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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 multidisciplinary 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 the following: (a) starting transition early (11-13 years), (b) using a structured, multidisciplinary approach, (c) ensuring AYA fully understand their condition and have resources they can access, (d) active monitoring of adherence and (e) discussing any implications for further education and work. Specific allergy and asthma transition recommendations include (a) simplifying medication regimes and using reminders; (b) focusing on areas where AYA are not confident and involving peers in training AYA patients; (c) identifying and managing psychological and socio-economic issues impacting disease control and quality of life; (d) enrolling the family in assisting AYA to undertake self-management; and (e) 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 multidisciplinary 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 the following: (a) starting transition early (11-13 years), (b) using a structured, multidisciplinary approach, (c) ensuring AYA fully understand their condition and have resources they can access, (d) active monitoring of adherence and (e) discussing any implications for further education and work. Specific allergy and asthma transition recommendations include (a) simplifying medication regimes and using reminders; (b) focusing on areas where AYA are not confident and involving peers in training AYA patients; (c) identifying and managing psychological and socio-economic issues impacting disease control and quality of life; (d) enrolling the family in assisting AYA to undertake self-management; and (e) 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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e-pub ahead of print date: 19 June 2020
Published date: 1 November 2020
Additional Information: Funding Information: The EAACI Adolescent and Young Adult Task Force would like to thank Paula Sands for her advice with the literature search; Paula Fernandez for generating the logo; Marina Atanaskovic-Markovic, Barbara Ballmer-Weber, Knut Brockow, Helen Brough, Adam Fox, Karin Hoffmann-Sommergruber, Chrissie Jones, Antti Lauerma, Liam O'Mahony, Donald Payne, Joaquin Sastre, Jurgen Schwarze, Terry Segal, Isabel Skypala, Gunter Sturm, Ingrid Terreehorst, Maria Jose Torres and Eva-Maria Varga for their constructive, expert review of the draft guidelines; Susanne Halken, Mary Jane Marchisotto, Glenis Scadding and Emilia Vassilopoulouon for reviewing the guideline on behalf of EAACI Guidelines Committee; the EAACI Methodology Committee for their expert feedback; all the EAACI members who commented on the draft guideline via the public website; Ana Antunes for her assistance and EAACI for funding the generation of the guideline. We would like to thank Millie Basu, Lea Blum, Anna Borushko, Davide Caimmi, Antoine Deschildre, Amandine Divaret-Chauveau, Anastasiya Kolotilina, Sarah Lyons, Sonia Martin-Pereda, Maura Pedrini and Lea Tammen, for assisting in generating different language versions of the adolescent and parent survey. We would like to thanks the following for distributing the survey: Federasma e Allergie Onlus; Associazione Respiriamo Insieme; Associazione Laziale Asma e Malattie Allergiche (ALAMA); Associazione Liguri Allergici (ALA); Associazione Asma Sardegna Onlus; Cibo Amico Associazione per le Allergie Alimentari e l'Anafilassi; Associazione Nazionale Dermatite Atopica (ANDeA); Associazione Food Allergy Italia; APS Chiara Ribechini; Uniamo Federazione Italiana Malattie Rare onlus, Ari-aaa3 ONLUS; Societ? Italiana di Allergologia e Immunologia Pediatrica (SIAIP); Societ? Italiana di Allergologia; Asma e Immunologia Clinica (SIAAIC); Montserrat Alvaro, Jaime Lozano, Joan Bartra, Fundaci?n Humans, Fundaci?n Lovexair, Edryx Healthcare; patients and parents from the paediatric allergy unit of the University Hospital Vall d'Hebron, Barcelona; patients and parents from Centre M?dic del Bergued? and Gabinet M?dic del Bergued?, Berga, Barcelona; Institut Vescomtat de Cabrera, Hostalric; Institut Blanca d'Anjou, El Perell?; Societat Catalana d'Al?lergologia i Immunologia Cl?nica (SCAIC); Sociedad Espa?ola de Inmunolog?a Cl?nica y Alergolog?a Pedi?tricas (SEICAP); Sociedad Espa?ola de Alergolog?a e Inmunolog?a Cl?nica (SEAIC); Lara Pimenta; M?rio Morais Almeida; Andre Moreira (EAACI SPC Chair), Portuguese Association of Asthmatics; Deutscher Allergie- und Asthmabund (DAAD) (Sabine Schnadt), M?nchengladbach, Germany; Daniel Munblit; Maria Kardakova; ?A??ep?o?a??,? ?A?? ?o-?o?a?a?e???o?y? (Anna Taranova); Danish patient organization; Asthma Allergy Denmark; Nederlands Anafylaxis Netwerk; Allergy UK (Carla Jones); Anaphylaxis Campaign (Lynne Regent); Hilary Allen; Aideen Byrne; John Fitzsimons; Antoine Deschildre; Amandine Divaret-Chauveau; ?Association Asthme et Allergies? (Christine Rolland); ?AFPRAL? (Pascale Couratier); Elena Bradatan; Virginie Doyen; and Swiss patient organization. Finally, we would like to thank all the patients and parents who completed the survey. The systematic review of the generic adolescent and young adult data were undertaken by Ekaterina Khaleva as part of her Allergy MSc (University of Southampton). Publisher Copyright: © 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
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
ORCID for Ekaterina Khaleva: ORCID iD orcid.org/0000-0002-2220-7745

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Date deposited: 06 Jul 2020 16:31
Last modified: 17 Mar 2024 05:41

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Contributors

Author: Graham Roberts ORCID iD
Author: Marta Vazquez-Ortiz
Author: Rebecca Knibb
Author: Ekaterina Khaleva ORCID iD
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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