The Effects of School Staff Food Allergy Education in a Large Urban School District

Objective: In this study, we examined program feasibility and evaluated change in staff food allergy knowledge using an online course, in-person trainings, or a combination of these in a large urban school district. Methods: We used online surveys to identify and gather data on target and control school staff. In Year 1, target school staff were mandated to take online training with optional in-person training; in Year 2, all staff were mandated to take online training and target school staff received additional in-person training. Changes in food allergy knowledge, epinephrine availability, and reaction recognition were measured between groups and years. Results: Mandatory online training improved course completion among school staff members. Pre- and post-test scores demonstrated increased food allergy knowledge in those completing the online training course. The school-based food allergy awareness program led to heightened reaction recognition and treatment in target schools that received in-person education. Target school reactions were more appropriately treated than in controls. Conclusions: Online training is a feasible and effective tool for food allergy awareness, but in-person skills training may help prepare staff. The heightened reaction recognition and treatment in target schools reflects improved awareness and anaphylaxis preparedness.