Presentation: Analyses of the Factors behind the Negative Attitudes Toward the Administration of Adrenaline Auto-Injectors in School Settings ( World Allergy Congress)

Thursday, 15 October 2015

Hall D1 Foyer (Floor 3) (Coex Convention Center)

Ikuo Okafuji, MD, PhD , Department of Pediatrics, Kobe City Medical Center General Hospital, Kobe, Japan

Yuya Tanaka, MD , Department of Pediatrics, Kobe City Medical Center General Hospital, Kobe, Japan

Shegeyuki Narabayashi, MD , Department of Pediatrics, Kakogawa City West Hospital, Hyogo, Japan

Satoru Tsuruta, MD, PhD , Department of Pediatrics, Kobe City Medical Center General Hospital, Kobe, Japan

Background:

Knowledge and skills required for the use of adrenaline auto-injectors (AAI) are lacking in school settings, causing considerable uneasiness among teaching staff about administering AAI to students.

Objective:

This study aimed to elucidate the factors behind the negative attitudes toward the administration of AAI in school settings.

Methods:

After the lecture presentations on emergency treatment for food allergy organized by regional school boards in Hyogo Prefecture, we conducted a questionnaire survey among its participants. We then analyzed the answers received from 1,433 participants using a logistic regression model to investigate independent factors associated with the negative attitudes toward the administration of AAI.

Results:

The respondents were comprised of nurse teachers (44%), general education teachers (32%), nutrition teachers (5%), assistant principals (10%) and principals (10%). Those who were negative about administering AAI to students accounted for 10.8% of total. The percentage differed significantly between different specialties/positions; nutrition teachers had the highest percentage (16.7%), followed by general education teachers (15.9%), nurse teachers (10.6%), assistant principals (8.1%) and principals (2.7%). The most frequent factor behind the uneasiness about the use of AAI was “the timing of AAI administration” (69.4%). By teaching specialty/position, a greater number of nurse teachers were concerned about “collaborating within the school” and “collaborating with a hospital” than teachers in other specialties/positions. Comparing between the group with negative attitudes and the group with positive attitudes toward AAI administration, the former was significantly more worried about “how to use AAI” (odds ratio [OR]: 2.1), “the timing of AAI administration” (OR: 02.9), “collaborating with the parents” (OR: 01.6), “the act of injection itself” (OR: 3.1) and “violating the laws” (OR: 3.5).

Conclusion:

Most of the factors behind the negative attitudes toward the administration of AAI in school settings were associated with technical concerns.

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