Current transition management of adolescents and young adults with allergy and asthma: a European survey.

Adolescent Allergy Healthcare professional Transition Young adult

Journal

Clinical and translational allergy
ISSN: 2045-7022
Titre abrégé: Clin Transl Allergy
Pays: England
ID NLM: 101576043

Informations de publication

Date de publication:
2020
Historique:
received: 22 05 2020
accepted: 30 05 2020
entrez: 12 10 2020
pubmed: 13 10 2020
medline: 13 10 2020
Statut: epublish

Résumé

Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.

Sections du résumé

BACKGROUND BACKGROUND
Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking.
METHODS METHODS
European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources.
RESULTS RESULTS
A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma.
CONCLUSION CONCLUSIONS
Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.

Identifiants

pubmed: 33042515
doi: 10.1186/s13601-020-00340-z
pii: 340
pmc: PMC7542112
doi:

Types de publication

Journal Article

Langues

eng

Pagination

40

Subventions

Organisme : Medical Research Council
ID : MR/M008517/1
Pays : United Kingdom

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsGR reports research funding from Asthma UK and National Institutes of Health Research into the challenge associated with asthma during adolescents. FT reports being a parent of a young adult with food allergy. None of the other authors have anything to disclose.

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Auteurs

Ekaterina Khaleva (E)

Faculty of Medicine, University of Southampton, Southampton, UK.

Marta Vazquez-Ortiz (M)

Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.

Pasquale Comberiati (P)

Department of Clinical and Experimental Medicine, Section of Paediatrics, University of Pisa, Pisa, Italy.
Department of Clinical Immunology and Allergology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Audrey DunnGalvin (A)

Applied Psychology and Paediatrics and Child Health, University College Cork, Cork, Ireland.
Paediatrics and Child Infectious Diseases, First Moscow State Medical University, Moscow, Russia.

Helena Pite (H)

Allergy Center, CUF Descobertas Hospital and CUF Infante Santo Hospital, Lisbon, Portugal.
CEDOC, Chronic Diseases Research Center, NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.

Katharina Blumchen (K)

Department of Paediatric and Adolescent Medicine, Paediatric Pneumology, Allergology and Cystic Fibrosis, University Hospital Frankfurt, Frankfurt Am Main, Germany.

Teresa Garriga-Baraut (T)

Unitat d'Allergologia Pediàtrica, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Grup d'Investigació "Creixement i Desenvolupament", Institut de Recerca de l'Hospital Universitari Vall d'Hebron (VHIR), Barcelona, Spain.

Valerie Hox (V)

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Saint-Luc, Brussels, Belgium.

Alexandra F Santos (AF)

Department of Women and Children's Health (Paediatric Allergy, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.
Children's Allergy Service, Guy's and St Thomas' Hospital, London, UK.
Asthma UK Centre in Allergic Mechanisms of Asthma, London, UK.

Claudia Gore (C)

Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.
Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK.

Rebecca C Knibb (RC)

Department of Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK.

Cherry Alviani (C)

Faculty of Medicine, University of Southampton, Southampton, UK.
The David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Isle of Wight, UK.

Charlotte G Mortz (CG)

Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, Odense, Denmark.

Elizabeth Angier (E)

Primary Care and Population Sciences, University of Southampton, Southampton, UK.

Bettina Duca (B)

Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.
Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK.

Britt Jensen (B)

Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, Odense, Denmark.

Silvia Sanchez-Garcia (S)

Allergy Department, Hospital Infantil Universitario del Niño Jesús, Madrid, Spain.

M Hazel Gowland (MH)

Allergy Action, St Albans, UK.

Frans Timmermans (F)

Nederlands Anafylaxis Netwerk - European Anaphylaxis Taskforce, Dordrecht, The Netherlands.

Oliver Pfaar (O)

Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.

Graham Roberts (G)

Faculty of Medicine, University of Southampton, Southampton, UK.
The David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Isle of Wight, UK.
NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Classifications MeSH