Challenges experienced with early introduction and sustained consumption of allergenic foods in the Enquiring About Tolerance (EAT) study: A qualitative analysis

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:144

Article

Voorheis, Paula^1,2  Bell, Sadie²  Cornelsen, Laura²  Quaife, Matthew²  Logan, Kirsty³  Marrs, Tom³  Radulovic, Suzana³  Craven, Joanna³  Flohr, Carsten⁴  Lack, Gideon³  Perkin, Michael R.⁵ 

[1] London Sch Hyg & Trop Med, Execut Off, London, England

[2] London Sch Hyg & Trop Med, Fac Publ Hlth & Policy, London, England

[3] Kings Coll London, Sch Life Course Sci, Dept Women & Childrens Hlth, Paediat Allergy Res Grp, London, England

[4] Kings Coll London, Fac Life Sci & Med, Unit Populat Based Dermatol Res, Sch Basic & Med Biosci,St Johns Inst Dermatol, London, England

[5] St Georges Univ London, Populat Hlth Res Inst, London, England

关键词: Food allergy;    diet;    allergens;    infancy;    breastfeeding;    randomized controlled trial;    adherence;    qualitative;   

DOI  :  10.1016/j.jaci.2019.09.004

来源: Elsevier

【 摘 要 】

Background: The early introduction group participants of the Enquiring About Tolerance study were asked to undertake a proscriptive regimen of early introduction and sustained consumption of 6 allergenic foods. It was envisaged that this might be challenging, and early introduction group families were presented with an open-text question to express any problems they were experiencing with the regimen in recurring online questionnaires. Objective: We sought to analyze these open-text questionnaire responses with the aim of identifying challenges associated with the introduction and regular consumption of allergenic foods. Methods: Three combinations of interim questionnaire responses were selected for analysis, representing the early period (4, 5, and 6 months), middle period (8 and 12 months), and late period (24 and 36 months) of participation in the Enquiring About Tolerance study. Responses were assigned a code to describe their content and subsequently grouped into themes to portray key messages. A thematic content analysis allowed for conversion of qualitative codes into quantitative summaries. Results: Three main challenges to allergenic food consumption were identified. First, some children refused the allergenic food, causing a sense of defeat among caregivers. Second, caregivers were concerned that allergenic foods might be causing a reaction, triggering a need for reassurance. Third, practical problems associated with the regimen compromised caregivers' capacity to persist. Conclusion: Understanding the challenges experienced with allergenic food introduction and sustained consumption is the necessary precursor to developing specific communication and support strategies that could be used by caregivers, practitioners, policymakers, and key stakeholders to address these problems.

【 授权许可】

Free