Mary D Klinnert1, Elizabeth L McQuaid2, David A Fedele3, Anna Faino3, Matthew Strand2, Jane Robinson2, Dan Atkins2, David M Fleischer2, Jonathan O'B Hourihane3, Sophia Cohen3, Hannah Fransen3. 1. Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver klinnertm@njhealth.org. 2. Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver. 3. Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
Abstract
OBJECTIVE: Develop a measure that evaluates effective pediatric food allergy (FA) management, child and parent FA anxiety, and integration of FA into family life. METHODS: A semistructured family interview was developed to evaluate FA management using a pilot sample (n = 27). Rating scales evaluated eight dimensions of FA management (FAMComposite), child anxiety, parent anxiety, and overall balanced integration (BI). Families of children with IgE-mediated food allergies (n = 60, child age: 6-12) were recruited for interview and rating scale validation. RESULTS: FAMComposite was correlated with physician ratings for families' food avoidance and reaction response readiness. FA anxiety was correlated with general anxiety measures for children, but not parents. Parents' FA anxiety was correlated with expectations of negative outcomes from FA. Low BI was associated with poor quality of life and negative impact on family functioning. CONCLUSIONS: Preliminary analyses support Food Allergy Management and Adaptation Scale validity as a measure of family adaptation to pediatric FA.
OBJECTIVE: Develop a measure that evaluates effective pediatric food allergy (FA) management, child and parent FA anxiety, and integration of FA into family life. METHODS: A semistructured family interview was developed to evaluate FA management using a pilot sample (n = 27). Rating scales evaluated eight dimensions of FA management (FAMComposite), childanxiety, parent anxiety, and overall balanced integration (BI). Families of children with IgE-mediated food allergies (n = 60, child age: 6-12) were recruited for interview and rating scale validation. RESULTS: FAMComposite was correlated with physician ratings for families' food avoidance and reaction response readiness. FA anxiety was correlated with general anxiety measures for children, but not parents. Parents' FA anxiety was correlated with expectations of negative outcomes from FA. Low BI was associated with poor quality of life and negative impact on family functioning. CONCLUSIONS: Preliminary analyses support Food Allergy Management and Adaptation Scale validity as a measure of family adaptation to pediatric FA.
Authors: Mary E Bollinger; Lynnda M Dahlquist; Kim Mudd; Claire Sonntag; Lindsay Dillinger; Kristine McKenna Journal: Ann Allergy Asthma Immunol Date: 2006-03 Impact factor: 6.347
Authors: Amanda J Cummings; Rebecca C Knibb; Michel Erlewyn-Lajeunesse; Rosemary M King; Graham Roberts; Jane S A Lucas Journal: Pediatr Allergy Immunol Date: 2010-01-14 Impact factor: 6.377
Authors: D A Fedele; E L McQuaid; A Faino; M Strand; S Cohen; J Robinson; D Atkins; J O'B Hourihane; M D Klinnert Journal: Allergy Date: 2016-02-04 Impact factor: 13.146