Life-Threatening Allergies: Using a Patient-Engaged Approach

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Mary Ann Leibert, Inc.

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Telemedicine and e-Health

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Background:Adolescents at risk for anaphylaxis are a growing concern. Novel training methods are needed to better prepare individuals to manage anaphylaxis in the community.

Introduction:Didactic training as the sole method of anaphylaxis education has been shown to be ineffective. We developed a smartphone-based interactive teaching tool with decision support and epinephrine auto-injector (EAI) training to provide education accessible beyond the clinic.

Methods:This study consisted of two parts: (1) Use of food allergy scenarios to assess the decision support's ability to improve allergic reaction management knowledge. (2) An assessment of our EAI training module on participant's ability to correctly demonstrate the use of an EAI by comparing it to label instructions.

Results:Twenty-two adolescents were recruited. The median (range) baseline number of correct answers on the scenarios before the intervention was 9 (3–11). All subjects improved with decision support, increasing to 11 (9–12) (p < .001). The median (range) demonstration score was 6 (5–6) for the video training module group and 4.5 (3–6) for the label group (p < 0.001).

Discussion:Results suggest that the use of this novel m-health application can improve anaphylaxis symptom recognition and increase the likelihood of choosing the appropriate treatment. In addition, performing EAI steps in conjunction with the video training resulted in more accurate medication delivery with fewer missed steps compared to the use of written instructions alone.

Conclusion:The results suggest that mobile health decision support technology for anaphylaxis emergency preparedness may support traditional methods of training by providing improved access to anaphylaxis training in the community setting.


Telemedicine and e-Health published online July 3, 2018 ahead of print. DOI.