The adherence of parents regarding epinephrine auto-injector use in anaphylaxis management: a real-life study

Mahir Serbes; Ayşe Şenay Şaşihüseyinoğlu; Dilek Özcan; Rabia Miray Kisla Ekinci; Sibel Balcı; Derya Altintas

Article Details

The adherence of parents regarding epinephrine auto-injector use in anaphylaxis management: a real-life study

Authors:

Mahir Serbes | Ayşe Şenay Şaşihüseyinoğlu | Dilek Özcan | Rabia Miray Kisla Ekinci | Sibel Balcı | Derya Altintas

Publisher:

Cukurova University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Cukurova Medical Journal Vol.48 Issue 1, pp.234-242

Document Type:

Article

Publication Date:

3/2023

Document Language:

English

Document ID (Org No.):

2001282252

pISSN:

2602-3032

Keywords:

Abstract:

 Purpose: The purpose of this study was to identify unmet needs in the management of anaphylaxis by assessing the practical skills of the parents regarding the use of epinephrine auto-injectors EAIs and determining the factors influencing them. Materials and Methods: The study included 114 primary caregivers of children prescribed an EAI with an anaphylaxis risk. A structured mini-interview with a practice test using a trainer device was performed. Results: Epinephrine was described as a life-saving and first-line treatment for anaphylaxis by 93 parents 81.6. However, only 53 parents 46.5 stated that they carry an EIA device with them regularly in their daily lives. 38 children 33.3 had relapsing episodes, but among those experiencing anaphylaxis, only 6 parents 20 used EAI despite carrying. According to respondents, the main factor avoiding AEIs regular carriage was a lack of belief in necessity 18, 29.5. Among participants, only 13 11.4 of the parents were able to administer EAI correctly in all 5 steps. An inverse relationship between the ability to use the device and the time elapsed since the last visit s was found. Conclusion: Low adherence levels among parents highlighted the urgent need to improve this situation. Interventions including regular EAI training and psychological support should be provided among parents, but may not guarantee to maintain acquired adherence to EAIs in real life.

 Purpose: The purpose of this study was to identify unmet needs in the management of anaphylaxis by assessing the practical skills of the parents regarding the use of epinephrine auto-injectors EAIs and determining the factors influencing them. Materials and Methods: The study included 114 primary caregivers of children prescribed an EAI with an anaphylaxis risk. A structured mini-interview with a practice test using a trainer device was performed. Results: Epinephrine was described as a life-saving and first-line treatment for anaphylaxis by 93 parents 81.6. However, only 53 parents 46.5 stated that they carry an EIA device with them regularly in their daily lives. 38 children 33.3 had relapsing episodes, but among those experiencing anaphylaxis, only 6 parents 20 used EAI despite carrying. According to respondents, the main factor avoiding AEIs regular carriage was a lack of belief in necessity 18, 29.5. Among participants, only 13 11.4 of the parents were able to administer EAI correctly in all 5 steps. An inverse relationship between the ability to use the device and the time elapsed since the last visit s was found. Conclusion: Low adherence levels among parents highlighted the urgent need to improve this situation. Interventions including regular EAI training and psychological support should be provided among parents, but may not guarantee to maintain acquired adherence to EAIs in real life.

 Purpose: The purpose of this study was to identify unmet needs in the management of anaphylaxis by assessing the practical skills of the parents regarding the use of epinephrine auto-injectors EAIs and determining the factors influencing them. Materials and Methods: The study included 114 primary caregivers of children prescribed an EAI with an anaphylaxis risk. A structured mini-interview with a practice test using a trainer device was performed. Results: Epinephrine was described as a life-saving and first-line treatment for anaphylaxis by 93 parents 81.6. However, only 53 parents 46.5 stated that they carry an EIA device with them regularly in their daily lives. 38 children 33.3 had relapsing episodes, but among those experiencing anaphylaxis, only 6 parents 20 used EAI despite carrying. According to respondents, the main factor avoiding AEIs regular carriage was a lack of belief in necessity 18, 29.5. Among participants, only 13 11.4 of the parents were able to administer EAI correctly in all 5 steps. An inverse relationship between the ability to use the device and the time elapsed since the last visit s was found. Conclusion: Low adherence levels among parents highlighted the urgent need to improve this situation. Interventions including regular EAI training and psychological support should be provided among parents, but may not guarantee to maintain acquired adherence to EAIs in real life.

 Amaç: Bu çalışmanın amacı, ebeveynlerin epinefrin oto-enjektörlerinin EAI kullanımına ilişkin pratik becerilerini değerlendirerek ve bunları etkileyen faktörleri belirleyerek anafilaksi yönetimindeki eksikleri belirlemektir. Gereç ve Yöntem: Çalışma, anafilaktik riski olan ve EAI reçete edilen 114 çocuk hastanın birincil bakıcısını yani ebeveynleri içeriyordu. Ebeveynlerle hem yüz yüze görüşme hem de bir EAI demo cihazı kullanılarak pratik beceri testi uygulanmıştır. Bulgular: Epinefrin, 93 ebeveyn 81.6 tarafından anafilaksi için hayat kurtarıcı ve birinci basamak tedavi olarak tanımlandı. Ancak sadece 53 ebeveyn 46.5 günlük yaşamlarında EAI cihazını düzenli olarak taşıdıklarını belirtti. 38 çocukta 33.3 tekrarlayan ataklar olduğu saptandı. Bu hastalarda EAI cihazını taşımasına rağmen sadece 6 ebeveynin 20 EAI cihazını uyguladığı saptandı. Katılımcılara göre AEInin düzenli taşınmasını engelleyen ana faktör, gerekliliğe olan inanç eksikliğiydi 18, 29.5. Katılımcılar arasında, ebeveynlerin sadece 13ü 11.4 EAIyi tüm basamaklarda doğru şekilde uygulayabildi. Cihazı kullanma becerisi ile son ziyaretten bu yana geçen süre arasında ters bir ilişki bulundu. Sonuç: Ebeveynler arasındaki EAI kullanımı konusunda bulunan düşük uyum seviyeleri, bu durumu iyileştirmeye yönelik acil ihtiyacın altını çizmiştir. Ebeveynlere yönelik düzenli EAI doğru kullanım eğitimlerinin yanı sıra psikolojik destek de dahil olmak üzere daha kapsamlı müdahaleler sağlanmalıdır, ancak bu müdahaleler bile gerçek hayatta EAIlere kazanılmış uyumu sürdürmeyi garanti etmeyebilir.

Article Details

The adherence of parents regarding epinephrine auto-injector use in anaphylaxis management: a real-life study

Authors:

Mahir Serbes | Ayşe Şenay Şaşihüseyinoğlu | Dilek Özcan | Rabia Miray Kisla Ekinci | Sibel Balcı | Derya Altintas

Publisher:

Cukurova University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Cukurova Medical Journal Vol.48 Issue 1, pp.234-242

Document Type:

Article

Publication Date:

3/2023

Document Language:

English

Document ID (Org No.):

2001282252

pISSN:

2602-3032

anaphylaxis

children

parents

epinephrine auto-injector

adherence

anafilaksi

çocuklar

ebeveynler

epinefrin otoenjektör

uyum

Issues

Article Details

Authors: Mahir Serbes | Ayşe Şenay Şaşihüseyinoğlu | Dilek Özcan | Rabia Miray Kisla Ekinci | Sibel Balcı | Derya Altintas

Publisher: Cukurova University

Main Topics: Klinik Tıp Bilimleri

Journal: Cukurova Medical Journal Vol.48 Issue 1, pp.234-242

Document Type: Article

Publication Date: 3/2023

Document Language: English

Document ID (Org No.): 2001282252

pISSN: 2602-3032

Issues

Authors:

Mahir Serbes | Ayşe Şenay Şaşihüseyinoğlu | Dilek Özcan | Rabia Miray Kisla Ekinci | Sibel Balcı | Derya Altintas

Publisher:

Cukurova University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Cukurova Medical Journal Vol.48 Issue 1, pp.234-242

Document Type:

Article

Publication Date:

3/2023

Document Language:

English

Document ID (Org No.):

2001282252

pISSN:

2602-3032