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

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.

Publication DOI: https://doi.org/10.1111/all.14459
Divisions: College of Health & Life Sciences > School of Psychology
Additional Information: This is the peer reviewed version of the following article: oberts, G., Vazquez‐Ortiz, M., Knibb, R., Khaleva, E., Alviani, C., Angier, E., Blumchen, K., Comberiati, P., Duca, B., DunnGalvin, A., Garriga‐Baraut, T., Gore, C., Gowland, M.H., Hox, V., Jensen, B., Mortz, C.G., Pfaar, O., Pite, H., Santos, A.F., Sanchez‐Garcia, S. and Timmermans, F. (2020), EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma. Allergy. Accepted Author Manuscript, which has been published in final form at https://doi.org/10.1111/all.14459.  This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Uncontrolled Keywords: adolescent,allergy,asthma,food allergy,rhinoconjunctivitis,teenager,transition,young adult,Immunology and Allergy,Immunology
Publication ISSN: 1398-9995
Last Modified: 26 Feb 2024 08:38
Date Deposited: 17 Jun 2020 10:33
Full Text Link:
Related URLs: https://onlinel ... .1111/all.14459 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2020-11-01
Published Online Date: 2020-06-19
Accepted Date: 2020-05-28
Authors: Roberts, Graham
Vasquez-Ortis, Marta
Knibb, Rebecca (ORCID Profile 0000-0001-5561-0904)
Khaleva, Ekaterina
Alviani, Cherry
Angier, Elizabeth
Blumchen, Katharina
Comberiati, Pasquale
Duca, Bettina
DunnGalvin, Audrey
Garriga-Baraut, Teresa
Gore, Claudia
Gowland, Hazel
Hox, Valerie
Jensen, Britt
Mortz, Charlotte G
Pfaar, Oliver
Pite, Helena
Santos, Alexandra F
Sanchez-Garcia, Silvia
Timmermans, Frans

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