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Beyond Labelling What Strategies Do Nut Allergic Individuals Employ to Make Food Choices A Qualitative Study.doc

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Beyond Labelling What Strategies Do Nut Allergic Individuals Employ to Make Food Choices A Qualitative Study

BeyondLabelling:WhatStrategiesDoNutAllergic IndividualsEmploytoMakeFoodChoices?AQualitative Study JulieBarnett1*,KonstantinaVasileiou1,M.HazelGowland2,MoniqueM.Raats3,JaneS.Lucas4 1Department of Information Systems and Computing, Brunel University, Middlesex, United Kingdom, 2Allergy Action, Farnborough, United Kingdom, 3School of Psychology, Faculty of Arts and Human Sciences, University of Surrey, Guildford, Surrey, United Kingdom, 4Clinical and Experimental Sciences, Faculty of Medicine, UniversityofSouthampton,UniversityHospitalSouthamptonNHSFoundationTrust,Southampton,UnitedKingdom Abstract Objective: Food labelling is an important tool that assists people with peanut and tree nut allergies to avoid allergens. Nonetheless,otherstrategiesarealsodevelopedandusedinfoodchoicedecisionmaking.Inthispaper,weexaminedthe strategiesthatnutallergicindividualsdeploytomakesafefoodchoicesinadditiontoarelianceonfoodlabelling. Methods:Threequalitativemethods:anaccompaniedshop,in-depthsemi-structuredinterviews,andtheproductchoice reasoningtask–wereusedwith32patientsthathadaclinicalhistoryofreactionstopeanutsand/ortreenutsconsistent withIgE-mediatedfoodallergy.Thematicanalysiswasappliedtothetranscribeddata. Results:Threemainstrategieswereidentifiedthatinformedtheriskassessmentsandfoodchoicepracticesofnutallergic individuals. These pertained to: (1) qualities of product such as the product category or the country of origin, (2) past experience of consuming a food product, and (3) sensory appreciation of risk. Risk reasoning and risk management behaviours were often contingent on the context and other physiological and socio-psychological needs which often competedwithriskconsiderations. Conclusions:Understandingandtakingintoaccountthecomplexityofstrategiesandtheinfluencesofcontextualfactors willallowhealthcarepractitioners,allergynutritionists, andcaregiverstoadviseandeducatepatientsmoreeffectivelyin choosing foods safely. Governmental bodies and policy makers could also benef