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Allergy to Peanuts imPacting Emotions And Life (APPEAL): the impact of peanut allergy on children, adolescents, adults and caregivers in France

  • Couratier, Pascale1
  • Montagne, Romain2
  • Acaster, Sarah3
  • Gallop, Katy3
  • Patel, Ram4
  • Vereda, Andrea2
  • Pouessel, Guillaume5, 6, 7
  • 1 Association Française pour la Prévention des Allergies (AFPRAL), 4, place Louis Armand - La Tour de l’Horloge, Paris, 75012, France , Paris (France)
  • 2 Aimmune Therapeutics, 10 Eastbourne Terrace, London, W2 6LG, UK , London (United Kingdom)
  • 3 Acaster Lloyd Consulting, Ltd, 16 Woburn Pl, Bloomsbury, London, WC1H 0BS, UK , London (United Kingdom)
  • 4 Brainsell Ltd, 4 Duke Street, Richmond, TW9 1HP, UK , Richmond (United Kingdom)
  • 5 Children’s Hospital, Roubaix, F-59056, France , Roubaix (France)
  • 6 CHU Lille, Lille University, Lille, F-59000, France , Lille (France)
  • 7 Hôpital Jeanne de Flandre, CHRU Lille et Université Lille2, 2 Avenue Oscar Lambret, Lille, 59037, France , Lille (France)
Published Article
Allergy, Asthma & Clinical Immunology
BioMed Central
Publication Date
Oct 07, 2020
DOI: 10.1186/s13223-020-00481-7
Springer Nature


BackgroundPeanut allergy (PA) has increased in developed countries and can have a dramatic effect on quality of life but data surrounding this is limited in France. Allergy to Peanuts imPacting Emotions And Life study (APPEAL) investigated the experience and impact of living with PA in France.MethodsRespondents affected by PA directly (children aged 8–12 years, teenagers aged 13–17 years, or adults aged ≥ 18 years) or indirectly (caregiver) completed either an online questionnaire (APPEAL-1, N = 198), or provided in-depth interviews (APPEAL-2, N = 32). Quantitative data was evaluated using descriptive statistics. Qualitative data was analysed thematically, using MAXQDA software.ResultsOf 198 responders in APPEAL-1, 88% stated that PA affects their daily activities, and 74% felt isolated as a result of living with PA. Feelings of worry about exposure to peanuts on social occasions where food is involved was reported by 91%. A total of 44% reported some restrictions in their job options, 85% in socializing. Psychological impact of PA included responders feeling emotions of frustration (89%), uncertainty (87%), and stress (93%) and 93% reporting encountering instances of feeling different due to their PA. Main factors that drove PA impact included social activities and relationships; whereas main coping strategies to avoid peanuts included monitoring, communication and planning.ConclusionThe analysis of French respondents from the APPEAL study demonstrates the impact and burden of PA on allergic children, teenagers, adults and their caregivers, and highlights the unmet need to be addressed.

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