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To face fear: a qualitative study of adolescents' experiences of double-blind, placebo-controlled food challenges
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. (Arcum)
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. (Arcum)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
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2015 (English)In: Allergy. European Journal of Allergy and Clinical Immunology, ISSN 0105-4538, E-ISSN 1398-9995, Vol. 70, 386-386 p.Article in journal, Meeting abstract (Other academic) Published
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Abstract [en]

Background: Double-blind, placebo-controlled food challenges are the gold standard for diagnosing the clinical relevance of a suspected food allergy. Hitherto there are no descriptions on how adolescents' experience this procedure. The aim of this study was to describe adolescents' experiences of double-blind, placebo-controlled food challenges and to what extent the provoked food was reintroduced following the challenge. Method: Seventeen adolescents were interviewed after participating in double-blind, placebo-controlled food challenges. The interview data was analyzed using qualitative content analysis.Results: Experiences during the challenge were: challenging fears in a secure environment, being curious but also hesitant to unknown tastes and waiting for unknown food reactions. Experiences after the challenge were: gaining control and freedom or to stay in old habits. Out of 20 challenges the outcome was negative in 11 cases and positive in 9. Five adolescents with a negative outcome and 4 with mild reactions reintroduced the provoked food. Conclusions: During the challenge the adolescents received knowledge about whether and how they reacted to the provoked food. Reintroduction of the food was not always consistent with the challenge outcome. Independent of the outcome of the challenge and the choices made based on the challenge result, all the adolescents strived for what they felt was a normal life. This study provides a better understanding of young people's experience of double-blind, placebo-controlled food challenge and their motivations to introduce -or not- the previously eliminated food. The result indicate that follow ups are important since the adolescents need support in their striving to manage new food-related situations after the challenge, independent of the outcome.

Place, publisher, year, edition, pages
2015. Vol. 70, 386-386 p.
National Category
Respiratory Medicine and Allergy Nursing
Identifiers
URN: urn:nbn:se:umu:diva-118438DOI: 10.1111/all.12719ISI: 000369950702262OAI: oai:DiVA.org:umu-118438DiVA: diva2:916557
Conference
Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, JUN 06-10, 2015, Barcelona, SPAIN
Note

Supplement: 101, Special Issue: SI, Meeting Abstract: 944

Available from: 2016-04-04 Created: 2016-03-18 Last updated: 2017-09-19Bibliographically approved

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Strinnholm, ÅsaWinberg, AnnaHedman, LinnéaRönmark, EvaLindh, Viveca
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CiteExportLink to record
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Cite
Citation style
  • apa
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  • Other style
More styles
Language
  • de-DE
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  • Other locale
More languages
Output format
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