背景:食物过敏(FA)由于经常保持警惕而损害心理健康,规划和准备,饮食和社会限制以及对意外摄入的恐惧,尽管心理干预很少。
目的:该研究在线检查,group,对成年人进行低强度心理干预,儿童和年轻人(CYP)和食物过敏的父母。
方法:成人心理干预的可行性和有效性信号,CYP和FA的父母通过随机对照试验进行评估。参与者被随机分组,照常接受心理干预或治疗。干预包括两个,三小时,手工,在线会话,间隔一周。所有参与者完成了相关的FA生活质量(FAQLQ)和担忧(宾夕法尼亚州立大学担忧问卷)措施,除了探索性结果,在基线,1个月和3个月。
结果:共有129名参与者(n=44名成年人,n=52个CYP和n=33个父母)被招募并随机分组;95(74%)(n=36个成年人,n=35CYP和n=24父母,)保留在3个月。由于基线差异,平均变化用于父母和CYP结局。心理干预在成年人中显示出较大的FAQLQ益处(g=-1.12,95CI-0.41,-1.28),CYP(g=1.23,0.51,1.95)和父母(g=1.43,95CI0.54,2.30),)与3个月时的对照组相比。
结论:这项研究提供了关于在线可行性的令人鼓舞的发现,group,低强度的心理干预,在招聘和保留方面,以及在FAQLQ上的有效性信号。一项明确的试验,包括健康经济分析和FA特定的心理措施,并考虑最佳实施途径,是有保证的。
BACKGROUND: Food allergy (FA) impairs psychological wellbeing because of constant vigilance, planning and preparation, dietary and social restrictions, and fear of accidental ingestion, though psychological interventions are sparse.
OBJECTIVE: To examine online, group, low-intensity psychological interventions for adults, children, young people (CYP), and parents with food allergies.
METHODS: The randomized controlled trials assessed the feasibility and signal of the efficacy of a psychological intervention for adults, CYP, and parents with FA. Participants were randomized to receive the psychological intervention or treatment as usual. The intervention consisted of two, 3-hour manualized online sessions spaced 1 week apart. All participants completed relevant Food Allergy Quality of Life Questionnaires (FAQLQ) and worry (Penn State Worry Questionnaires), in addition to exploratory outcomes, at baseline, 1 month, and 3 months.
RESULTS: A total of 129 participants (n = 44 adults, n = 52 CYP, and n = 33 parents) were recruited and randomized; 95 (74%) (n = 36 adults, n = 35 CYP, and n = 24 parents) were retained at 3 months. Owing to baseline differences, mean change was used for parent and CYP outcomes. The psychological intervention demonstrated large FAQLQ benefits across adults (g = -1.12, 95% CI -0.41 to -1.28), CYP (g = 1.23, 95% CI 0.51-1.95), and parents (g = 1.43, 95% CI 0.54-2.30) compared with controls at 3-months.
CONCLUSIONS: This study provides encouraging findings regarding the feasibility of online, group, low-intensity psychological interventions, in terms of recruitment and retention as well as a signal of efficacy on FAQLQ. A definitive trial including health economic analysis and FA-specific psychological measures with consideration of best routes to implementation, is warranted.
BACKGROUND: Clinicaltrials.gov Identifiers: NCT04763889 (adults), NCT04770727 (CYP), and NCT04774796 (parents).