L25:
Feasibility Survey for a Food Allergy Control Tool
Monday, March 5, 2018
South Hall A2 (Convention Center)
Elizabeth Lippner, MD, Scott H. Sicherer, MD FAAAAI, Michael H. Land, MD FAAAAI, Michael Schatz, MD MS FAAAAI, Chitra Dinakar, MD FAAAAI
Rationale: There is currently no validated clinical assessment tool for the management of food allergy. This study aimed to determine whether a Food Allergy Control Tool (FACT) fulfills a clinical need, whether primary care providers (PCPs) and allergists would use a FACT, and what content should be included in a FACT.

Methods: 53 allergists and 57 pediatricians from various geographic regions and clinical practice settings were invited to complete an anonymous, 13-question online survey. The survey contained a sample FACT that assessed potential domains of food allergy control such as reaction rate/severity, emergency medication/plan, reducing cross-contamination, and quality of life concerns.

Results: The response rate was 62% for allergists and 40% for pediatricians. All responders indicated that they would use the FACT in some capacity. 45% of allergists and 22% of pediatricians would use the FACT for all food allergy (FA) patients, while 33% and 43% respectively, would use the FACT for most FA patients. Allergists and pediatricians felt the FACT would be useful for allergists (85%, 87%), patients (91%, 78%) and PCPs (55%, 70%). Both groups felt the FACT should include the number/severity of reactions, the use of emergency medication/anaphylaxis plan, and accidental ingestion precautions. Allergists also prioritized psychosocial concerns. Pediatricians also prioritized comorbid conditions.

Conclusions: Our pilot survey indicates that allergists and pediatricians would utilize a FACT and perceive a benefit of such an instrument. The FACT should assess reaction prevention/management including emergency medications and an anaphylaxis plan. These results suggest the need for a standardized, validated FACT.