Current transition management of adolescents and young adults with allergy and asthma: A European survey

Ekaterina Khaleva; Marta Vazquez-Ortiz; Pasquale Comberiati; Audrey DunnGalvin; Helena Pite; Katharina Blumchen; Teresa Garriga-Baraut; Valerie Hox; Alexandra F Santos; Claudia Gore; Rebecca C Knibb; Cherry Alviani; Charlotte G Mortz; Elizabeth Angier; Bettina Duca; Britt Jensen; Silvia Sanchez-Garcia; M Hazel Gowland; Frans Timmermans; Oliver Pfaar; Graham Roberts

doi:10.1186/s13601-020-00340-z

Current transition management of adolescents and young adults with allergy and asthma: A European survey

Ekaterina Khaleva, Marta Vazquez-Ortiz, Pasquale Comberiati, Audrey DunnGalvin, Helena Pite, Katharina Blumchen, Teresa Garriga-Baraut, Valerie Hox, Alexandra F Santos, Claudia Gore, Rebecca C Knibb, Cherry Alviani, Charlotte G Mortz, Elizabeth Angier, Bettina Duca, Britt Jensen, Silvia Sanchez-Garcia, M Hazel Gowland, Frans Timmermans, Oliver PfaarGraham Roberts

Research output: Contribution to journal › Review article › peer-review

19 Citations (Scopus)

Abstract

Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.[Figure not available: See fulltext.]

Original language	English
Article number	40
Journal	Clinical and translational allergy
Volume	10
Issue number	1
DOIs	https://doi.org/10.1186/s13601-020-00340-z https://doi.org/10.1186/s13601-020-00340-z
Publication status	Published - 7 Oct 2020

Keywords

Adolescent
Allergy
Healthcare professional
Transition
Young adult

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Khaleva, E., Vazquez-Ortiz, M., Comberiati, P., DunnGalvin, A., Pite, H., Blumchen, K., Garriga-Baraut, T., Hox, V., Santos, A. F., Gore, C., Knibb, R. C., Alviani, C., Mortz, C. G., Angier, E., Duca, B., Jensen, B., Sanchez-Garcia, S., Gowland, M. H., Timmermans, F., ... Roberts, G. (2020). Current transition management of adolescents and young adults with allergy and asthma: A European survey. Clinical and translational allergy, 10(1), Article 40. https://doi.org/10.1186/s13601-020-00340-z, https://doi.org/10.1186/s13601-020-00340-z

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title = "Current transition management of adolescents and young adults with allergy and asthma: A European survey",

abstract = "Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.[Figure not available: See fulltext.] ",

keywords = "Adolescent, Allergy, Healthcare professional, Transition, Young adult",

author = "Ekaterina Khaleva and Marta Vazquez-Ortiz and Pasquale Comberiati and Audrey DunnGalvin and Helena Pite and Katharina Blumchen and Teresa Garriga-Baraut and Valerie Hox and Santos, {Alexandra F} and Claudia Gore and Knibb, {Rebecca C} and Cherry Alviani and Mortz, {Charlotte G} and Elizabeth Angier and Bettina Duca and Britt Jensen and Silvia Sanchez-Garcia and Gowland, {M Hazel} and Frans Timmermans and Oliver Pfaar and Graham Roberts",

note = "{\textcopyright} The Author(s) 2020.",

year = "2020",

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day = "7",

doi = "10.1186/s13601-020-00340-z",

language = "English",

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Khaleva, E, Vazquez-Ortiz, M, Comberiati, P, DunnGalvin, A, Pite, H, Blumchen, K, Garriga-Baraut, T, Hox, V, Santos, AF, Gore, C, Knibb, RC, Alviani, C, Mortz, CG, Angier, E, Duca, B, Jensen, B, Sanchez-Garcia, S, Gowland, MH, Timmermans, F, Pfaar, O & Roberts, G 2020, 'Current transition management of adolescents and young adults with allergy and asthma: A European survey', Clinical and translational allergy, vol. 10, no. 1, 40. https://doi.org/10.1186/s13601-020-00340-z, https://doi.org/10.1186/s13601-020-00340-z

TY - JOUR

T1 - Current transition management of adolescents and young adults with allergy and asthma

T2 - A European survey

AU - Khaleva, Ekaterina

AU - Vazquez-Ortiz, Marta

AU - Comberiati, Pasquale

AU - DunnGalvin, Audrey

AU - Pite, Helena

AU - Blumchen, Katharina

AU - Garriga-Baraut, Teresa

AU - Hox, Valerie

AU - Santos, Alexandra F

AU - Gore, Claudia

AU - Knibb, Rebecca C

AU - Alviani, Cherry

AU - Mortz, Charlotte G

AU - Angier, Elizabeth

AU - Duca, Bettina

AU - Jensen, Britt

AU - Sanchez-Garcia, Silvia

AU - Gowland, M Hazel

AU - Timmermans, Frans

AU - Pfaar, Oliver

AU - Roberts, Graham

PY - 2020/10/7

Y1 - 2020/10/7

N2 - Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.[Figure not available: See fulltext.]

AB - Background: Transition from parent-delivered to self-management is a vulnerable time for adolescents and young adults (AYA) with allergy and asthma. There is currently no European guideline available for healthcare professionals (HCPs) on transition of these patients and local/national protocols are also mostly lacking. Methods: European HCPs working with AYA with allergy and asthma were invited to complete an online survey assessing challenges of working with these patients, current transition practices and access to specific healthcare resources. Results: A total of 1179 responses from 41 European countries were collected. Most HCPs (86%) reported a lack of a transition guideline and a lack of a transition process (20% paediatric HCPs, 50% of adult HCPs, 56% HCP seeing all ages). Nearly half (48%) acknowledged a lack of an established feedback system between paediatric and adult medical services. Many respondents never routinely asked about mental health issues such as self-harm or depression and are not confident in asking about self-harm (66.6%), sexuality (64%) and depression (43.6%). The majority of HCPs (76%) had not received specific training in the care of AYA although 87% agreed that transition was important for AYA with allergy and asthma. Conclusion: Although there was agreement that transition is important for AYA with allergy and asthma, there are crucial limitations and variations in the current provision of transition services across Europe. Standardisation of AYA management and specific training are required. This should improve management and continuity of care during adolescence and into adulthood to achieve the best healthcare outcomes.[Figure not available: See fulltext.]

KW - Adolescent

KW - Allergy

KW - Healthcare professional

KW - Transition

KW - Young adult

UR - http://www.scopus.com/inward/record.url?scp=85092512223&partnerID=8YFLogxK

U2 - 10.1186/s13601-020-00340-z

DO - 10.1186/s13601-020-00340-z

M3 - Review article

C2 - 33042515

AN - SCOPUS:85092512223

SN - 2045-7022

VL - 10

JO - Clinical and translational allergy

JF - Clinical and translational allergy

IS - 1

M1 - 40

ER -

Current transition management of adolescents and young adults with allergy and asthma: A European survey

Abstract

Keywords

UN SDGs

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