Table 5 Individual statements (barriers) to antigen avoidance that were ranked
Theme | Statement | Groups that ranked the statement |
|---|---|---|
Patient limitations, financial barriers and lack of resources | Cost-including remediation of a home, moving to a different home, or changing occupation or livelihood | 1,2,3 |
Removal or avoidance may not be under the patient’s control | 2 | |
Individual patient beliefs, emotions, and attachments to antigen source | The patient has a hobby, passion, or emotional connection to the exposure, or something associated with the exposure, may affect quality of life | 2 |
When there is lack of clinical improvement despite antigen avoidance, makes it hard to convince the patient to avoid | 3 | |
Effects on employment | Exposure at workplace, employer may be unable or unwilling to remediate, or livelihood is tied to the exposure and the patient is unable to leave their job | 1 |
Work exposure may lead to job switches, vocational rehab, or disability to avoid the antigen | 2 | |
Gaps in Clinical knowledge and testing capabilities | Lack of guidelines on what is acceptable or enough antigen avoidance | 3 |
Limitations with environmental remediation | Total or zero avoidance may not be possible | 1 |