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EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma

EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma
EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma

Adolescent and young adult (AYA) patients need additional support while they experience the challenges associated with their age. They need specific training to learn the knowledge and skills required to confidently self-manage their allergies and/or asthma. Transitional care is a complex process which should address the psychological, medical, educational and vocational needs of AYA in the developmentally appropriate way. The European Academy of Allergy and Clinical Immunology has developed a clinical practice guideline to provide evidence-based recommendations for healthcare professionals to support the transitional care of AYA with allergy and/or asthma. This guideline was developed by a multi-disciplinary working panel of experts and patient representatives based on two recent systematic reviews. It sets out a series of general recommendations on operating a clinical service for AYA, which include: (i) starting transition early (11-13 years), (ii) using a structured, multidisciplinary approach, (iii) ensuring AYA fully understand their condition and have resources they can access, (iv) active monitoring of adherence and (v) discussing any implications for further education and work. Specific allergy and asthma transition recommendations include (i) simplifying medication regimes and using reminders; (ii) focusing on areas where AYA are not confident and involving peers in training AYA patients; (iii) identifying and managing psychological and socioeconomic issues impacting disease control and quality of life; (iv) enrolling the family in assisting AYA to undertake self-management and (v) encouraging AYA to let their friends know about their allergies and asthma. These recommendations may need to be adapted to fit into national healthcare systems.

adolescent, allergy, asthma, food allergy, rhinoconjunctivitis, teenager, transition, young adult
0105-4538
2734-2752
Roberts, Graham
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Vazquez-Ortiz, Marta
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Knibb, Rebecca
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Khaleva, Ekaterina
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Alviani, Cherry
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Angier, Elizabeth
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Blumchen, Katharina
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Comberiati, Pasquale
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Duca, Bettina
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DunnGalvin, Audrey
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Garriga-Baraut, Teresa
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Gore, Claudia
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Gowland, M. Hazel
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Hox, Valérie
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Jensen, Britt
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Mortz, Charlotte G.
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Pfaar, Oliver
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Pite, Helena
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Santos, Alexandra F.
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Sanchez-Garcia, Silvia
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Timmermans, Frans
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Roberts, Graham
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Vazquez-Ortiz, Marta
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Knibb, Rebecca
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Khaleva, Ekaterina
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Alviani, Cherry
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Angier, Elizabeth
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Blumchen, Katharina
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Comberiati, Pasquale
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Duca, Bettina
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DunnGalvin, Audrey
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Garriga-Baraut, Teresa
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Gore, Claudia
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Gowland, M. Hazel
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Hox, Valérie
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Jensen, Britt
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Mortz, Charlotte G.
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Pfaar, Oliver
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Pite, Helena
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Santos, Alexandra F.
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Sanchez-Garcia, Silvia
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Timmermans, Frans
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Roberts, Graham, Vazquez-Ortiz, Marta, Knibb, Rebecca, Khaleva, Ekaterina, Alviani, Cherry, Angier, Elizabeth, Blumchen, Katharina, Comberiati, Pasquale, Duca, Bettina, DunnGalvin, Audrey, Garriga-Baraut, Teresa, Gore, Claudia, Gowland, M. Hazel, Hox, Valérie, Jensen, Britt, Mortz, Charlotte G., Pfaar, Oliver, Pite, Helena, Santos, Alexandra F., Sanchez-Garcia, Silvia and Timmermans, Frans (2020) EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma. Allergy, 75 (11), 2734-2752. (doi:10.1111/all.14459).

Record type: Article

Abstract

Adolescent and young adult (AYA) patients need additional support while they experience the challenges associated with their age. They need specific training to learn the knowledge and skills required to confidently self-manage their allergies and/or asthma. Transitional care is a complex process which should address the psychological, medical, educational and vocational needs of AYA in the developmentally appropriate way. The European Academy of Allergy and Clinical Immunology has developed a clinical practice guideline to provide evidence-based recommendations for healthcare professionals to support the transitional care of AYA with allergy and/or asthma. This guideline was developed by a multi-disciplinary working panel of experts and patient representatives based on two recent systematic reviews. It sets out a series of general recommendations on operating a clinical service for AYA, which include: (i) starting transition early (11-13 years), (ii) using a structured, multidisciplinary approach, (iii) ensuring AYA fully understand their condition and have resources they can access, (iv) active monitoring of adherence and (v) discussing any implications for further education and work. Specific allergy and asthma transition recommendations include (i) simplifying medication regimes and using reminders; (ii) focusing on areas where AYA are not confident and involving peers in training AYA patients; (iii) identifying and managing psychological and socioeconomic issues impacting disease control and quality of life; (iv) enrolling the family in assisting AYA to undertake self-management and (v) encouraging AYA to let their friends know about their allergies and asthma. These recommendations may need to be adapted to fit into national healthcare systems.

Text
all.14459 - Accepted Manuscript
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More information

e-pub ahead of print date: 19 June 2020
Keywords: adolescent, allergy, asthma, food allergy, rhinoconjunctivitis, teenager, transition, young adult

Identifiers

Local EPrints ID: 442063
URI: http://eprints.soton.ac.uk/id/eprint/442063
ISSN: 0105-4538
PURE UUID: bbccde3d-ee8f-47d9-b406-9abcc9f7e2a9
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

Catalogue record

Date deposited: 06 Jul 2020 16:31
Last modified: 26 Nov 2021 05:38

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Contributors

Author: Graham Roberts ORCID iD
Author: Marta Vazquez-Ortiz
Author: Rebecca Knibb
Author: Ekaterina Khaleva
Author: Cherry Alviani
Author: Elizabeth Angier
Author: Katharina Blumchen
Author: Pasquale Comberiati
Author: Bettina Duca
Author: Audrey DunnGalvin
Author: Teresa Garriga-Baraut
Author: Claudia Gore
Author: M. Hazel Gowland
Author: Valérie Hox
Author: Britt Jensen
Author: Charlotte G. Mortz
Author: Oliver Pfaar
Author: Helena Pite
Author: Alexandra F. Santos
Author: Silvia Sanchez-Garcia
Author: Frans Timmermans

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