Abstract
Adolescent and young adult (AYA) patients need additional support while they experience the challenges associated with their
age. They need specific training to learn the knowledge and skills required to confidently self-manage their allergies and/or
asthma. Transitional care is a complex process which should address the psychological, medical, educational and vocational
needs of AYA in the developmentally appropriate way. The European Academy of Allergy and Clinical Immunology has
developed a clinical practice guideline to provide evidence-based recommendations for healthcare professionals to support the
transitional care of AYA with allergy and/or asthma. This guideline was developed by a multi-disciplinary working panel of
experts and patient representatives based on two recent systematic reviews. It sets out a series of general recommendations
on operating a clinical service for AYA, which include: (i) starting transition early (11-13 years), (ii) using a structured,
multidisciplinary approach, (iii) ensuring AYA fully understand their condition and have resources they can access, (iv) active monitoring of adherence and (v) discussing any implications for further education and work. Specific allergy and asthma
transition recommendations include (i) simplifying medication regimes and using reminders; (ii) focusing on areas where AYA
are not confident and involving peers in training AYA patients; (iii) identifying and managing psychological and socioeconomic
issues impacting disease control and quality of life; (iv) enrolling the family in assisting AYA to undertake self-management
and (v) encouraging AYA to let their friends know about their allergies and asthma. These recommendations may need to be
adapted to fit into national healthcare systems.
age. They need specific training to learn the knowledge and skills required to confidently self-manage their allergies and/or
asthma. Transitional care is a complex process which should address the psychological, medical, educational and vocational
needs of AYA in the developmentally appropriate way. The European Academy of Allergy and Clinical Immunology has
developed a clinical practice guideline to provide evidence-based recommendations for healthcare professionals to support the
transitional care of AYA with allergy and/or asthma. This guideline was developed by a multi-disciplinary working panel of
experts and patient representatives based on two recent systematic reviews. It sets out a series of general recommendations
on operating a clinical service for AYA, which include: (i) starting transition early (11-13 years), (ii) using a structured,
multidisciplinary approach, (iii) ensuring AYA fully understand their condition and have resources they can access, (iv) active monitoring of adherence and (v) discussing any implications for further education and work. Specific allergy and asthma
transition recommendations include (i) simplifying medication regimes and using reminders; (ii) focusing on areas where AYA
are not confident and involving peers in training AYA patients; (iii) identifying and managing psychological and socioeconomic
issues impacting disease control and quality of life; (iv) enrolling the family in assisting AYA to undertake self-management
and (v) encouraging AYA to let their friends know about their allergies and asthma. These recommendations may need to be
adapted to fit into national healthcare systems.
| Original language | English |
|---|---|
| Pages (from-to) | 2734-2752 |
| Number of pages | 19 |
| Journal | Allergy: European Journal of Allergy and Clinical Immunology |
| Volume | 75 |
| Issue number | 11 |
| Early online date | 19 Jun 2020 |
| DOIs | |
| Publication status | Published - 1 Nov 2020 |
Bibliographical note
This is the peer reviewed version of the following article: oberts, G., Vazquez‐Ortiz, M., Knibb, R., Khaleva, E., Alviani, C., Angier, E., Blumchen, K., Comberiati, P., Duca, B., DunnGalvin, A., Garriga‐Baraut, T., Gore, C., Gowland, M.H., Hox, V., Jensen, B., Mortz, C.G., Pfaar, O., Pite, H., Santos, A.F., Sanchez‐Garcia, S. and Timmermans, F. (2020), EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma. Allergy. Accepted Author Manuscript, which has been published in final form at https://doi.org/10.1111/all.14459. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.Keywords
- adolescent
- allergy
- asthma
- food allergy
- rhinoconjunctivitis
- teenager
- transition
- young adult