Universität zu Köln

Brockow, K., Schallmayer, S., Beyer, K., Biedermann, T., Fischer, J., Gebert, N., Grosber, M., Jakob, T., Klimek, L., Kugler, C., Lange, L., Pfaar, O., Przybilla, B., Rietschel, E., Rueff, F., Schnadt, S., Szczepanski, R., Worm, M., Kupfer, J., Gieler, U. and Ring, J. (2015). Effects of a structured educational intervention on knowledge and emergency management in patients at risk for anaphylaxis. Allergy, 70 (2). S. 227 - 236. HOBOKEN: WILEY. ISSN 1398-9995

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Abstract

BackgroundStructured educational programmes for patients at risk for anaphylaxis have not yet been established. Patients and caregivers often lack adequate skills in managing the disease. MethodsTo investigate effects of structured patient education intervention on knowledge, emergency management skills and psychological parameters in patients with previous episodes of anaphylaxis and caregivers of affected children 95 caregivers (11 male, 84 female, mean age 37years) of affected children and 98 patients (32 male, 66 female, mean age 47.5years) were randomly assigned to an intervention (IG) or control group (CG) in a multicentre randomized controlled trial. The IG received two 3-h schooling modules of group education; the CG received standard auto-injector training only. Knowledge of anaphylaxis and emergency management competence in a validated training anaphylaxis situation as main outcome measures as well as secondary psychological parameters were assessed at baseline and 3months after intervention. ResultsIn comparison with controls, the intervention led to significant improvement of knowledge from baseline to 3-month follow-up (caregivers: IG 3.2/13.2 improvement/baseline vs CG 0.7/12.6; P<0.001; patients: IG 3.9/10.8 vs 1.3/12.6; P<0.001). Moreover, emergency management competence was increased after intervention as compared to controls (caregivers: IG 8.6/11.2 vs CG 1.2/10.8; P<0.001; patients: 7.1/11.0 vs 1.1/11.1; P<0.001). Intervention showed significant reduction of caregiver anxiety (-1.9/8.4 vs -0.7/7.5; P<0.05). There were no significant changes in the depression scores. ConclusionStructured patient education programmes may be beneficial in the management of anaphylaxis by increasing patients' empowerment to prevent and treat the disease.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Brockow, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schallmayer, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Beyer, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Biedermann, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fischer, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gebert, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grosber, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakob, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Klimek, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kugler, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lange, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaar, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Przybilla, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rietschel, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rueff, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnadt, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Szczepanski, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Worm, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kupfer, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gieler, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ring, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-413636
DOI:	10.1111/all.12548
Journal or Publication Title:	Allergy
Volume:	70
Number:	2
Page Range:	S. 227 - 236
Date:	2015
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1398-9995
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FOOD ALLERGY; CHILDREN; FATALITIES; COLLEGE Multiple languages Allergy; Immunology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41363