TY - JOUR
T1 - Awareness and Application of United States Food Allergy Prevention Guidelines Among Pediatricians and Other Clinicians
AU - Wang, Julie
AU - Bird, J. Andrew
AU - Cleary, Kelly
AU - Doucette, Julianne
AU - du Toit, George
AU - Groetch, Marion
AU - Gupta, Ruchi
AU - Hathaway, Kathleen H.
AU - Klein, Sara
AU - Lack, Gideon
AU - Leeds, Stephanie
AU - Leon, Tiffany
AU - Lewis, Megan O.
AU - Lieberman, Jay
AU - Nowak-Wegrzyn, Anna
AU - Scribner, Paul
AU - Vickery, Brian P.
AU - Warren, Christopher M.
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/12
Y1 - 2024/12
N2 - Objective: To characterize the awareness of, adherence to, and barriers to the 2017 National Institute of Allergy and Infectious Diseases (NIAID) peanut allergy prevention guidelines among the pediatrics health care workforce. Study design: Pediatricians, family physicians, advanced practice providers (APPs), and dermatologists who provide care for infants were solicited for a population-based online survey, administered from June 6, 2022, through July 3, 2022. The survey collected information about NIAID guideline awareness, implementation, and barriers as well as concerns related to the guidelines. Results: A total of 250 pediatricians, 250 family physicians, 504 APPs, and 253 dermatologists met inclusion criteria. Self-reported guideline awareness was significantly higher for pediatricians (76%) compared with dermatologists (58%), family physicians (52%), and APPs (45%) (P < .05). Among participants who were aware of the guidelines, most reported using part or all of the guidelines in their clinical practices. Reported practice patterns for peanut introduction in 6-month-old infants were variable and did not always align with guidelines, particularly for infants with mild-to-moderate atopic dermatitis. Conclusions: Although pediatricians have the highest self-reported level of NIAID guideline awareness, awareness was suboptimal irrespective of provider type. Education for all pediatric clinicians is urgently needed to promote evidence-based peanut allergy prevention practices.
AB - Objective: To characterize the awareness of, adherence to, and barriers to the 2017 National Institute of Allergy and Infectious Diseases (NIAID) peanut allergy prevention guidelines among the pediatrics health care workforce. Study design: Pediatricians, family physicians, advanced practice providers (APPs), and dermatologists who provide care for infants were solicited for a population-based online survey, administered from June 6, 2022, through July 3, 2022. The survey collected information about NIAID guideline awareness, implementation, and barriers as well as concerns related to the guidelines. Results: A total of 250 pediatricians, 250 family physicians, 504 APPs, and 253 dermatologists met inclusion criteria. Self-reported guideline awareness was significantly higher for pediatricians (76%) compared with dermatologists (58%), family physicians (52%), and APPs (45%) (P < .05). Among participants who were aware of the guidelines, most reported using part or all of the guidelines in their clinical practices. Reported practice patterns for peanut introduction in 6-month-old infants were variable and did not always align with guidelines, particularly for infants with mild-to-moderate atopic dermatitis. Conclusions: Although pediatricians have the highest self-reported level of NIAID guideline awareness, awareness was suboptimal irrespective of provider type. Education for all pediatric clinicians is urgently needed to promote evidence-based peanut allergy prevention practices.
KW - Allied Health
KW - allergy prevention
KW - food allergy prevention
KW - guideline implementation
UR - http://www.scopus.com/inward/record.url?scp=85203129207&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2024.114218
DO - 10.1016/j.jpeds.2024.114218
M3 - Article
C2 - 39074733
AN - SCOPUS:85203129207
SN - 0022-3476
VL - 275
JO - Journal of Pediatrics
JF - Journal of Pediatrics
M1 - 114218
ER -