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 Timmermans; Graham Roberts

doi:10.1111/all.15109

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 Timmermans

Graham Roberts^*

^*Corresponding author for this work

Faculty of Medicine University of SouthamptonSouthampton General Hospital Southampton UK
Paediatrics and Child Infectious Diseases, First Moscow State Medical University, Russia.
Section of Inflammation, Repair and Development National Heart and Lung Institute Imperial College London United Kingdom
Department of Clinical Immunology and Allergology, I.M. Sechenov First Moscow State Medical University, 119991, Moscow, Russia.
Allergy Action, St Albans, UK.
Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK.
Department of Paediatric and Adolescent Medicine, Paediatric Pneumology, Allergology and Cystic Fibrosis, University Hospital Frankfurt, Frankfurt am Main, Germany.
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Saint-Luc, Brussels, Belgium.
Department of Dermatology and Allergy Centre Odense Research Centre for Anaphylaxis (ORCA) Odense University Hospital Kloevervaenget 15 DK‐5000 Odense C Denmark
Allergy Center CUF Descobertas Hospital CUF Tejo Hospital CEDOC Chronic Diseases Research Center NOVA Medical School Faculdade de Ciências Médicas Universidade Nova de Lisboa Lisbon Portugal
Department of Otorhinolaryngology, Head and Neck Surgery Section of Rhinology and Allergy University Hospital Marburg Philipps‐Universität Marburg Marburg Germany
Children’s Allergy Service Guy’s and St Thomas’ Hospital UK Centre in Allergic Mechanisms of Asthma London United Kingdom
Allergy Department, Hospital Infantil Universitario del Niño Jesús, Madrid, Spain.
2Nederlands Anafylaxis Netwerk – European Anaphylaxis Taskforce Dordrecht The Netherlands
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
University of Southampton
Unitat d'Allergologia Pediàtrica Hospital Universitari Vall d'Hebron Barcelona Spain

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

11 Citations (Scopus)

16 Downloads (Pure)

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 language	English
Number of pages	23
Journal	Allergy
Early online date	26 Sept 2021
DOIs	https://doi.org/10.1111/all.15109
Publication status	E-pub ahead of print - 26 Sept 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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10.1111/all.15109

adolescents and young adults with allergy and or asthma
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.
Accepted author manuscript, 10.1 MB

Cite this

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., ... 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. Advance online publication. https://doi.org/10.1111/all.15109

@article{e09b68d78fae4fb29fa05ba50d018daf,

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

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 {\textquoteleft}important{\textquoteright} or {\textquoteleft}very important{\textquoteright}. 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.",

keywords = "adolescents, allergy, survey, transition, young adults",

author = "Ekaterina Khaleva and Rebecca Knibb and Audrey Dunngalvin and Marta Vazquez‐ortiz and Pasquale Comberiati and Cherry Alviani and Teresa Garriga‐baraut and Gowland, \{M Hazel\} and Claudia Gore and Elizabeth Angier and Katharina Blumchen and Bettina Duca and Val{\'e}rie Hox and Britt Jensen and Mortz, \{Charlotte G\} and Helena Pite and Oliver Pfaar and Santos, \{Alexandra F.\} and Silvia Sanchez‐garcia and Frans Timmermans and Graham Roberts",

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.",

year = "2021",

month = sep,

day = "26",

doi = "10.1111/all.15109",

language = "English",

journal = "Allergy",

issn = "0105-4538",

publisher = "Wiley-Blackwell",

}

Khaleva, E, Knibb, R, Dunngalvin, A, Vazquez‐ortiz, M, Comberiati, P, Alviani, C, Garriga‐baraut, T, Gowland, MH, Gore, C, Angier, E, Blumchen, K, Duca, B, Hox, V, Jensen, B, Mortz, CG, Pite, H, Pfaar, O, Santos, AF, Sanchez‐garcia, S, Timmermans, F & 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. https://doi.org/10.1111/all.15109

TY - JOUR

T1 - Perceptions of adolescents and young adults with allergy and/or asthma and their parents on EAACI guideline recommendations about transitional care: A European survey

AU - Khaleva, Ekaterina

AU - Knibb, Rebecca

AU - Dunngalvin, Audrey

AU - Vazquez‐ortiz, Marta

AU - Comberiati, Pasquale

AU - Alviani, Cherry

AU - Garriga‐baraut, Teresa

AU - Gowland, M Hazel

AU - Gore, Claudia

AU - Angier, Elizabeth

AU - Blumchen, Katharina

AU - Duca, Bettina

AU - Hox, Valérie

AU - Jensen, Britt

AU - Mortz, Charlotte G

AU - Pite, Helena

AU - Pfaar, Oliver

AU - Santos, Alexandra F.

AU - Sanchez‐garcia, Silvia

AU - Timmermans, Frans

AU - Roberts, Graham

N1 - 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.

PY - 2021/9/26

Y1 - 2021/9/26

N2 - 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.

AB - 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.

KW - adolescents

KW - allergy

KW - survey

KW - transition

KW - young adults

UR - https://onlinelibrary.wiley.com/doi/10.1111/all.15109

UR - https://www.scopus.com/pages/publications/85118320256

U2 - 10.1111/all.15109

DO - 10.1111/all.15109

M3 - Article

SN - 0105-4538

JO - Allergy

JF - Allergy

ER -

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

Abstract

Bibliographical note

Keywords

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