Background

The use of oral immunotherapy (OIT) for food allergies has been expanding in North America. Although families are interested in this therapeutic approach, misconceptions are common; therefore, education of these families is essential before obtaining informed consent.

Objective

To improve parent and patient knowledge about OIT by investigating the use of a counseling video (CV) and checklist.

Methods

This retrospective review was conducted in a pediatric outpatient clinic. After consultation and review of the information package, 467 parents and patients (>12 years old) performed pre- and posttests in conjunction with a CV during a checklist-based 2-hour counseling session for OIT.

Results

The evaluation of pre- and posttest performance suggested an improvement in the ability of patients to answer relevant questions pertaining to OIT. This was statistically significant for all groups, including mothers, fathers, and children (P < .001). Mothers performed better than fathers and patients in mean number of correct responses in both pre- and posttest scores and in posttest scores after adjustment for pretest scores. Fathers performed better than patients in both pre- and posttest scores but not on posttest scores after adjustment for pretest scores. A checklist-based format resulted in 100% of all major topics being discussed in a 1-hour discussion. Reported satisfaction was high among the participants.

Conclusion

This is the first study to evaluate the use of a CV in conjunction with pre- and posttesting to educate families about the key principles of OIT. We suggest that as part of extensive counseling for OIT, an educational video is beneficial in a pediatric outpatient clinic.

中文翻译：

---

包含测试前和测试后以及口腔免疫治疗同意书清单的辅导视频可提高参与者的知识。

背景

在北美，针对食物过敏的口服免疫疗法（OIT）的使用正在不断扩大。尽管家庭对这种治疗方法感兴趣，但误解很普遍。因此，在获得知情同意之前，对这些家庭进行教育至关重要。

目的

通过调查咨询视频（CV）和清单的使用来提高父母和患者对OIT的了解。

方法

这项回顾性回顾是在儿科门诊进行的。在对信息包进行咨询和审查后，在基于清单的2小时OIT咨询过程中，有467名父母和患者（> 12岁）与CV一起进行了前测和后测。

结果

对测试前和测试后性能的评估表明，患者回答OIT相关问题的能力有所提高。这对包括母亲，父亲和孩子在内的所有群体均具有统计学意义（P <.001）。在测试前和测试后分数以及调整测试前分数后的测试后分数中，母亲的正确回答均优于父亲和患者。父亲在测验前和测验分数上的表现均优于患者，但在调整测验分数之后，在测验分数上均不如患者。基于清单的格式导致在1小时的讨论中讨论了所有主要主题的100％。参与者表示满意。

结论

这是第一项评估CV结合前测和后测来对家庭进行OIT关键原则教育的研究。我们建议，作为OIT广泛咨询的一部分，教育视频对于儿科门诊是有益的。