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Title: What factors affect the carriage of epinephrine auto-injectors by teenagers?
Authors: Macadam, C
Barnett, J
Roberts, G
Stiefel, G
King, R
Erlewyn-Lajeunesse, M
Holloway, JA
Lucas, JS
Keywords: Food allergy;Adolescent;Adherence;Anaphylaxis;Auto-injector;Patient education
Issue Date: 2012
Publisher: BioMed Central Ltd
Citation: Clinical and Translational Allergy, 2(1): 3, Feb 2012
Abstract: BACKGROUND: Teenagers with allergies are at particular risk of severe and fatal reactions, but epinephrine auto-injectors are not always carried as prescribed. We investigated barriers to carriage. METHODS: Patients aged 12-18 years old under a specialist allergy clinic, who had previously been prescribed an auto-injector were invited to participate. Semi-structured interviews explored the factors that positively or negatively impacted on carriage. RESULTS: Twenty teenagers with food or venom allergies were interviewed. Only two patients had used their auto-injector in the community, although several had been treated for severe reactions in hospital. Most teenagers made complex risk assessments to determine whether to carry the auto-injector. Most but not all decisions were rational and were at least partially informed by knowledge. Factors affecting carriage included location, who else would be present, the attitudes of others and physical features of the auto-injector. Teenagers made frequent risk assessments when deciding whether to carry their auto-injectors, and generally wanted to remain safe. Their decisions were complex, multi-faceted and highly individualised. CONCLUSIONS: Rather than aiming for 100% carriage of auto-injectors, which remains an ambitious ideal, personalised education packages should aim to empower teenagers to make and act upon informed risk assessments.
Description: Copyright @ 2012 Macadam et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article is made available through the Brunel Open Access Publishing Fund.
ISSN: 2045-7022
Appears in Collections:Publications
Computer Science
Brunel OA Publishing Fund
Dept of Computer Science Research Papers

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