Evidence map›Paper›PMID 37508672›Full record

ArticleChildren (Basel, Switzerland)2023

Food Allergy Education and Management in Early Learning and Childcare Centres: A Scoping Review on Current Practices and Gaps.

Mae Jhelene L Santos, Kaitlyn A Merrill, Moshe Ben-Shoshan, Jennifer D Gerdts, Don Giesbrecht, Elana Lavine, Susan Prentice, Julia Upton, Jennifer L P Protudjer

Open access · goldAbstract readScoping Review
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. The hidden price of food allergy: Understanding the social and financial burdens on families.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  3. Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Mae Jhelene L SantosDepartment of Food and Human Nutritional Sciences, Faculty of Agriculture, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Kaitlyn A MerrillThe Children's Hospital Research Institute of Manitoba, Winnipeg, MB R3E 3P4, Canada.
Moshe Ben-ShoshanDivision of Pediatric Allergy and Clinical Immunology, Department of Pediatrics, McGill University Health Center, Montreal, QC H4A 3J1, Canada.
Jennifer D GerdtsFood Allergy Canada, Toronto, ON M2J 4A2, Canada.
Don GiesbrechtCanadian Child Care Federation, Ottawa, ON K1G 0Y9, Canada.
Elana LavineDepartment of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON M5G 1X8, Canada.
Susan PrenticeDepartment of Sociology, Faculty of Arts, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Julia UptonDepartment of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON M5G 1X8, Canada.
Jennifer L P ProtudjerDepartment of Food and Human Nutritional Sciences, Faculty of Agriculture, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.ORCID 0000-0002-3888-8688
Children's Hospital Research Institute of Manitoba · CAUniversity of Toronto · CAAllerGen · CACanadian Wildlife Federation · CAKarolinska Institutet · SEMcGill University Health Centre · CAUniversity of Manitoba · CA

Funding

CIHR J Protudjer Operating Grant
6 · The paper itself

Abstract

Anaphylaxis has occurred in preschools/schools yet there are no consistent food allergy (FA) management practices in early learning and childcare centres (ELCC) across jurisdictions. Presently, there are no reviews that have synthesized FA-related knowledge and management practices within ELCC. We aimed to perform a scoping review of FA management in ELCC, and report on perceived gaps or barriers. A PRISMA-ScR-guided search was conducted for North American, European and Australian articles in English/French in the OVID-MedLine, Scopus, and PsycInfo databases. Two independent reviewers screened the titles/abstracts of 2010 articles and full-text screened 77 articles; 15 of which were specifically related to ELCC. If the two reviewers could not agree to the relevance of a given study, a third reviewer provided guidance. This third reviewer also screened French articles. Thematic and descriptive reports of the studies were presented. We reported solely on pre-Coronavirus Disease pandemic ELCC studies. We included ten articles in this review, which provide evidence that ELCC staff have variable baseline knowledge, comprehension, experience, and practices in place to manage FA. ELCC staff also have limited FA-related training and experience regarding administration of epinephrine auto-injectors (EAI). Emergency Anaphylaxis Plans (EAP) were described in four studies. One study reported the parental influence on the site's food purchasing and FA management. Three studies provided educational interventions, which demonstrated increased and sustained FA-related knowledge and confidence post-intervention. Participants deemed the training beneficial and desired annual training and more FA resources to be available. Across jurisdictions, ELCC staff have provided care and administered EAI in emergencies, but training remained variable. Communication and care planning amongst ELCC staff, and parents, is crucial. Annual education, available EAI and EAPs are tools necessary for effectively managing emergencies.

Indexed as

anaphylaxisearly learning and childcare centresfood allergyscoping review

Identifiers

PMID37508672
PMCPMC10377763
OpenAlexW4383535140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.