Publication Date

5-2019

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Ruth Rosenblum

Second Advisor

Alan Goldsobel

Third Advisor

Carrie Kaufman

Keywords

Peanut Allergies, Parental Anxiety, Oral immunotherapy

Abstract

The privilege of providing a therapy perceived by patients and families as “life changing” has seasoned physicians describing food oral immunotherapy (OIT) as one of “the most impactful and rewarding thing that they have done in medicine” (Wasserman, Jones, & Windom, 2018). OIT is a medical treatment that allows the immune system to become desensitized to a food to which it may otherwise be allergic. This is not a cure for food allergies but a way to decrease the incidence of anaphylaxis due to accidental ingestion. Living with food allergies can be distressing due to the daily fear of exposures. The decreased quality of life for food allergic children and their families has prompted numerous OIT research projects over the past two decades. This evidence-based research is now being used in OIT treatment programs within hospitals and private practice allergy clinics. A pilot study program evaluation was completed for a newly implemented OIT program within a private allergy clinic. The focus of this study was two-fold: First, it shows how private practice OIT success and safety statistics compare to those reported from academic medical centers; Second, it examines parental anxiety and elements found helpful during their child’s OIT process. Finally, useful information will be offered for OIT implementation within private practices during the program evaluation recommendations section.

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