The F3A-App: Interactive Software for Children with Food Allergies

摘要: U E S D A Y 828 The F3A-App: Interactive Software for Children with Food Allergies Elizabeth L. McQuaid, PhD, ABPP, Michael Farrow, MA, Cynthia Esteban, MSN, MPH, Barbara N. Jandasek, Susan A. Rudders, MD, Dawn McDaniel, Josh Spitalnick, ABPP; Bradley/Hasbro Children’s Research Center, Department of Psychiatry, Rhode Island Hospital, Alpert Medical School Brown University, Providence, RI, University Island, Kingston, Division Asthma and Allergy, Pediatrics, Medicine at Virtually Better, Inc, Decatur, GA, Citrine Tchnologies, LLC, Atlanta, GA. RATIONALE: Pediatric food allergy (FA) is increasingly common, yet few interventions exist to promote effective management in school-aged children. METHODS: We utilized focus groups expert panel input design a prototype the Friends, Family, App (FA-App) computerized intervention children FA. FA-App consists of: school cafeteria scene where child interacts virtual peers adults; two fast-paced, multi-tiered games build skills avoidance symptom awareness; reward system earns points decorate an animated aquarium. Skills avoidance, recognition/management, responding bullying/teasing are emphasized. evaluated feasibility preliminary efficacy open trial families (n 5 32) (ages 8-12, 44% female) documented FA peanut/tree nut. RESULTS: was well-received by (84% would probably/definitely recommend others). Most (76%) reported feeling ‘‘less nervous’’ about ‘‘what it might be like getting shot during allergic reaction’’; analyses revealed increased self-efficacy using epinephrine (t 2.24, p < .05), trends toward knowledge happen’’ reaction 1.98, .06) confidence stay calm reactions .06). Many parents (62%) that prompted family discussions regarding social pressures FA, including bullying. CONCLUSIONS: Computerized may useful channel enhance children’s regardingFAmanagement facilitate communication stresses around peers.