Acceptability, feasibility, and initial results from a behavioral intervention for early adolescents with food allergy: The Food Allergy Mastery Program

Herbert, Linda; Ramos, Ashley; Cooke, Frances; Shih, Sharon

doi:10.1016/j.jaci.2022.12.625

Cited by 1 publication

(8 citation statements)

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“…Interventions focused on the management of anxiety, stress and/or depression, improvement of coping or problem‐solving skills and self‐efficacy. One also assisted parents in transitioning FA management responsibility to their child 16 . Outcome measures included QoL, self‐efficacy, stress, intolerance of uncertainty, anxiety, worry, depression, and perceived social support.…”

Section: Resultsmentioning

confidence: 99%

“…• 88% children enjoyed the workshop a lot; 62% rated medical States (n = 7), [10][11][12][13][14][15][16] or the UK (n = 4). [17][18][19][20] Intervention types were based on CBT (n = 7) 10,11,[16][17][18][19][20] psycho-education (n = 1), 14 peer mentoring (n = 1) 15 ; self-regulation theory (n = 1) 12 ; and coping (n = 1). 13 Only two interventions were for children only, 10,13 three were for children and parents 11,14,16 and six for parents only.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…[17][18][19][20] Intervention types were based on CBT (n = 7) 10,11,[16][17][18][19][20] psycho-education (n = 1), 14 peer mentoring (n = 1) 15 ; self-regulation theory (n = 1) 12 ; and coping (n = 1). 13 Only two interventions were for children only, 10,13 three were for children and parents 11,14,16 and six for parents only. 12,15,[17][18][19][20] No interventions were found for other family members.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…One also assisted parents in transitioning FA management responsibility to their child. 16 Outcome measures included QoL, self-efficacy, stress, intolerance of uncertainty, anxiety, worry, depression, and perceived social support. Health outcomes such as adherence or food allergy reactions were not generally measured; however, one intervention assessed food allergy knowledge, 16 one measured medical information such as number of anaphylactic reactions pre and post the intervention 14 and the intervention for oral immunotherapy 11 measured dose adherence and IgE/IgG4 levels.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…[18][19][20] One study developed an intervention for children and parents for oral immunotherapy. 11 The Food Allergy Mastery (FAM) program 16 was developed for children and parents and consisted of six sessions that could be delivered by a masterslevel counselor via telehealth over 3 months. Five of the sessions are held with the child and caregiver, with the sixth run as a peer group session.…”

Section: Cognitive Behavioral Therapy Interventions For a General Foo...mentioning

confidence: 99%

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Psychological support needs for children with food allergy and their families: A systematic review

Knibb,

Jones,

Herbert

et al. 2024

Pediatric Allergy Immunology

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This systematic review aimed to review the evidence for psychological support for children with food allergies and their families, identify effective psychological interventions, and highlight the support needs for this group. A systematic search was undertaken across six databases (up to October 2023). Articles were checked by three reviewers for inclusion. Study data were extracted, and quality was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was undertaken. A total of 11 papers were included (n = 838 participants). Intervention types were based on cognitive behavioral therapy (CBT; n = 7); psycho‐education (n = 1); peer mentoring (n = 1); self‐regulation theory (n = 1); and coping (n = 1). Two interventions were for children only, three were for children and parents and six for parents only. Cognitive behavioral therapy‐based interventions with highly anxious parents or children or those facilitated by a psychologist showed significant improvements with moderate‐to‐large effect sizes. The one self‐help CBT‐based online program showed no effects. Other intervention types reported mainly trends in improvement due to small sample sizes. Most interventions were aimed at supporting children or parents in day‐to‐day management of food allergy, measuring outcomes such as quality of life, self‐efficacy, anxiety, worry, and depression. One intervention was designed to assist with oral immunotherapy outcomes. The majority of the studies had small sample sizes and were feasibility or proof‐of‐concept studies. Available research evidence points to effectiveness of facilitated CBT‐based interventions for those that have high food allergy‐related anxiety, but as many studies have small sample sizes and few report effect sizes, no firm conclusions can yet be drawn. A stepped care approach is likely to be useful for this population. Research using large interventional designs, particularly for children and adolescents, are needed.

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Section: Resultsmentioning

confidence: 99%