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. 2022 Sep 9;101(36):e30404. doi: 10.1097/MD.0000000000030404

Table 2.

Interventions (N = 9).

Intervention Intervention period f/u Effect on QOL Statistical data
1[19] Consultation with a community-based general pediatrician who completed an online Clinical Decision Support Training Program
Provider: general pediatrician who completed an online Clinical Decision Support Training Program
Once or twice -Baseline
- 3 months
(N)
There was no significant change in the child’s quality of life.
Not mentioned
2[15] The food allergy handbook
Components: allergen avoidance, symptom recognition and emergency treatment, practical strategies for managing allergies in daily life, coping with social and emotional challenges, educating others regarding food allergy, and teaching children regarding allergy management
Handbook group were instructed to read the handbook before the two-week follow-up. - Baseline
- Two weeks
- Two months
(Y)
At the 2-month follow-up, the handbook group had significantly greater improvement in quality-of-life scores than the control group.
Mean difference −0.48
(−0.79 to −0.16);
P = .004
3[20] Booklet and monthly reminder text messages
Components: serving size guide and list of commercial foods containing specific nuts and recipes.
Provider: dieticians
Six months
text message: 5 times
Six months (N)
There was no significant change in FAQL-PB scores across the entire cohort at the 6 month follow-up.
Not mentioned
4[22] Cognitive behavioral therapy
Components: psychoeducation, including both the risk of living with high anxiety and the risk of fatal anaphylaxis for a child with food allergy, and coping thoughts and relaxation technique
Provider: pediatrician in training, registered nurses, qualified psychologist
45 minutes, one session
15 minutes reinforcement
(at 2 and 6 weeks)
-Baseline
-Six weeks
- 1 year
(N)
There was no significant difference between the groups’ FAQLQ scores at either time-point.
At 6 weeks
mean difference 0.13
(−0.26, 0.50; P = .54; d = 0.09)
At 1 year
mean difference 0.04
(−0.45, 0.54; P = .86; d = 0.03).
5[16] Practice self-injection
(with an empty syringe)
Components: how to hold the syringe, put the point of the needle, insert, and dispose securely
Provider: researchers
Not mentioned -Baseline
-One month
(N)
There were no significant differences between group means.
P = .47
6[17] Touching their allergen and education
Components: hold a cup with a nut and touch the nut with their finger, education regarding being in proximity of and having contact with peanut and/or tree nuts
Provider: physician
Time for each step was 5 minutes -Baseline
-One month
(N)
There was no statistical difference between the groups.
P = .76
7[21] Consultation with a community-based general pediatrician
Provider: general pediatrician who had completed an online Clinical Decision Support Training Program
Not mentioned -Six months
-12 months
(Y)_ Food anxiety
At 12 months, families reported less food allergy–related anxiety but more food-related social and dietary limitations compared with CC families.
Food anxiety
mean difference − 0.29
(−0.50 to − 0.08); P = .01
Social and dietary limitations
mean difference, 0.15
(0.12–0.19); P < .001
8[23] Supported by a medical clown (MC) during the induction week of oral immunotherapy (OIT) for food allergy
Provider: MC who graduated from the Dream Doctors organization
The MC first met the patients at their arrival to the allergy clinic on the first day of OIT and supported them throughout the first up-dosing days
Four days
(up to 6 hours/day).
One time (Y)_children aged 8–12 years
The support of a MC was most significantly associated with better QOL scores of children in allergen avoidance, dietary restrictions domains, and the total score.

The support of a MC did not significantly impact children’s QOL (aged 4–12years), as perceived by their parents.
Allergen avoidance
mean difference 1.33 (0.73–1.92); P < .001
Dietary restrictions
mean difference 1.69 (1.12–2.26); P < .001
Total score
mean difference 0.94 (0.44–1.44); P < .001
(P = .81)
9[18] Peer mentorship program
Mentor: primary caregivers of a child aged between 5 and 18 years, diagnosed with FA at least 1 year prior
Communication: in-person meetings, phone, text, and email
Components: tailored to the needs of the mentee.
Six months
Frequency of contact was from 2 to 12 or more times.
Baseline
Follow up: 6-month (unclear)
(N)
Mentees’ scores decreased, but there were no statistically significant differences
Mentees’ scores decreased from 3.32 to 2.33 (95% CI = −2.32, 0.06)
P = .06