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A Qualitative Study Evaluating the Parent-Specific Cow's Milk-Related Symptom Score (Pre-CoMiSS™)
Yvan Vandenplas1, Kateřina Bajerová2, Christophe Dupont3
1KidZ Health Castle, UZ Brussel, Vrije Universiteit Brussel, 1090 Brussels, Belgium.
Nutrients
|July 28, 2026
Summary
Parents found the Parent-Specific Cow's Milk-Related Symptom Score (Pre-CoMiSS™) tool easy to use for tracking infant symptoms. While generally well-received, some users requested clearer guidance on next steps for managing cow's milk allergy.
Area of Science:
- Pediatric Allergy
- Diagnostic Tools
- Qualitative Research
Background:
- Cow's milk allergy (CMA) is a common childhood food allergy, posing diagnostic challenges.
- The Parent-Specific Cow's Milk-Related Symptom Score (Pre-CoMiSS™) tool aids parents in monitoring infant symptoms.
- Accurate diagnosis of CMA is crucial for infant health and well-being.
Purpose of the Study:
- To explore parental experiences using the Pre-CoMiSS™ tool.
- To identify areas for improvement in the Pre-CoMiSS™ tool.
- To gather user feedback for future clinical implementation.
Main Methods:
- Qualitative study involving 20 parents of infants up to 12 months old.
- Semi-structured interviews conducted with parents in the UK and Sweden.
- Thematic analysis of interview data regarding the Pre-CoMiSS™ tool.
Main Results:
- The Pre-CoMiSS™ tool was positively received by parents in both the UK and Sweden.
- Parents found the tool's results clear, useful, and easy to understand.
- Some parents, particularly from Sweden, desired additional guidance on subsequent actions.
Conclusions:
- The Pre-CoMiSS™ tool is considered acceptable and user-friendly by parents.
- User feedback indicates a need for clearer instructions on next steps.
- Further refinement and validation are recommended before widespread clinical use.
