Perceptions of adolescents and young adults with allergy and/or asthma and their parents on EAACI guideline recommendations about transitional care: A European survey

Ekaterina Khaleva, Rebecca Knibb, Audrey Dunngalvin, Marta Vazquez‐ortiz, Pasquale Comberiati, Cherry Alviani, Teresa Garriga‐baraut, M Hazel Gowland, Claudia Gore, Elizabeth Angier, Katharina Blumchen, Bettina Duca, Valérie Hox, Britt Jensen, Charlotte G Mortz, Helena Pite, Oliver Pfaar, Alexandra F. Santos, Silvia Sanchez‐garcia, Frans TimmermansGraham Roberts*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background:
The European Academy of Allergy and Clinical Immunology has developed a guideline to provide evidence-based recommendations for healthcare professionals to support the transitional care of adolescents and young adults (AYA) with allergy and/or asthma. The goal of this work was to ensure that the draft recommendations are also important for patients.

Methods:
We surveyed patients aged 11-25 years with allergy and/or asthma and their parents across Europe between 17th February and 16th March 2020. The multilingual survey was distributed through national allergy and asthma patient organisations in Europe as well as through social media.

Results:
A total of 1210 responses from 24 European countries were collected. There were 415 (34.3%) AYA and 795 (65.7%) parents. The majority of AYA (72.3%) and parents (81.9%) were female. Patients had a history of asthma (61.1%), allergic rhinoconjunctivitis (54.1%), food allergy (53.8%), atopic eczema (42.6%), and anaphylaxis (28.8%). All recommendations achieved the median score of either ‘important’ or ‘very important’. The least supported recommendations were the use of joint clinics with both paediatric and adult physicians attending and the use of web-based or mobile technologies for communication with the AYA. The most supported recommendation was checking that the AYA is knowledgeable and compliant with their prescribed medication. Qualitative analysis revealed conditional approval for some recommendations.

Conclusions:
There was agreement from patients and parents on the importance of the draft recommendations on transitional care for adolescents and young adults with allergy and/or asthma and their parents. The recommendations now need to be implemented into clinical practice across Europe.
Original languageEnglish
Number of pages23
JournalAllergy
Early online date26 Sep 2021
DOIs
Publication statusE-pub ahead of print - 26 Sep 2021

Bibliographical note

This is the peer reviewed version of the following article: Khaleva, E., Knibb, R., DunnGalvin, A., Vazquez-Ortiz, M., Comberiati, P., Alviani, C., Garriga-Baraut, T., Gowland, M.H., Gore, C., Angier, E., Blumchen, K., Duca, B., Hox, V., Jensen, B., Mortz, C.G., Pite, H., Pfaar, O., Santos, A.F., Sanchez-Garcia, S., Timmermans, F. and Roberts, G. (2021), Perceptions of adolescents and young adults with allergy and/or asthma and their parents on EAACI guideline recommendations about transitional care: A European survey. Allergy. Accepted Author Manuscript, which has been published in final form at https://doi.org/10.1111/all.15109. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

Keywords

  • adolescents
  • allergy
  • survey
  • transition
  • young adults

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