297 Faculty of Medicine University of Southampton Southampton UK
grid.7445.2 0000 0001 2113 8111 Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London London UK
grid.5395.a 0000 0004 1757 3729 Department of Clinical and Experimental Medicine, Section of Paediatrics University of Pisa Pisa Italy; grid.448878.f 0000 0001 2288 8774 Department of Clinical Immunology and Allergology I.M. Sechenov First Moscow State Medical University Moscow Russia
grid.7872.a 0000000123318773 Applied Psychology and Paediatrics and Child Health University College Cork Cork Ireland; grid.448878.f 0000 0001 2288 8774 Paediatrics and Child Infectious Diseases, First Moscow State Medical University Moscow Russia
grid.421304.0 Allergy Center, CUF Descobertas Hospital and CUF Infante Santo Hospital Lisbon Portugal; grid.10772.33 0000000121511713 CEDOC, Chronic Diseases Research Center, NOVA Medical School/Faculdade de Ciências Médicas Universidade Nova de Lisboa Lisbon Portugal
grid.411088.4 0000 0004 0578 8220 Department of Paediatric and Adolescent Medicine, Paediatric Pneumology, Allergology and Cystic Fibrosis University Hospital Frankfurt Frankfurt Am Main Germany
grid.411083.f 0000 0001 0675 8654 Unitat d’Allergologia Pediàtrica Hospital Universitari Vall d’Hebron Barcelona Spain; grid.411083.f 0000 0001 0675 8654 Grup d’Investigació “Creixement i Desenvolupament”, Institut de Recerca de l’Hospital Universitari Vall d’Hebron (VHIR) Barcelona Spain
grid.410569.f 0000 0004 0626 3338 Department of Otorhinolaryngology, Head and Neck Surgery University Hospitals Saint-Luc Brussels Belgium
grid.13097.3c 0000 0001 2322 6764 Department of Women and Children’s Health (Paediatric Allergy, School of Life Course Sciences, Faculty of Life Sciences and Medicine King’s College London London UK; grid.13097.3c 0000 0001 2322 6764 Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences King’s College London London UK; grid.425213.3 Children’s Allergy Service Guy’s and St Thomas’ Hospital London UK; grid.453156.0 0000 0000 9981 854X Asthma UK Centre in Allergic Mechanisms of Asthma London UK
grid.7445.2 0000 0001 2113 8111 Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London London UK; grid.417895.6 0000 0001 0693 2181 Department of Paediatrics Imperial College Healthcare NHS Trust London UK
grid.5491.9 0000 0004 1936 9297 Faculty of Medicine University of Southampton Southampton UK; The David Hide Asthma and Allergy Research Centre, St Mary’s Hospital Isle of Wight UK
grid.7143.1 0000 0004 0512 5013 Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA) Odense University Hospital Odense Denmark
grid.5491.9 0000 0004 1936 9297 Primary Care and Population Sciences, University of Southampton Southampton UK
grid.411107.2 0000 0004 1767 5442 Allergy Department Hospital Infantil Universitario del Niño Jesús Madrid Spain
Allergy Action, St Albans, UK.
Nederlands Anafylaxis Netwerk - European Anaphylaxis Taskforce, Dordrecht, The Netherlands.
grid.10253.35 0000 0004 1936 9756 Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy University Hospital Marburg, Philipps-Universität Marburg Marburg Germany
grid.5491.9 0000 0004 1936 9297 Faculty of Medicine University of Southampton Southampton UK; The David Hide Asthma and Allergy Research Centre, St Mary’s Hospital Isle of Wight UK; grid.430506.4 NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust Southampton UK

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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.

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.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Adolescent
Allergy
Healthcare professional
Transition
Young adult

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10.1186/s13601-020-00340-zLicence: CC BY 3.0

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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Cite this

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.",

keywords = "Adolescent, Allergy, Healthcare professional, Transition, Young adult",

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

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.",

year = "2020",

month = oct,

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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

UN SDGs

Keywords

Access to Document

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Cite this