Evaluating the Food Allergy Passport: A Novel Food Allergy Clinical Support Tool

Ashley Ciliberti*, Justin Zaslavsky, Tegan Morcott, Alexandria Bozen, Waheeda Samady, Lisa Lombard, Sai Nimmagadda, Kari Nadeau, Ruchi Gupta, Mary Tobin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: The prevalence of pediatric food allergy (FA) has increased in the past 2 decades. The previous literature suggests that FA presents burdens, both economically and psychosocially, to children and their caregivers, especially families in lower-income strata. Using data from a previously published needs assessment, the Food Allergy Management in Low-Income Youth study, the FA Passport and Workbook tools were developed to address identified needs. Objective: This study evaluated the utility of the FA Passport in helping families insured by Medicaid to manage FA better and improve quality of life. Methods: Families insured through Illinois Medicaid were recruited from two Chicago-based allergy clinics. Caregivers of children with FA completed a pretest evaluating knowledge, attitudes, beliefs, and practices regarding FA management. A clinician guided caregivers through the FA Passport. The caregivers then completed a posttest immediately afterward and again 3 months later. Changes were evaluated from baseline responses and direct feedback was elicited about the tool. Results: The FA Passport successfully improved caregiver-reported confidence with epinephrine autoinjector use (from 69% to 93%), caregiver anaphylaxis recognition (from 66% to 73%), and reported quality of life, and it nearly doubled caregiver comfort regarding leaving the child in the care of others (from 40% to 75.7%). Caregivers rated the FA Passport tool as extremely helpful overall (9.4 out of 10). Conclusions: The FA Passport is a novel FA clinical support tool that addresses barriers to proper FA management described in previous studies. It proved effective at improving caregiver comfort with regarding leaving the food-allergic children with other caregivers, increasing FA knowledge, and improving the quality of life in families affected by FA.

Original languageEnglish (US)
Pages (from-to)1162-1168.e7
JournalJournal of Allergy and Clinical Immunology: In Practice
Issue number4
StatePublished - Apr 2023


  • Anaphylaxis
  • Education
  • Epinephrine
  • Food allergy
  • Food allergy action plan
  • Medicaid
  • Support tool
  • Teaching

ASJC Scopus subject areas

  • Immunology and Allergy


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