Medical clown support improves the quality of life of childr
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The start of oral immunotherapy (OIT) for food allergy is a critical period in the treatment process, with a potential to influence patient quality of life (QOL) and subsequently treatment outcome. The association of medical clowning with QOL at OIT initiation was examined.

Children aged 4-12 years supported by a medical clown (MC) during the induction week of OIT for food allergy were studied. Children in the same age range starting OIT without the support of a MC served as controls. Parents of all children completed the Food Allergy Quality of Life Questionnaire—Parent Form (FAQLQ-PF), and children aged 8-12 years completed the Food Allergy Quality of Life Questionnaire—Child Form (FAQLQ-CF). QOL scores of parents and children with and without a MC support were compared.

Results:
--Children with (n = 88) and without (n = 212) the support of a MC were comparable in demographics and clinical characteristics.

--The study group had a significantly lower single highest tolerated dose compared to controls (57 ± 83 vs 162 ± 274 mg protein, respectively).

--Parental perception of the QOL of children was not associated with a MC support but rather with previous reaction severity.

--In contrast, the QOL of children aged 8-12 years (n = 119) was positively associated primarily with a MC support, total score 3.7 ± 1.1 vs 4.6 ± 1.3.

Finally, while parents' expectations of QOL at OIT initiation are primarily influenced by previous reaction intensity, the children's QOL is primarily influenced by MC help.

Source: https://onlinelibrary.wiley.com/doi/10.1111/pai.13445?af=R
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