Relevance of the Self-assessment of Skills for Self-administration of Adrenaline by Auto-injectors in Patients at Risk of Severe Anaphylactic Reaction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Severe Anaphylactic Reaction, Self-administration, Adrenaline, Self-assessment
- Sponsor
- University Hospital, Grenoble
- Enrollment
- 56
- Primary Endpoint
- Correlation between a patient self-assessment and a health care professional's assessment of the skills needed to self-administer epinephrine by self-injecting pen
- Last Updated
- 3 years ago
Overview
Brief Summary
To investigate the correlation between self-assessment by patients and an assessment by a health professional of the skills needed for self administration of adrenaline by auto-injectors. These skills include the identification of situations requiring the administration of adrenaline and the technical abilities to achieve it.
Hypothesis:
A self-assessment correlated with an external assessment would make it easier to adjust the frequency of therapeutic education sessions based on the patient's self-assessment alone.
Detailed Description
Intramuscular Adrenaline is the standard treatment for severe to moderate anaphylaxis. Self-administration of Adrenaline by the patient using an auto-injector pen in case of anaphylaxis is a major axis of management of patients with severe food allergy, hymenoptera venom allergy or systemic mastocytosis. This self-administration skill requires prior therapeutic education of the patient. This education must be repeated over time and must include two components: the identification of anaphylactic situations requiring the self-administration of Adrenalin and the technical skills and abilities to carry out this self-injection. Numerous studies have investigated the technical skills for using Adrenaline auto-injector pens according to the device prescribed, the importance of therapeutic education, the optimal frequency of therapeutic education sessions for self-administration and the main barriers to the use of Adrenaline. To our knowledge, no study has investigated the correlation between patients' self-assessment of the skills required for self-administration of Adrenaline by self-injecting pen and an external assessment of these same skills by a health professional. A self-assessment correlated with an external assessment would make it easier to adjust the frequency of therapeutic education sessions based on patient self-assessment alone.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patient
- •Follow-up at the CHU Grenoble Alpes or at the CH Métropole Savoie with at least one consultation every 2 years
- •With a pathology at risk of severe anaphylaxis:
- •Severe food allergy and/or,
- •Allergy to wasp venom and/or
- •Systemic mastocytosis
- •With a current adrenaline prescription that is more than a year old
Exclusion Criteria
- •Patient with a pathology at risk of severe anaphylaxis not identified in the inclusion criteria (isolated drug allergy, idiopathic anaphylaxis, etc.)
- •Patient with cognitive or memory disorders
- •Patient not speaking French or with a limited understanding of the language
- •Patient not affiliated to a social security scheme
- •Refusal of the patient to participate in the research or inability of the patient to give his consent
- •Patient under guardianship or subject deprived of liberty
Outcomes
Primary Outcomes
Correlation between a patient self-assessment and a health care professional's assessment of the skills needed to self-administer epinephrine by self-injecting pen
Time Frame: One day
A two-part, 20-point self-assessment scale: * A visual analog scale addressing skills in identifying situations requiring administration of self-injectable epinephrine, scored out of 10 points * A visual analogue scale for technical skills in administering epinephrine by self-injecting pen, scored out of 10 points A two-part health professional assessment scale scored out of 20 points: * A single response questionnaire asked to the patient including 5 standardized clinical situations, validated by an expert committee, requiring or not the administration of Adrenalin, scored out of 10 points * An evaluation of the technical skills of injecting adrenaline with a self-injecting pen with a demonstration pen, in 6 steps, scored out of 10 points
Secondary Outcomes
- Correlation between patient self-assessment and healthcare professional assessment of ability to identify situations requiring administration of self-injectable epinephrine(One day)
- Correlation between a patient's self-assessment and a healthcare professional's assessment of technical skills in performing epinephrine administration by self-injecting pen(One day)