Development and Initial Validation of a Food Allergy Associated Parental Anxiety Screening Tool: IMPAACT

2021 ◽  
Vol 147 (2) ◽  
pp. AB124
Author(s):  
Sharon To ◽  
Clara Westwell-Roper ◽  
Lianne Soller ◽  
Edmond Chan ◽  
S. Evelyn Stewart
2020 ◽  
Vol 59 (4-5) ◽  
pp. 445-449
Author(s):  
Sara E. Watson ◽  
Sarah E. Spurling ◽  
Abigail M. Fieldhouse ◽  
Vicki L. Montgomery ◽  
Kupper A. Wintergerst

Adolescents with diabetes are at increased risk for depression and anxiety, which when untreated negatively affects diabetes control. During a 6-month period, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) screening tool was utilized. Those with a positive screen then completed the Patient Health Questionnaire for Adolescents (PHQ-A) and the Generalized Anxiety Disorder 7-item (GAD-7) scale. In this article, we report on the correlations in outcomes between the PHQ-4 and the PHQ-A and GAD-7 and its clinical utility for determining the need for standard versus acute behavioral health care. Over 6 months, 77 patients aged 10 to 18 years screened positive on the PHQ-4. Thirty-two patients had positive screening with the PHQ-A and/or the GAD-7. Thoughts of self-harm were reported by 13 (40%), with 1 experiencing current/active symptoms. The PHQ-4 as a screening tool was able to identify adolescents with symptoms of depression and/or anxiety who would benefit from further evaluation by a behavioral health provider.


2018 ◽  
Vol 7 (2) ◽  
pp. e000034 ◽  
Author(s):  
Adam L Holtzman ◽  
Deidre B Pereira ◽  
Anamaria R Yeung

Anxiety and depression are disabling, underdiagnosed issues that affect the management of oncology patients. Until recently, there has been no standard protocol for screening and treating these ailments at our cancer centre. The purpose of this institutional review board-approved study was to analyse the implementation of a screening tool in our clinical workflow with the aim of screening over 90% of patients and increasing referrals to mental health services by 50%.


2013 ◽  
Vol 1 (4) ◽  
pp. 246-258 ◽  
Author(s):  
Nathaniel P. von der Embse ◽  
Stephen P. Kilgus ◽  
Natasha Segool ◽  
Dave Putwain

2019 ◽  
Vol 23 (3) ◽  
pp. 446-457 ◽  
Author(s):  
Bea Vickers ◽  
Robert J Boyle ◽  
Thisanayagam Umasunthar ◽  
Jared G Smith ◽  
Matthew Hodes

Child food allergy is increasingly prevalent, and caring for such children is associated with elevated parental anxiety. We previously carried out a randomized-controlled trial (RCT) of brief cognitive behavioural therapy (CBT) for parental anxiety associated with child food allergy which found that treatment to be effective. This study describes the manualized brief CBT intervention and assesses the acquisition of competence in delivering this therapy. Three healthcare professionals were trained and supervised in the delivery of brief CBT to 98 mothers of food-allergic children. Competency was assessed using the Revised Cognitive Therapy Scale (CTS-R), with ‘competency’ defined as a CTS-R score ≥3. All therapists’ CTS-R scores increased over time. In the first four months, the mean (SD) CTS-R score was 2.31 (0.56), increasing to 3.14 (0.41) in the second four months ( p < .001). Overall, 13/19 (68%) of CBT sessions were rated with a CTS-R score ≥3 in the second four months. After eight months, all therapists were performing CBT at a competent level (17 of the 18 sessions or 94%). The therapists participated in a RCT that reduced maternal anxiety (reported elsewhere). We have shown that therapists not previously trained in CBT can be trained in specific interventions and reach competent levels quickly.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Nilza R. S. Lyra ◽  
Maria E. F. A. Motta ◽  
Luiz A. R. Rocha ◽  
Dirceu Solé ◽  
Décio M. Peixoto ◽  
...  

Objective. To develop a questionnaire as a screening tool for adverse reactions to foods in children and to assess the technical reproducibility by test-retest. Methods. Reproducibility of the questionnaire was performed by the literature review, preparing the preliminary questionnaire, peer review, pretest, and retest analysis. The study of the test-retest reproducibility was cross-sectional and descriptive. Kappa coefficient was used to study the reproducibility of the questionnaire. The sample consisted of 125 2–4 year-old children from 15 daycare centers in Recife, Brazil, and interviews with parents or caregivers were used to collect data. Results. From the total children, sixty-three were boys (50.4%), forty-six were two years old (36.8%), forty-seven were three years old (37.6%), and thirty-two were four years old (25.6%). Forty caregivers reported that their child had health problems with food. Most frequently reported offending foods were milk, peanuts, shrimp, and chocolate. Nine questions showed a good Kappa index (≥0,6). Conclusions. The questionnaire used needs to be resized and reshaped on the basis of the issues with good internal consistency and reproducibility. The use of a validated and reproducible questionnaire in the children represents an important contribution towards assessing an eventual rise in overt food allergy.


2018 ◽  
Vol 15 (11) ◽  
pp. 1053-1063 ◽  
Author(s):  
Yeseul Kim ◽  
Yeonsoo Park ◽  
Gyeongcheol Cho ◽  
Kiho Park ◽  
Shin-Hyang Kim ◽  
...  

2017 ◽  
Vol 41 (4) ◽  
pp. 325-332 ◽  
Author(s):  
Barry Rosenfeld ◽  
Melodie Foellmi ◽  
Ali Khadivi ◽  
Charity Wijetunga ◽  
Jacqueline Howe ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document