{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:06:53Z","timestamp":1791482813872,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T00:00:00Z","timestamp":1448496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The prevalence of food allergy in Australia has increased, paralleled by an increase in waiting time to access tertiary paediatric allergy care. We aimed to test whether a new model of care, based on serum specific IgE testing, was feasible and acceptable to Australian families.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective pilot intervention study was conducted in community paediatric practices within 20\u201340\u2009km of The Royal Children's Hospital, Melbourne. Children \u22647 years with likely food allergy referred to the Department of Allergy and Immunology at RCH were included; children with anaphylaxis, drug allergy or complex food allergy (&gt;three food groups) were excluded. Community general paediatricians, recruited through the Australian Paediatric Research Network, were trained via webinars on the management of four common food allergy\u2010related scenarios. Paediatrician and child and family parameters were assessed at baseline and 3 months, including safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>34\/45 (76%) eligible families and 10\/12 (83%) paediatricians participated. Paediatricians managed 27\/34 (80%) of children independently, with 7\/34 (20%) requiring referral to an allergist for more complex food allergy. Paediatricians reported improved knowledge and competency in managing food allergy: (mean (standard deviation) scores pre = 35 (5.3) and post = 43.3 (3.9) training). The majority of children received appropriate management; there were no anaphylaxis episodes. There was no significant change in child quality of life or parent mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Management of simple food allergy by community paediatricians appears feasible and acceptable to paediatricians and families alike. Future research will evaluate this approach in an adequately powered and controlled trial.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13026","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T07:29:37Z","timestamp":1448522977000},"page":"315-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Managing simple food allergy in community settings: A pilot study investigating a new model of care"],"prefix":"10.1111","volume":"52","author":[{"given":"Margaret","family":"Danchin","sequence":"first","affiliation":[{"name":"Murdoch Childrens Research Institute Australian Paediatric Research Network (APRN)  Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of General Medicine Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"De Bono","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Australian Paediatric Research Network (APRN)  Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Allen","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Australian Paediatric Research Network (APRN)  Melbourne Victoria Australia"},{"name":"Department of Allergy and Immunology Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mimi","family":"Tang","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Australian Paediatric Research Network (APRN)  Melbourne Victoria Australia"},{"name":"Department of Allergy and Immunology Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Hiscock","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Australian Paediatric Research Network (APRN)  Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.01.039"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12498"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)60802-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1046\/j.1398-9995.2003.00365.x","article-title":"Influence of a multidisciplinary paediatric allergy clinic on parental knowledge and rate of subsequent allergic reactions","volume":"59","author":"Kappor S","year":"2004","journal-title":"Allergy"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2008.01843.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2007.01559.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iac.2011.11.005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.582"},{"key":"e_1_2_7_10_1","unstructured":"NHS National Institute for Health and Clinical Excellence.Diagnosis and assessment of food allergy in children and young people in primary care and community settings.2011. 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