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Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps

Currently, no synthesis of in-school policies, practices and teachers and school staff’s food allergy-related knowledge exists. We aimed to conduct a scoping review on in-school food allergy management, and perceived gaps or barriers in these systems. We conducted a PRISMA-ScR-guided search for elig...

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Autores principales: Santos, Mae Jhelene L., Merrill, Kaitlyn A., Gerdts, Jennifer D., Ben-Shoshan, Moshe, Protudjer, Jennifer L. P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8879822/
https://www.ncbi.nlm.nih.gov/pubmed/35215382
http://dx.doi.org/10.3390/nu14040732
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author Santos, Mae Jhelene L.
Merrill, Kaitlyn A.
Gerdts, Jennifer D.
Ben-Shoshan, Moshe
Protudjer, Jennifer L. P.
author_facet Santos, Mae Jhelene L.
Merrill, Kaitlyn A.
Gerdts, Jennifer D.
Ben-Shoshan, Moshe
Protudjer, Jennifer L. P.
author_sort Santos, Mae Jhelene L.
collection PubMed
description Currently, no synthesis of in-school policies, practices and teachers and school staff’s food allergy-related knowledge exists. We aimed to conduct a scoping review on in-school food allergy management, and perceived gaps or barriers in these systems. We conducted a PRISMA-ScR-guided search for eligible English or French language articles from North America, Europe, or Australia published in OVID-MedLine, Scopus, and PsycINFO databases. Two reviewers screened 2010 articles’ titles/abstracts, with 77 full-text screened. Reviewers differed by language. Results were reported descriptively and thematically. We included 12 studies. Among teachers and school staff, food allergy experiences, training, and knowledge varied widely. Food allergy experience was reported in 10/12 studies (83.4%); 20.0–88.0% had received previous training (4/10 studies; 40.0%) and 43.0–72.2% never had training (2/10 studies; 20.0%). In-school policies including epinephrine auto-injector (EAI) and emergency anaphylaxis plans (EAP) were described in 5/12 studies (41.7%). Educational interventions (8/12 studies; 66.7%) increased participants’ knowledge, attitudes, beliefs, and confidence to manage food allergy and anaphylaxis vs. baseline. Teachers and school staff have more food allergy-related experiences than training and knowledge to manage emergencies. Mandatory, standardized training including EAI use and evaluation, and the provision of available EAI and EAPs may increase school staff emergency preparedness.
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spelling pubmed-88798222022-02-26 Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps Santos, Mae Jhelene L. Merrill, Kaitlyn A. Gerdts, Jennifer D. Ben-Shoshan, Moshe Protudjer, Jennifer L. P. Nutrients Review Currently, no synthesis of in-school policies, practices and teachers and school staff’s food allergy-related knowledge exists. We aimed to conduct a scoping review on in-school food allergy management, and perceived gaps or barriers in these systems. We conducted a PRISMA-ScR-guided search for eligible English or French language articles from North America, Europe, or Australia published in OVID-MedLine, Scopus, and PsycINFO databases. Two reviewers screened 2010 articles’ titles/abstracts, with 77 full-text screened. Reviewers differed by language. Results were reported descriptively and thematically. We included 12 studies. Among teachers and school staff, food allergy experiences, training, and knowledge varied widely. Food allergy experience was reported in 10/12 studies (83.4%); 20.0–88.0% had received previous training (4/10 studies; 40.0%) and 43.0–72.2% never had training (2/10 studies; 20.0%). In-school policies including epinephrine auto-injector (EAI) and emergency anaphylaxis plans (EAP) were described in 5/12 studies (41.7%). Educational interventions (8/12 studies; 66.7%) increased participants’ knowledge, attitudes, beliefs, and confidence to manage food allergy and anaphylaxis vs. baseline. Teachers and school staff have more food allergy-related experiences than training and knowledge to manage emergencies. Mandatory, standardized training including EAI use and evaluation, and the provision of available EAI and EAPs may increase school staff emergency preparedness. MDPI 2022-02-09 /pmc/articles/PMC8879822/ /pubmed/35215382 http://dx.doi.org/10.3390/nu14040732 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Santos, Mae Jhelene L.
Merrill, Kaitlyn A.
Gerdts, Jennifer D.
Ben-Shoshan, Moshe
Protudjer, Jennifer L. P.
Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps
title Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps
title_full Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps
title_fullStr Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps
title_full_unstemmed Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps
title_short Food Allergy Education and Management in Schools: A Scoping Review on Current Practices and Gaps
title_sort food allergy education and management in schools: a scoping review on current practices and gaps
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8879822/
https://www.ncbi.nlm.nih.gov/pubmed/35215382
http://dx.doi.org/10.3390/nu14040732
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