TABLE 3.
Themes and Quotes for Overcoming Resistance
| Theme | Quote |
|---|---|
| Patient education – needs more information | I certainly believe it, but I find that staggering. Why would 95% of kids be flagged? Or, what is going on that’s causing them to be flagged with these allergies, when now there’s a test that shows that they’re not? I would probably want to have an answer to that.” (Parent 1, group 1, after diagnosis) |
| Patient Education – has general questions | “This discussion makes me interested about the test. I had never heard of this before. Is it new? How accurate is it? How often do they ... I’m kind of curious about all that kind of information.” (Parent 1, group 1, after diagnosis, after presentation) |
| Patient education – has specific questions | “…. So, she is shown not to be allergic, then what is it that is happening all of the other times? And one question is, okay, did she grow out of it? But then, if we take PCN the next time, and she gets the same reaction, then I’m like, it doesn’t appear to me that she grew out of it. So, why is the test negative if we continue to get a reaction every time? What else is going on?” (Parent 1, group 1, after diagnosis) |
| Shared decision making – positive experience | “…. So, when they offered this option if, ‘We think he is low risk, we’re going to be right here with her,’ for us, it was an easy decision to make. Yeah, you’re going to watch her, it would help her, we know this type of medicine works, it’s out there for a reason.” (Parent 2, group 4, after diagnosis) |
| Shared decision making – proactive parent | “And I just think that it’s up to the parents to be advocates and to work together with the doctors to try to make the best decision for your kids. Again, if my kid had a life-threatening bacterial infection and the only thing that was going to help them was a PCN, yeah, I’m going to give that a shot. But if there are other things available, I’m going to try that first.” (Parent 2, group 2, after diagnosis) |
| Shared decision making – strong preference | “I always try and present her with the pros and cons, because obviously con is, ‘It’s going to hurt, but the benefit is, You can get the medicine you need without having a list of don’ts all over.” (Parent interview, after diagnosis, interview delabeled) |
“After” and “before” diagnosis refers to participants perceptions before the drug allergy reaction and subsequent diagnosis or after the reaction and diagnosis. Most of the discussion occurred following the group education on PCN allergies and the delabeling process.