ABSTRACT
Anaphylaxis is a life-threatening allergic reaction which is rapid in onset. Adolescents living with anaphylaxis risk often lack the knowledge and skills required to safely manage their condition or talk to friends about it. We designed an educational intervention comprising group discussion around videos of simulated anaphylaxis scenarios and a mobile application containing video-based branching anaphylaxis narratives. We trialed the intervention with 36 nut allergic adolescents. At 1-year follow-up participants had improved adrenaline auto-injector skills and carriage, disease- and age-specific Quality of Life and confidence in anaphylaxis management. At 3-year follow-up adrenaline carriage improved further and confidence remained higher. Participants expressed how the education session was a turning point in taking control of their allergy and how the app facilitated sharing about anaphylaxis with others. We contribute insights regarding design of mobile self-care and peer-support applications for health in adolescence, and discuss strengths and limitations of video-based mobile health interventions.
Supplemental Material
- Afshin, A., Babalola, D., Mclean, M., Yu, Z., Ma, W., Chen, C. Y., Arabi, M., and Mozaffarian, D., 2016. Information Technology and Lifestyle: A Systematic Evaluation of Internet and Mobile Interventions for Improving Diet, Physical Activity, Obesity, Tobacco, and Alcohol Use. Journal of the American Heart Association 5, 9, e003058. DOI= http://doi.org/10.1161/jaha.115.003058.Google ScholarCross Ref
- Anderson, J. K. and Wallace, L. M., 2015. Applying the Behavioural Intervention Technologies model to the development of a smartphone application (app) supporting young peoples' adherence to anaphylaxis action plan. BMJ Innovations 1, 2, 67--73. DOI= http://doi.org/10.1136/bmjinnov-2014-000016. Google ScholarCross Ref
- Annunziato, R. A., Rubes, M., Ambrose, M., Caso, N., Dillon, M., Sicherer, S. H., and Shemesh, E., 2015. Allocation of food allergy responsibilities and its correlates for children and adolescents. Journal of Health Psychology 20, 6, 693--701. DOI= http://doi.org/10.1177/1359105315579798. Google ScholarCross Ref
- Antolín-Amérigo, D., Manso, L., Caminati, M., De La Hoz Caballer, B., Cerecedo, I., Muriel, A., Rodríguez-Rodríguez, M., Barbarroja-Escudero, J., Sánchez-González, M. J., Huertas-Barbudo, B., and Alvarez-Mon, M., 2016. Quality of life in patients with food allergy. Clinical and Molecular Allergy 14, 1, 1--10. DOI= http://doi.org/10.1186/s12948-016-0041-4. Google ScholarCross Ref
- Arens-Volland, A., Feidert, F., Herbst, R., Mösges, R., and Rösch, N., 2011. Use of electronic patient diaries supports diagnosis of food allergy and diet management. Clin Transl Allergy 1, Suppl 1, O38-O38. DOI= http://doi.org/10.1186/2045-7022-1-S1-O38. Google ScholarCross Ref
- Armstrong, A. W., Idriss, N. Z., and Kim, R. H., 2011. Effects of video-based, online education on behavioral and knowledge outcomes in sunscreen use: A randomized controlled trial. Patient Education and Counseling 83, 2, 273--277. DOI= http://doi.org/10.1016/j.pec.2010.04.033. Google ScholarCross Ref
- Bandura, A., 1997. Self-Efficacy in Changing Societies. Cambridge University Press, Cambridge.Google Scholar
- Bert, F., Giacometti, M., Gualano, M. R., and Siliquini, R., 2014. Smartphones and Health Promotion: A Review of the Evidence. Journal of Medical Systems 38, 1, 1--11. DOI= http://doi.org/10.1007/s10916-0139995--7.Google ScholarCross Ref
- Besera, G. T., Cox, S., Malotte, C. K., Rietmeijer, C. A., Klausner, J. D., O'donnell, L., Margolis, A. D., and Warner, L., 2016. Assessing Patient Exposure to a Video-Based Intervention in STD Clinic Waiting Rooms: Findings From the Safe in the City Trial. Health Promotion Practice 17, 5, 731--738. DOI= http://doi.org/10.1177/1524839916631537. Google ScholarCross Ref
- Bock, S. A., Munoz-Furlong, A., and Sampson, H. A., 2007. Further fatalities caused by anaphylactic reactions to food, 2001-2006. Journal of Allergy and Clinical Immunology 119, 4, 1016--1018. DOI= http://doi.org/10.1016/j.jaci.2006.12.622. Google ScholarCross Ref
- Braun, V. and Clarke, V., 2006. Using thematic analysis in psychology. Qualitative Research in Psychology 3, 2, 77--101. DOI= http://doi.org/10.1191/1478088706qp063oa. Google ScholarCross Ref
- Brockow, K., Schallmayer, S., Beyer, K., Biedermann, T., Fischer, J., Gebert, N., Grosber, M., Jakob, T., Klimek, L., Kugler, C., Lange, L., Pfaar, O., Przybilla, B., Rietschel, E., Rueff, F., Schnadt, S., Szczepanski, R., Worm, M., Kupfer, J., Gieler, U., Ring, J., For the Working Group on Anaphylaxis, T., and Education, 2015. Effects of a structured educational intervention on knowledge and emergency management in patients at risk for anaphylaxis. Allergy 70, 2, 227--235. DOI= http://doi.org/10.1111/all.12548.Google ScholarCross Ref
- Cafazzo, J. A., Casselman, M., Hamming, N., Katzman, D. K., and Palmert, M. R., 2012. Design of an mHealth app for the self-management of adolescent type 1 diabetes: a pilot study. J Med Internet Res 14, 3, e70. DOI= http://doi.org/10.2196/jmir.2058.Google ScholarCross Ref
- Cordeiro, F., Bales, E., Cherry, E., and Fogarty, J., 2015. Rethinking the Mobile Food Journal: Exploring Opportunities for Lightweight Photo-Based Capture. In Proceedings of the Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems (Seoul, Republic of Korea), ACM, 3207--3216. DOI= http://doi.org/10.1145/2702123.2702154.Google ScholarDigital Library
- Cummings, A. J., Knibb, R. C., King, R. M., and Lucas, J. S., 2010. The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: a review. Allergy 65, 8, 933--945. DOI= http://doi.org/10.1111/j.1398--9995.2010.02342.x.Google ScholarCross Ref
- Daraghmi, E. Y. and Yuan, S. M., 2013. PMR: Personalized Mobile Restaurant system. In Computer Science and Information Technology (CSIT), Amman, Jordan, 275--282. DOI= http://doi.org/10.1109/CSIT.2013.6588792.Google Scholar
- Davies, S. C. 2013. Annual Report of the Chief Medical Officer 2012, Our Children Deserve Better: Prevention Pays. Available: https://www.gov.uk/government/uploads/system/uploa ds/attachment_data/file/255237/2901304_CMO_complete_low_res_accessible.pdf.Google Scholar
- De Moura Quevedo, N. M., Da Costa, C. A., Da Rosa Righi, R., and Rigo, S. J., 2016. A food allergy risk detection model based on situation awareness. Journal of Applied Computing Research 5, 1, 32--43. DOI= http://doi.org/10.4013/jacr.2016.51.03. Google ScholarCross Ref
- Delen, E., Liew, J., and Willson, V., 2014. Effects of interactivity and instructional scaffolding on learning: Self-regulation in online video-based environments. Computers & Education 78, 312--320. DOI= http://doi.org/10.1016/j.compedu.2014.06.018. Google ScholarDigital Library
- Dinakar, C., 2012. Anaphylaxis in Children: Current Understanding and Key Issues in Diagnosis and Treatment. Curr Allergy Asthma Rep 12, 6, 641--649. DOI= http://doi.org/10.1007/s11882-012-0284-1. Google ScholarCross Ref
- Ferro, M. A., Van Lieshout, R. J., Ohayon, J., and Scott, J. G., 2016. Emotional and behavioral problems in adolescents and young adults with food allergy. Allergy 71, 4, 532--540. DOI= http://doi.org/10.1111/all.12829. Google ScholarCross Ref
- Flokstra-De Blok, B. M. J., Dunngalvin, A., VliegBoerstra, B. J., Oude Elberink, J. N. G., Duiverman, E. J., Hourihane, J. O. B., and Dubois, A. E. J., 2008. Development and validation of the self-administered Food Allergy Quality of Life Questionnaire for adolescents. Journal of Allergy and Clinical Immunology 122, 1, 139--144, 144.e131--132. DOI= http://doi.org/10.1016/j.jaci.2008.05.008.Google ScholarCross Ref
- Froisland, D. H., Arsand, E., and Skarderud, F., 2012. Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: mixed-methods study. J Med Internet Res 14, 4, e111. DOI= http://doi.org/10.2196/jmir.2155.Google ScholarCross Ref
- Gallagher, M., Worth, A., Cunningham-Burley, S., and Sheikh, A., 2011. Epinephrine auto-injector use in adolescents at risk of anaphylaxis: a qualitative study in Scotland, UK. Clinical and Experimental Allergy 41, 6, 869--877. DOI= http://doi.org/10.1111/j.13652222.2011.03743.x.Google ScholarCross Ref
- Gallagher, M., Worth, A., Cunningham-Burley, S., and Sheikh, A., 2012. Strategies for living with the risk of anaphylaxis in adolescence: qualitative study of young people and their parents. Primary Care Respiratory Journal 21, 4, 392--397. DOI= http://doi.org/10.4104/pcrj.2012.00072. Google ScholarCross Ref
- Garbett, A., Comber, R., Jenkins, E., and Olivier, P., 2016. App Movement: A Platform for Community Commissioning of Mobile Applications. In Proceedings of the Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems (Santa Clara, California, USA), ACM, 26--37. DOI= http://doi.org/10.1145/2858036.2858094. Google ScholarDigital Library
- Glasemann, M., Kanstrup, A. M., and Ryberg, T., 2010. Making chocolate-covered broccoli: designing a mobile learning game about food for young people with diabetes. In Proceedings of the Proceedings of the 8th ACM Conference on Designing Interactive Systems (Aarhus, Denmark), ACM, 1858219, 262--271. DOI= http://doi.org/10.1145/1858171.1858219. Google ScholarDigital Library
- Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B. B., and Ginsburg, A.S., 2015. Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. J Med Internet Res 17, 2, e52. DOI= http://doi.org/10.2196/jmir.3951.Google ScholarCross Ref
- Heary, C. M. and Hennessy, E., 2002. The Use of Focus Group Interviews in Pediatric Health Care Research. Journal of Pediatric Psychology 27, 1, 47--57. DOI= http://doi.org/10.1093/jpepsy/27.1.47. Google ScholarCross Ref
- Henricksen, K. and Viller, S., 2012. Design of software to support families with food-allergic and food-intolerant children. In Proceedings of the Proceedings of the 24th Australian Computer-Human Interaction Conference (Melbourne, Australia), ACM, 194--203. DOI= http://doi.org/10.1145/2414536.2414571. Google ScholarDigital Library
- Huh, J., Liu, L.S., Neogi, T., Inkpen, K., and Pratt, W., 2014. Health Vlogs as Social Support for Chronic Illness Management. ACM Trans. Comput.-Hum. Interact. 21, 4, 1--31. DOI= http://doi.org/10.1145/2630067. Google ScholarDigital Library
- Iizuka, K., Okawada, T., Matsuyama, K., Kurihashi, S., and Iizuka, Y., 2012. Food menu selection support system: considering constraint conditions for safe dietary life. In Proceedings of the Proceedings of the ACM multimedia 2012 workshop on Multimedia for cooking and eating activities (Nara, Japan), ACM, 5358. DOI= http://doi.org/10.1145/2390776.2390786. Google ScholarDigital Library
- Jones, C. J., Llewellyn, C. D., Frew, A. J., Du Toit, G., Mukhopadhyay, S., and Smith, H., 2015. Factors associated with good adherence to self-care behaviours amongst adolescents with food allergy. Pediatric Allergy and Immunology 26, 2, 111--118. DOI= http://doi.org/10.1111/pai.12333. Google ScholarCross Ref
- Kirk, S., Beatty, S., Callery, P., Gellatly, J., Milnes, L., and Pryjmachuk, S., 2013. The effectiveness of selfcare support interventions for children and young people with long-term conditions: a systematic review. Child: Care, Health and Development 39, 3, 305--324. DOI= http://doi.org/10.1111/j.13652214.2012.01395.x.Google ScholarCross Ref
- Klonoff, D. C., 2013. The Current Status of mHealth for Diabetes: Will it Be the Next Big Thing? Journal of Diabetes Science and Technology 7, 3, 749--758. DOI= http://doi.org/10.1177/193229681300700321. Google ScholarCross Ref
- Lin, A. and Sharma, H. P., 2014. Teasing and Bullying Among Adolescents With Food Allergy. Journal of Allergy and Clinical Immunology 133, 2, AB288. DOI= http://doi.org/10.1016/j.jaci.2013.12.1020.Google ScholarCross Ref
- Love, E. M., Manalo, I. F., Chen, S. C., Chen, K.-H., and Stoff, B. K., 2016. A video-based educational pilot for basal cell carcinoma (BCC) treatment: A randomized controlled trial. Journal of the American Academy of Dermatology 74, 3, 477--483.e477. DOI= http://doi.org/10.1016/j.jaad.2015.10.014. Google ScholarCross Ref
- Monks, H., Gowland, M. H., Mackenzie, H., ErlewynLajeunesse, M., King, R., Lucas, J. S., and Roberts, G., 2010. How do teenagers manage their food allergies? Clinical and Experimental Allergy 40, 10, 1533--1540. DOI= http://doi.org/10.1111/j.13652222.2010.03586.x.Google ScholarCross Ref
- Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., and Hoving, C., 2013. A New Dimension of Health Care: Systematic Review of the Uses, Benefits, and Limitations of Social Media for Health Communication. J Med Internet Res 15, 4, e85. DOI= http://doi.org/10.2196/jmir.1933.Google ScholarCross Ref
- Morrison, C. and Doherty, G., 2014. Analyzing Engagement in a Web-Based Intervention Platform Through Visualizing Log-Data. J Med Internet Res 16, 11, e252. DOI= http://doi.org/10.2196/jmir.3575.Google ScholarCross Ref
- Muraro, A., Polloni, L., Lazzarotto, F., Toniolo, A., Baldi, I., Bonaguro, R., Gini, G., and Masiello, M., 2014. Comparison of bullying of food-allergic versus healthy schoolchildren in Italy. Journal of Allergy and Clinical Immunology 134, 3, 749--751. DOI= http://doi.org/10.1016/j.jaci.2014.05.043. Google ScholarCross Ref
- Muraro, A., Roberts, G., Worm, M., Bilò, M. B., Brockow, K., Fernández Rivas, M., Santos, A. F., Zolkipli, Z. Q., Bellou, A., Beyer, K., Bindslev-Jensen, C., Cardona, V., Clark, A. T., Demoly, P., Dubois, A. E. J., Dunngalvin, A., Eigenmann, P., Halken, S., Harada, L., Lack, G., Jutel, M., Niggemann, B., Ruëff, F., Timmermans, F., Vlieg-Boerstra, B. J., Werfel, T., Dhami, S., Panesar, S., Akdis, C.A., Sheikh, A., The, E. F. A., and Anaphylaxis Guidelines, G., 2014. Anaphylaxis: guidelines from the European Academy of Allergy and Clinical Immunology. Allergy 69, 8, 1026--1045. DOI= http://doi.org/10.1111/all.12437. Google ScholarCross Ref
- Muraro, A., Werfel, T., Hoffmann-Sommergruber, K., Roberts, G., Beyer, K., Bindslev-Jensen, C., Cardona, V., Dubois, A., Dutoit, G., Eigenmann, P., Fernandez Rivas, M., Halken, S., Hickstein, L., Høst, A., Knol, E., Lack, G., Marchisotto, M. J., Niggemann, B., Nwaru, B. I., Papadopoulos, N. G., Poulsen, L. K., Santos, A. F., Skypala, I., Schoepfer, A., Van Ree, R., Venter, C., Worm, M., Vlieg-Boerstra, B., Panesar, S., De Silva, D., Soares-Weiser, K., Sheikh, A., Ballmer-Weber, B. K., Nilsson, C., De Jong, N. W., Akdis, C. A., The, E. F. A., and Anaphylaxis Guidelines, G., 2014. EAACI Food Allergy and Anaphylaxis Guidelines: diagnosis and management of food allergy. Allergy 69, 8, 10081025. DOI= http://doi.org/10.1111/all.12429.Google Scholar
- Nguyen-Luu, N. U., Ben-Shoshan, M., Alizadehfar, R., Joseph, L., Harada, L., Allen, M., St-Pierre, Y., and Clarke, A., 2012. Inadvertent exposures in children with peanut allergy. Pediatric Allergy and Immunology 23, 2, 133--139. DOI= http://doi.org/10.1111/j.13993038.2011.01235.x.Google ScholarCross Ref
- Nielsen. 2014. Mobile Millennials: over 85% of generation Y owns smartphones. Available: http://www.nielsen.com/us/en/insights/news/2014/mobile-millennials-over-85-percent-of-generation-y-owns-smartphones.html [Accessed 20/11/2015].Google Scholar
- Norman, G., 2010. Likert scales, levels of measurement and the "laws" of statistics. Advances in Health Sciences Education 15, 5, 625--632. DOI= http://doi.org/10.1007/s10459-010-9222-y. Google ScholarCross Ref
- Ofcom. 2015. The Communications Market Report. Available: http://stakeholders.ofcom.org.uk/binaries/research/cmr/cmr15/CMR_UK_2015.pdf [Accessed 20/11/2015].Google Scholar
- Ofcom. 2016. The Communications Market Report. Available: http://stakeholders.ofcom.org.uk/binaries/research/cmr/cmr16/uk/CMR_UK_2016.pdf [Accessed 03/09/2016].Google Scholar
- Panesar, S. S., Javad, S., De Silva, D., Nwaru, B. I., Hickstein, L., Muraro, A., Roberts, G., Worm, M., Bilò, M. B., Cardona, V., Dubois, A. E. J., Dunn Galvin, A., Eigenmann, P., Fernandez-Rivas, M., Halken, S., Lack, G., Niggemann, B., Santos, A. F., Vlieg-Boerstra, B. J., Zolkipli, Z. Q., Sheikh, A., The, E. F. A., and Anaphylaxis, G., 2013. The epidemiology of anaphylaxis in Europe: a systematic review. Allergy 68, 11, 1353--1361. DOI= http://doi.org/10.1111/all.12272. Google ScholarCross Ref
- Patton, M.Q., 2002. Qualitative Research & Evaluation Methods. SAGE Publications, Thousand Oaks, CA.Google Scholar
- Pereira, B., Venter, C., Grundy, J., Clayton, C. B., Arshad, S.H., and Dean, T., 2005. Prevalence of sensitization to food allergens, reported adverse reaction to foods, food avoidance, and food hypersensitivity among teenagers. Journal of Allergy and Clinical Immunology 116, 4, 884--892. DOI= http://doi.org/10.1016/j.jaci.2005.05.047. Google ScholarCross Ref
- Polloni, L., Lazzarotto, F., Bonaguro, R., Toniolo, A., Celegato, N., and Muraro, A., 2015. Psychological care of food-allergic children and their families: an exploratory analysis. Pediatric Allergy and Immunology 26, 1, 87--90. DOI= http://doi.org/10.1111/pai.12325. Google ScholarCross Ref
- Poole, E. S. and Peyton, T., 2013. Interaction design research with adolescents: methodological challenges and best practices. In Proceedings of the Proceedings of the 12th International Conference on Interaction Design and Children (New York, New York, USA), ACM, 2485766, 211--217. DOI= http://doi.org/10.1145/2485760.2485766. Google ScholarDigital Library
- Pumphrey, R. S. and Gowland, M. H., 2007. Further fatal allergic reactions to food in the United Kingdom, 1999-2006. Journal of Allergy and Clinical Immunology 119, 4, 1018--1019. DOI= http://doi.org/10.1016/j.jaci.2007.01.021. Google ScholarCross Ref
- Resnick, M. D., Catalano, R. F., Sawyer, S. M., Viner, R., and Patton, G. C., 2012. Seizing the opportunities of adolescent health. The Lancet 379, 9826, 1564--1567. DOI= http://doi.org/10.1016/S0140-6736(12)60472-3. Google ScholarCross Ref
- Resuscitation Council (Uk). 2012. Emergency treatment of anaphylactic reactions: Guidelines for healthcare providers. Available: http://www.resus.org.uk/pages/reaction.pdf.Google Scholar
- Rosenstock, I. M., Strecher, V. J., and Becker, M. H., 1988. Social Learning Theory and the Health Belief Model. Health Education Quarterly 15, 2, 175--183. DOI= http://doi.org/10.1177/109019818801500203. Google ScholarCross Ref
- Sawyer, S. M., Drew, S., Yeo, M. S., and Britto, M. T., 2007. Adolescents with a chronic condition: challenges living, challenges treating. The Lancet 369, 9571, 1481--1489. DOI= http://doi.org/10.1016/S01406736(07)60370-5.Google Scholar
- Schofield, G., Bartindale, T., and Wright, P., 2015. Bootlegger: Turning Fans into Film Crew. In Proceedings of the Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems (Seoul, Republic of Korea), ACM, 767--776. DOI= http://doi.org/10.1145/2702123.2702229.Google ScholarDigital Library
- Sicherer, S. H. and Sampson, H. A., 2014. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. Journal of Allergy and Clinical Immunology 133, 2 (2//), 291--307.e295. DOI= http://doi.org/10.1016/j.jaci.2013.11.020.Google ScholarCross Ref
- Sicherer, S. H., Vargas, P. A., Groetch, M. E., Christie, L., Carlisle, S. K., Noone, S., and Jones, S. M., 2012. Development and validation of educational materials for food allergy. J Pediatr 160, 4, 651--656. DOI= http://doi.org/10.1016/j.jpeds.2011.09.056. Google ScholarCross Ref
- Skinner, H., Biscope, S., Poland, B., and Goldberg, E., 2003. How adolescents use technology for health information: implications for health professionals from focus group studies. J Med Internet Res 5, 4, e32. DOI= http://doi.org/10.2196/jmir.5.4.e32.Google ScholarCross Ref
- Song, T. T., Worm, M., and Lieberman, P., 2014. Anaphylaxis treatment: current barriers to adrenaline auto-injector use. Allergy 69, 8, 983--991. DOI= http://doi.org/10.1111/all.12387. Google ScholarCross Ref
- Spina, J. L., Mcintyre, C. L., and Pulcini, J. A., 2012. An intervention to increase high school students' compliance with carrying auto-injectable epinephrine: a MASNRN study. Journal of School Nursing 28, 3, 230--237. DOI= http://doi.org/10.1177/1059840511431459. Google ScholarCross Ref
- Squire, K. and Dikkers, S., 2012. Amplifications of learning: Use of mobile media devices among youth. Convergence: The International Journal of Research into New Media Technologies 18, 4, 445--464. DOI= http://doi.org/10.1177/1354856511429646. Google ScholarCross Ref
- Tixier, M. and Lewkowicz, M., 2016. "Counting on the Group": Reconciling Online and Offline Social Support among Older Informal Caregivers. In Proceedings of the Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems (Santa Clara, California, USA), ACM, 3545--3558. DOI= http://doi.org/10.1145/2858036.2858477. Google ScholarDigital Library
- Tuong, W., Larsen, E. R., and Armstrong, A. W., 2014. Videos to influence: a systematic review of effectiveness of video-based education in modifying health behaviors. Journal of Behavioral Medicine 37, 2, 218--233. DOI= http://doi.org/10.1007/s10865-0129480-7.Google ScholarCross Ref
- Turner, P. J., Gowland, M. H., Sharma, V., Ierodiakonou, D., Harper, N., Garcez, T., Pumphrey, R., and Boyle, R. J., 2015. Increase in anaphylaxis-related hospitalizations but no increase in fatalities: An analysis of United Kingdom national anaphylaxis data, 1992--2012. Journal of Allergy and Clinical Immunology 135, 4, 956--963.e951. DOI= http://doi.org/10.1016/j.jaci.2014.10.021. Google ScholarCross Ref
- Twomey, N., Temko, A., Hourihane, J. O. B., and Marnane, W. P., 2011. Allergy detection with statistical modelling of HRV-based non-reaction baseline features. In Proceedings of the Proceedings of the 4th International Symposium on Applied Sciences in Biomedical and Communication Technologies (Barcelona, Spain), ACM, 1--5. DOI= http://doi.org/10.1145/2093698.2093832. Google ScholarDigital Library
- Umasunthar, T., Procktor, A., Hodes, M., Smith, J. G., Gore, C., Cox, H. E., Marrs, T., Hanna, H., Phillips, K., Pinto, C., Turner, P. J., Warner, J. O., and Boyle, R. J., 2015. Patients' ability to treat anaphylaxis using adrenaline autoinjectors: a randomized controlled trial. Allergy 70, 7, 855--863. DOI= http://doi.org/10.1111/all.12628. Google ScholarCross Ref
- Van Der Velde, J. L., Flokstra-De Blok, B. M., VliegBoerstra, B. J., Oude Elberink, J. N., Schouten, J. P., Dunngalvin, A., Hourihane, J. O., Duiverman, E. J., and Dubois, A. E., 2009. Test-retest reliability of the Food Allergy Quality of Life Questionnaires (FAQLQ) for children, adolescents and adults. Quality of Life Research 18, 2, 245--251. DOI= http://doi.org/10.1007/s11136-008-9434-2.Google ScholarCross Ref
- Vetander, M., Protudjer, J. L. P., Lilja, G., Kull, I., Van Hage, M., Bergström, A., Östblom, E., and Wickman, M., 2015. Food-induced anaphylaxis among a population of adolescents - Report from the BAMSE survey. Clin Transl Allergy 5, Suppl 3, O25-O25. DOI= http://doi.org/10.1186/2045-7022-5-S3-O25. Google ScholarCross Ref
- Viner, R. M., Coffey, C., Mathers, C., Bloem, P., Costello, A., Santelli, J., and Patton, G. C., 2011. 50-year mortality trends in children and young people: a study of 50 low-income, middle-income, and highincome countries. The Lancet 377, 9772, 1162--1174. DOI= http://doi.org/10.1016/S0140-6736(11)60106-2. Google ScholarCross Ref
- Wartella, E., Rideout, V., Zupancic, H., Beaudoin-Ryan, L., and Lauricella, A. 2015. Teens, Health, and Technology. Report of the Center on Media and Human Development [Online]. Available: http://cmhd.northwestern.edu/wpcontent/uploads/2015/05/1886_1_SOC_ConfReport_TeensHealthTech_051115.pdf.Google Scholar
- Wood, R. A., Camargo, C. A., Jr., Lieberman, P., Sampson, H. A., Schwartz, L. B., Zitt, M., Collins, C., Tringale, M., Wilkinson, M., Boyle, J., and Simons, F. E. R., 2014. Anaphylaxis in America: The prevalence and characteristics of anaphylaxis in the United States. Journal of Allergy and Clinical Immunology 133, 2, 461--467. DOI= http://doi.org/10.1016/j.jaci.2013.08.016. Google ScholarCross Ref
- World Health Organization. 2014. Health for the World's Adolescents: A second chance in the second decade. Available: http://apps.who.int/adolescent/second-decade/.Google Scholar
Index Terms
- Supporting Self-Care of Adolescents with Nut Allergy Through Video and Mobile Educational Tools
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