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Published on: September 14, 2018
Illustrating risk: anaphylaxis through the eyes of the food-allergic child
Nancy Elizabeth Fenton1, Susan J Elliott, Lisa Cicutto
1The Centre for Leadership in Learning, McMaster University, T-13, Room 123, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada. fentonn@mcmaster.ca
Insights
Children with anaphylaxis experience unique risks at school. This study used a child-centered approach to understand their perceptions and coping strategies, informing safer school policies for managing food allergies.
Area of Science:
- Pediatric Allergy and Immunology
- Risk Perception Studies
- Child Psychology
Background:
- Risk perception research often overlooks direct input from children, especially those with anaphylaxis.
- Limited understanding exists regarding children's experiences, concerns, and psychosocial stress related to anaphylaxis risk in schools.
Purpose of the Study:
- To explore the perceptions and experiences of Ontario students with anaphylaxis and their parents regarding school safety.
- To inform school policy on risk management and coping strategies for students with anaphylaxis.
- To outline a child-centered analytical framework for studying risk perception in children.
Main Methods:
- Utilized a child-centered analytical framework with interpretative analysis and illustrative techniques.
- Focused on understanding children's perspectives on school as a safe environment.
- Incorporated qualitative data from students with anaphylaxis and their parents.
Main Results:
- Child-centered techniques effectively empowered children, making the research process meaningful and relevant.
- Identified five key themes: social/environmental barriers, coping strategies, emotional burden, responsibility transitions, and redefining normal.
- Highlighted differences in how children cope with risk in the public school setting.
Conclusions:
- A child-centered approach is vital for understanding the lived experiences of children with anaphylaxis.
- Findings provide a preliminary framework for comprehending children's risk perception and coping mechanisms in schools.
- Results can guide the development of more effective and inclusive school policies for managing anaphylaxis risk.
Abstract:
The risk perception research is widely focused on children as targets of risk. To date, very few studies have consulted with the impacted group to assess the perceptions of risk associated with the exposures of interest. Much less research has investigated the experiences of children at risk for anaphylaxis, their concerns, and the psychosocial stresses associated with risk. The present study explores the perceptions and experiences of Ontario students with anaphylaxis, and their parents regarding school as a safe place in order to inform school policy around risk management and coping. A "child-centered" analytical framework incorporating illustrative techniques within interpretative analysis is outlined. Five prominent themes: (a) social and environmental barriers to safety, (b) coping strategies, (c) emotional burden of responsibility, (d) balance of responsibility (transitions), and (e) redefining "normal" are discussed. Results found that "child-centered" techniques empowered children in a process that is meaningful and relevant to their lives. A preliminary framework for understanding what risk means to children highlighted the differences in how they cope in the public sphere of school.
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