Peanut Allergy Clinical Trial
Official title:
Changing Mindsets About Oral Immunotherapy for Peanut Allergies Via Informing Patients That Symptoms Are a Sign of Treatment Efficacy: A Randomized Controlled Trial
People who are undergoing oral immunotherapy for food allergy treatment can feel anxious about the treatment process, particularly when they have allergic responses (e.g., hives, vomiting, nausea) during the dosing process. People may commonly believe that these symptoms are simply side effects that must be endured or avoided. However, the investigators propose that changing participants' mindsets about the meaning of symptoms—toward viewing them as a sign that the treatment is working and desensitization is increasing—during the treatment process will reduce anxiety and improve treatment outcomes.
Participants: The investigators will recruit participants who will receive treatment for
peanut allergies through oral immunotherapy at the Sean N. Parker Center for Allergy & Asthma
Research.
Procedures: The investigators will divide recruited participants into two groups (random
assignment). Each group will receive different messages about oral immunotherapy, one defined
as "Symptoms as Side Effects Mindset" (in which symptoms are described as an unfortunate side
effect of treatment). The other group will receive messages that help foster a "Symptoms as
Positive Signals Mindset" (in which symptoms are described as a sign of increasing
desensitization). These messages will be conveyed verbally and through activities by the
study staff and participants will also receive pamphlets emphasizing these messages.
The investigators expect that adopting a "Symptoms as Positive Signals" mindset will improve
OIT outcomes in five ways:
1. Decrease anxiety about symptoms,
2. Increase treatment completion,
3. Decrease the likelihood of participants reducing dose size or skipping a dose because of
anxiety about symptoms,
4. Reduce the experience of non-life-threatening symptoms during the study, and
5. Improve physiological treatment outcomes at the conclusion of the study, as measured
through peanut blood IgG4 and IgE levels.
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