title: Children's Food Allergies: Development of the Food Allergy Management and Adaptation Scale.
abstract: OBJECTIVE
  Develop a measure that evaluates effective pediatric food allergy (FA) management, child and parent FA anxiety, and integration of FA into family life.
  
  
  METHODS
  A semistructured family interview was developed to evaluate FA management using a pilot sample (n = 27). Rating scales evaluated eight dimensions of FA management (FAMComposite), child anxiety, parent anxiety, and overall balanced integration (BI). Families of children with IgE-mediated food allergies (n = 60, child age: 6-12) were recruited for interview and rating scale validation.
  
  
  RESULTS
  FAMComposite was correlated with physician ratings for families' food avoidance and reaction response readiness. FA anxiety was correlated with general anxiety measures for children, but not parents. Parents' FA anxiety was correlated with expectations of negative outcomes from FA. Low BI was associated with poor quality of life and negative impact on family functioning.
  
  
  CONCLUSIONS
  Preliminary analyses support Food Allergy Management and Adaptation Scale validity as a measure of family adaptation to pediatric FA.
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver klinnertm@njhealth.org.
authors: Mary D
authors: MD
authors: Klinnert
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Elizabeth L
authors: EL
authors: McQuaid
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: David A
authors: DA
authors: Fedele
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Anna
authors: A
authors: Faino
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Matthew
authors: M
authors: Strand
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Jane
authors: J
authors: Robinson
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Dan
authors: D
authors: Atkins
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: David M
authors: DM
authors: Fleischer
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Jonathan O'B
authors: JO
authors: Hourihane
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Sophia
authors: S
authors: Cohen
authors: Department of Pediatrics, National Jewish Health, Department of Psychiatry, University of Colorado School of Medicine, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Bradley/Hasbro Children's Research Center, Department of Clinical & Health Psychology, University of Florida, Division of Biostatistics & Bioinformatics, National Jewish Health, Department of Biostatistics & Informatics, University of Colorado School of Public Health, Department of Pediatrics, University of Colorado School of Medicine, Allergy Section, Children's Hospital Colorado, Department of Paediatrics and Child Health, University College Cork, and Graduate School of Social Work, University of Denver.
authors: Hannah
authors: H
authors: Fransen
mesh_terms: D000223:Adaptation, Psychological; D001007:Anxiety / Q000209:etiology / Q000523:psychology / Q000628:therapy; D002648:Child; D019468:Disease Management; D005190:Family; D005260:Female; D005512:Food Hypersensitivity / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008297:Male; D010290:Parents; D010372:Pediatrics; D011788:Quality of Life; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology / Q000628:therapy; D011795:Surveys and Questionnaires
keywords: family adaptation; management; pediatric food allergy; psychosocial adjustment