Evaluation of an educational programme with workshops for families of children with food allergies

BACKGROUND: When a child is diagnosed with a food allergy, prevention and patient education are the key interventions for maintaining the child's health and quality of life and that of his or her whole family. However, health education activities for the families of children with food allergies are very limited, and most of these activities have not been evaluated. Therefore, the objectives of the present study were to develop an educational programme, to empower its participants through workshops, and to evaluate its results. METHODS: Several types of educational materials were created specifically for the programme, called "Proyecto CESA" ("STOP-FAR Project: Stop Food-Induced Allergic Reactions"). The programme was carried out in seven Spanish cities and was attended by parents and caregivers. The workshops were led by physicians specialising in allergies and by expert patients. Afterwards, participant learning and satisfaction were evaluated based on questionnaires that were completed both before and after the workshops. RESULTS: A significant improvement was observed in 29 items out of 40 (McNemar's test). Participant satisfaction with the programme was also very high: 90% rated the course between 8 and 10 points out of a possible 10 (41% rated it as a 10). CONCLUSION: The face-to-face workshops, which included utilisation of educational materials, had positive results in terms of learning as well as in levels of satisfaction in participating families

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Evaluation of an educational programme with workshops for families of children with food allergies.

BACKGROUND: When a child is diagnosed with a food allergy, prevention and patient education are the key interventions for maintaining the child's health and quality of life and that of his or her whole family. However, health education activities for the families of children with food allergies are very limited, and most of these activities have not been evaluated. Therefore, the objectives of the present study were to develop an educational programme, to empower its participants through workshops, and to evaluate its results. METHODS: Several types of educational materials were created specifically for the programme, called "Proyecto CESA" ("STOP-FAR Project: Stop Food-Induced Allergic Reactions"). The programme was carried out in seven Spanish cities and was attended by parents and caregivers. The workshops were led by physicians specialising in allergies and by expert patients. Afterwards, participant learning and satisfaction were evaluated based on questionnaires that were completed both before and after the workshops. RESULTS: A significant improvement was observed in 29 items out of 40 (McNemar's test). Participant satisfaction with the programme was also very high: 90% rated the course between 8 and 10 points out of a possible 10 (41% rated it as a 10). CONCLUSION: The face-to-face workshops, which included utilisation of educational materials, had positive results in terms of learning as well as in levels of satisfaction in participating families.

[Prevalence and detection of depressive disorders in primary care]. / Prevalencia y detección de los trastornos depresivos en atención primaria.

AIM: To study the prevalence of depression in primary care, the detection of depressive disorders by primary care physicians, and the factors that influence detection. DESIGN: Cross-sectional, descriptive study. SETTING: Gavà II Primary Care Center, in Barcelona, Spain. PARTICIPANTS: A total of 400 people between the ages of 18 and 65 years were chosen randomly from among those who attended appointments with their primary care physician. MAIN MEASURES: A sociodemographic questionnaire and the Beck Depression Inventory (BDI) screening test were administered, and the participant s medical record was reviewed. In a subsample of 40 participants, the Mini-International Neuropsychiatric Interview (MINI) was also administered. The optimum cutoff score for the BDI was estimated with reference to the MINI results. RESULTS: A cutoff score of 20/21 for the BDI had a sensitivity of 86.7% and a specificity of 92%, when the MINI score was used as a reference. The adjusted prevalence of depressive disorder in our primary care setting was 20.2% overall, 8.1% in men, and 26.8% in women (odds ratio 4.15, p < 0.01). The physician detected depressive symptoms in 55.7% of all likely cases of depression. Persons who scored >= 21 on the BDI made more visits to their primary care physician, and had more stressful life events, than those who scored 20. CONCLUSIONS: The prevalence of depression in our primary care setting is high. The disorder was underdiagnosed in as many as 44.3% of the persons likely to have depressive disorder (especially women, widows and widowers, retired persons, persons who had experienced stressful life events, and frequent users of primary care services).

Prevalencia y detección de los trastornos depresivos en atención primaria / Prevalence and detection of depressive disorders in primary care

Objetivo. Estudiar la prevalencia de depresión en atención primaria (AP) y la detección de los trastornos depresivos por el médico de AP, así como los factores que influyen en ella. Diseño. Estudio transversal, descriptivo. Emplazamiento. Centro de Asistencia Primaria Gavà II (Barcelona). Participantes. Se seleccionaron de manera aleatoria 400 personas de 18-65 años que acudieron según cita previa a consulta con su médico de AP. Mediciones principales. Se administró un cuestionario sociodemográfico, el test de cribado de depresión de Beck (BDI) y se revisaron los datos clínicos de su historia. Además a una submuestra de 40 personas se les pasó la entrevista diagnóstica MINI. Se estimó el punto de corte óptimo para el BDI respecto la MINI. Resultados. Se seleccionó el punto de corte 20/21 de depresión del BDI, con sensibilidad del 86,7 por ciento y especificidad del 92 por ciento, utilizando como referencia el resultado de la entrevista MINI. La prevalencia corregida del trastorno depresivo en AP es de un 20,2 por ciento; un 8,1 por ciento en varones y el 26,8 por ciento en mujeres (odds ratio [OR] = 4,15; p < 0,01). El médico detecta sintomatología depresiva en un 55,7 por ciento de los probables casos de depresión. Las personas con BDI 21 visitan más a su médico de AP y han presentado más acontecimientos vitales estresantes que las que puntúan BDI 20. Conclusiones. Existe una elevada prevalencia de depresión en AP. Permanece infradiagnosticado un 44,3 por ciento de las personas con probable trastorno depresivo (sobre todo mujeres, viudos, jubilados, los que han presentado acontecimientos vitales estresantes y los individuos más frecuentadores) (AU)