Strength of recommendation: Moderate recommendation based
on low risk of bias in quantitative
cross-sectional57,62,63,65-73 and quantitative cohort
studies64. These included AYA with
asthma57,62-64,68,71-73, atopic
dermatitis65-67,69 and food
allergy70. |
Other considerations: Many
AYA with asthma and allergy have associated psychological issues. Tools
such as HEADSS26 or
YouthCHAT84,85may be helpful in identifying problems
that can then be addressed and managed85 in an
appropriate way. |
References:
Bruzzese57,Bruzzese72,73,
Ferro64; Halvorsen65,
Kim66,Lee67,Lu68,
Noh69,Polloni70,
Shankar71,Hullmann63. |
Identification and management of socioeconomic issues and
stressful life events impacting disease control and health related
quality of life may be recommended (Grade C, Evidence level II-IV) |
Identification and management of socioeconomic issues and
stressful life events impacting disease control and health related
quality of life may be recommended (Grade C, Evidence level II-IV) |
Identification and management of socioeconomic issues and
stressful life events impacting disease control and health related
quality of life may be recommended (Grade C, Evidence level
II-IV) |
Strength of recommendation: Moderate recommendation based
on low risk of bias in quantitative cross-sectional
69,81,82, quantitative cohort64,79
and quantitative case series studies83. AYA had
asthma79,81-83, atopic dermatitis69
and food allergy64. |
Other
considerations: Examples include factors that may impact on quality of
life including divorce, bankruptcy, bereavement and recent severe
allergic reactions.69,82,83 Potential financial
barriers should be explored in young adults. These areas need to be
explored in a sensitive way. |
References:
Ferro64,Hedman82,Amaral83,Noh69,Stridsman81,Sundell79. |
Psychological interventions using a cognitive behavioural
therapy based or multi-systemic therapy approach can be recommended to
improve adherence, asthma knowledge, self-management and symptom control
(Grade B, Evidence level I) |
Psychological interventions using
a cognitive behavioural therapy based or multi-systemic therapy approach
can be recommended to improve adherence, asthma knowledge,
self-management and symptom control (Grade B, Evidence level I) |
Psychological interventions using a cognitive behavioural
therapy based or multi-systemic therapy approach can be recommended to
improve adherence, asthma knowledge, self-management and symptom control
(Grade B, Evidence level I) |
Strength of recommendation: Moderate recommendation due to
specific population39,41,42 based on low to
intermediate risk of bias in one randomized controlled
trial39,41,42,66and a randomized pilot
trial40. Psychological interventions can be considered
for AYA who are struggling to successfully self-manage their asthma. |
Other considerations: Evidence for asthma knowledge,
self-management and symptom control, mainly involving African American
AYA with asthma in one study39,41,42. It is possible
that findings may be extrapolated to other conditions. However, more
studies are needed. These interventions are likely to be most effective
for specific patients, for example those struggling to self-manage. The
active involvement of the AYA is essential for success. The psychologist
should have a good understanding of allergy and asthma. |
References: Naar41,
Ellis39, Naar-King42,
Bruzzese40. |