Food Allergy Knowledge, Attitudes, and Beliefs of Primary Care Physicians

Gupta, Ruchi S.; Springston, Elizabeth E.; Kim, Jennifer; Smith, Bridget; Pongracic, Jacqueline A.; Wang, Xiaobin; Holl, Jane L.

doi:10.1542/peds.2009-1116

Cited by 98 publications

(103 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pediatricians who participated in the study mentioned above stated that the poor adherence rates are often due to a lack of familiarity with management guidelines and uncertainty about the pediatrician's role in food allergy management. 6 Although physician knowledge was noted to increase as a result of the educational intervention, this increased knowledge did not improve physician practice. Potential reasons for the lack of change in physician practice may be issues of time constraints and difficulty navigating within the EMR.…”

Section: Discussionmentioning

confidence: 96%

“…The rates of allergy referrals, epinephrine prescriptions, and emergency action plans at our clinic were similar to a recent study of general pediatricians, which showed that 67% of children diagnosed with food allergies are referred to an allergist, 45% are given a prescription for injectable epinephrine, and emergency action plans are provided to 6%. 6 On average, pediatricians comply with the NIAID food allergy management guidelines in two of five areas. Pediatricians who participated in the study mentioned above stated that the poor adherence rates are often due to a lack of familiarity with management guidelines and uncertainty about the pediatrician's role in food allergy management.…”

Section: Discussionmentioning

confidence: 99%

“…The test that was used included validated questions from The Chicago Food Allergy Research Survey for Primary Care Physicians. 6 …”

Section: Educational Interventionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of educational and electronic medical record interventions on food allergy management

Zelig

Harwayne‐Gidansky²,

Gault³

et al. 2016

allergy asthma proc

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of educational and electronic medical record interventions on food allergy management

Zelig

Harwayne‐Gidansky²,

Gault³

et al. 2016

allergy asthma proc

View full text Add to dashboard Cite

show abstract

“…Participants did not have prior knowledge on the objectives of the study. The survey consisted of some questions that were mainly based on the validated questionnaire and guidelines (13,14). The questionnaires included questions on the demographic characteristics of the participants and their knowledge and attitudes regarding the symptoms, severity, triggers, some hidden food content such as dairy, eggs and management of food allergies including the effects of cooking methods on food allergenicity and procedures causing crosscontact.…”

Section: Methodsmentioning

confidence: 99%

The Level of Knowledge of Dietitians About Dietary Management of Children with Food Allergy

Giniş¹,

Koç²,

Güvenir³

et al. 2016

Asthma Allergy Immunol

View full text Add to dashboard Cite

ÖZGiriş: Çalışmada beslenme ve diyet uzman ve öğrencilerinin besin allerjisi ile ilgili bilgi düzeyleri değerlendirilmiştir. Gereç ve yöntem:Diyetisyenler ve diyet bölümü öğrencilerinin besin allerjisi yönetimi konusunda bilgileri bir anket yoluyla incelenmiştir.Bulgular: Dağıtılan 150 anketin, 122'si geçerli anket olarak döndü. Yanıtlama oranı %81.3 idi. Tüm katılımcıların %51.4'ü hastanede çalışmaktaydı. Katılımcıların yaklaşık %60'ı kendilerini besin allerjisinin bazı klinik belirtilerini ayırt etme, eliminasyon diyetleri geliştirme, allerjenlerden sakınma eğitim bilgilerini ve inek sütü allerjili çocukların diyet yönetimi konusundaki bilgi düzeylerini orta derece olarak değerlendirmişti. Katılımcıların sadece %72.1'i besinlerin anafilaksiye neden olabileceğini doğru cevaplandırdı. Katılımcıların yaklaşık %40'ı gıda allerjenlerinin bıçak ve kaşıklar gibi servis araçları vasıtasıyla iletilebileceğini bilmiyordu ve pişirilirken gıda buharının allerjik reaksiyonlara neden olmayacağını düşünmüştü. Katılımcıların yaklaşık %60'ı da gıdalara dokunmanın asla allerjik reaksiyonlara neden olmadığını düşünmüştü. İnek sütü allerjili çocuklar için tüm katılımcıların sadece %18.9'u aminoasit bazlı formüla, %23 tam hidrolize formüla, %39.3 laktoz içermeyen formüla verilebileceğini önermişti. ABSTRACTObjective: The aim of this study was to evaluate the knowledge of dietitians and dietetic students about food allergy in order to develop suggestions for educational activities. Materials and Methods:Dietitians and dietetics students were surveyed via a questionnaire aimed to document their knowledge about food allergy management. Results:Of the 150 questionnaires distributed, 122 valid questionnaires were returned. The response rate was 81.3%. Of all the respondents, 51.4% were working in a hospital. About sixty percent of respondents rated themselves 'moderate' for identifying some clinical manifestations of FA, developing elimination diets, providing avoidance education, managing the dietary needs of children with cows' milk allergy (CMA). Only 72.1% of respondents answered the questions about foods that can cause anaphylaxis correctly. About forty percent of respondents did not recognize that food allergens could be transmitted by means of tools used for service such as knives and spoons and thought that smoke of the cooking food does not cause allergy. About sixty percent of respondents also thought that touching the food never causes allergic reactions. Of all the respondents, only about 18.9% suggested amino acid based formulas for children with CMA, 23% suggested fully hydrolized formulas and 39.3% thought that lactose free formulas can be given to patients with CMA.

show abstract

“…12 One exception is Finland, with its National Allergy Program which includes standardised approaches and systematic educational efforts. 13 Consequently, several European bodies are currently focusing their efforts in either standardising, or lobbying for, improved allergy education in both specialist and primary care.…”

mentioning

confidence: 99%

The vital need for Allergy Training: removing the doubts

Papadopoulos

Savvatianos

2013

Primary Care Respiratory Journal

View full text Add to dashboard Cite

EditorialsAllergic disorders are probably the most common chronic diseases worldwide. While variations in reported prevalence across different countries exist, depending on geographical particularities and methodological heterogeneity between studies, it is universally demonstrated that the number of allergic patients has risen profoundly over the second half of the last century, posing significant morbidity, impaired quality of life and financial burden on healthcare systems in westernised countries. In the UK, which is among the countries with the highest incidence worldwide, 1 it has recently been estimated that about one-third of the entire population is affected by some type of allergic disease at some point in their lives.2 Although the demands for allergy services are burgeoning, only a small number of allergy specialists and dedicated allergy clinics are generally available.3 Within the UK National Health Service (NHS), the responsibility for diagnosis and management of the vast majority of these allergic patients largely falls to primary care services. The quality of allergy training and adequacy of general practitioners (GPs) in meeting this role is therefore critical.In two consecutive nationwide surveys of UK GPs in 2002 and 2009, less than half of the responders reported having had any type of allergy training, most of which was as undergraduate medical students.4,5 Quality of training was rated low, and only a minority of GPs reported being confident in their allergy knowledge. This was also the case in their ability to perform essential diagnostic procedures (such as skin prick testing), or competence in dealing with systemic manifestations of allergy. Overall, these national surveys of primary care providers reinforced the prevailing view that allergy care provision is not yet optimal in the UK, due to both limited access to specialised care as well as significant lack of specific training of the actual allergy service providers. 3,6 In this issue of the PCRJ, Ellis and colleagues attempt to take the analysis a step further by assessing, for the first time, the view of head officers directly in charge of GP training. 7 The authors conducted an internet-based, cross-sectional nationwide survey of General Practice Specialty Training (GPST) programme directors, enquiring about the quality of allergy training as part of GPST programmes, as well as the perceived needs for improvement of GP education in allergy. The findings are of particular interest, as they essentially confirm the educational gaps highlighted by the two previous GP surveys. 4,5 According to the directors' feedback, no specific training is being offered to GP trainees in as much as one-third of GPST programmes. The percentage is likely to be even higher: considering that directors representing 40% of programmes did not respond to the survey, it is reasonable to expect that the rate of unfavourable answers among these non-responders would be higher.Moreover, even when allergy training is reported to be delivered, the perceived quality...

show abstract

Food Allergy Knowledge, Attitudes, and Beliefs of Primary Care Physicians

Cited by 98 publications

References 29 publications

Effect of educational and electronic medical record interventions on food allergy management

Effect of educational and electronic medical record interventions on food allergy management

The Level of Knowledge of Dietitians About Dietary Management of Children with Food Allergy

The vital need for Allergy Training: removing the doubts

Contact Info

Product

Resources

About