1
|
Koç N, Cömert TK. Knowledge and awareness level of healthcare professional candidate students on inherited metabolic diseases: a cross-sectional study. BMC MEDICAL EDUCATION 2023; 23:562. [PMID: 37559058 PMCID: PMC10410942 DOI: 10.1186/s12909-023-04548-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 07/28/2023] [Indexed: 08/11/2023]
Abstract
BACKGROUND Healthcare professionals play a key role in the diagnosis, treatment, and follow-up of inborn metabolic diseases. However, the level of inborn metabolic disease knowledge of prospective healthcare professional students in our country has not yet been determined. Therefore, this study aimed to evaluate the level of knowledge of healthcare professional candidate students about inborn metabolic diseases. METHODS The knowledge levels of 761 students enrolled in the Department of Nutrition and Dietetics, Child Development, Midwifery, Occupational Therapy, Audiology, Health Management and Social Work at Gülhane Faculty of Health Sciences, Health Sciences University, were evaluated through a questionnaire using a face-to-face interview technique. Correct answers to the questions measuring the level of knowledge were scored as "1", and incorrect answers were scored as "0". RESULTS The mean knowledge-level score of the individuals was 14.23 ± 4.56. A total of 56.0% of individuals had heard about inborn metabolic diseases before, 37.8% had heard of rare disease organizations/platforms before, and 16.8% had encountered an awareness campaign about inborn metabolic diseases. The level of exposure to awareness-raising campaigns, department of education, and grade level were shown to be factors affecting knowledge levels. CONCLUSION It is necessary to improve the awareness and knowledge levels of health professional candidates involved in the treatment of inborn metabolic diseases. Education curricula in health sciences faculties should be evaluated with this aspect.
Collapse
Affiliation(s)
- Nevra Koç
- Department of Nutrition and Dietetics, Gülhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey.
| | - Tuğba Küçükkasap Cömert
- Department of Nutrition and Dietetics, Gülhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey
| |
Collapse
|
2
|
Liew SH, Lim JY, Yahya HM, Rajikan R. Knowledge and perception of inborn errors of metabolism (IEMs) among healthcare students at a selected public university in Klang Valley, Malaysia. Intractable Rare Dis Res 2022; 11:125-132. [PMID: 36200028 PMCID: PMC9437999 DOI: 10.5582/irdr.2022.01062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Revised: 07/27/2022] [Accepted: 08/05/2022] [Indexed: 11/05/2022] Open
Abstract
Healthcare providers play an important role in improving the health of Inborn Error of Metabolism (IEM) patients. However, IEM knowledge level among local healthcare students has yet to be determined. Thus, the aim of this study is to assess the knowledge and perception of IEM among local healthcare students. An online self-administered questionnaire was distributed to 378 students across the Faculty of Health Science, Pharmacy and Dentistry from a selected public university in Lembah Klang, Malaysia. For knowledge, a score of 1 is assigned to each correct answer with a maximum total score of 14. Likert scale was used to determine their perception of IEM. The total mean score of IEM knowledge among healthcare students is 5.8. There was no significant difference of mean score of IEM knowledge among the students from the Faculty of Health Science (6.1 ± 2.7), Pharmacy (5.5 ± 2.6) and Dentistry (5.8 ± 2.8). However, the score of knowledge is observed to be significantly different by ethnicity, religion and family history of IEM (p < 0.05). Furthermore, students with experience of meeting an IEM patient and attending IEM classes scored higher than those with no experience (p < 0.05). Most of the healthcare students (89.5%) perceived their knowledge to be insufficient and very poor. Majority of the students from faculty of pharmacy (70.8%) agreed that the IEM course should be mandatory compared to health sciences and dentistry (p < 0.05). This study identified an overall inadequacy of knowledge of IEM among healthcare students. There is a pressing need to improve the IEM-related knowledge and awareness of Malaysian healthcare students. This can be accomplished by incorporating online classes that emphasizes the treatment and management of IEMs in the university curriculum.
Collapse
Affiliation(s)
- Shi Hui Liew
- Nutritional Science Program, Faculty of Health Science, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Jing Ying Lim
- Dietetics Program, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Centre of Healthy Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia
| | - Hanis Mastura Yahya
- Nutritional Science Program, Faculty of Health Science, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Centre of Healthy Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia
| | - Roslee Rajikan
- Nutritional Science Program, Faculty of Health Science, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Centre of Healthy Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia
- Address correspondence to:Roslee Rajikan, Dietetics Programme & Centre of Healthy Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia. E-mail:
| |
Collapse
|
3
|
Nogueira ZD, Boa-Sorte N, Leite MEDQ, Toralles MBP, Amorim T. METABOLIC CONTROL AND BODY COMPOSITION OF CHILDREN AND ADOLESCENTS WITH PHENYLKETONURIA. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2021; 39:e2020095. [PMID: 33656145 PMCID: PMC7903412 DOI: 10.1590/1984-0462/2021/39/2020095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 08/25/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To characterize metabolic control and verify whether it has any relation with socioeconomic, demographic, and body composition variables in children and adolescents with phenylketonuria (PKU) diagnosed in the neonatal period. METHODS This cohort study collected retrospective data of 53 phenylketonuric children and adolescents. Data on family income, housing, and mother's age and schooling level were collected, and anthropometric measures of body composition and distribution were taken. All dosages of phenylalanine (Phe) from the last five years (2015-2019) were evaluated and classified regarding their adequacy (cutoffs: 0-12 years: 2-6 mg/dL; 12-19 years: 2-10 mg/dL). Adequate metabolic control was considered if ≥7%) of the dosages were within desired ranges. RESULTS The mean (±standard deviation) age in the last year was 10.1±4.6 years. Most of them were under 12 years old (33/53; 62.3%) and had the classic form of the disease (39/53; 73.6%). Better metabolic control was observed among adolescents (68.4 versus 51.4%; p=0.019). Overweight was found in 9/53 (17%) and higher serum Phe levels (p<0.001) were found in this group of patients. Metabolic control with 70% or more Phe level adequacy decreased along with the arm muscle area (AMA) (ptendency=0.042), being 70.0% among those with low reserve (low AMA), and 18.5% among those with excessive reserve (high AMA). CONCLUSIONS Adequate metabolic control was observed in most patients. The findings suggest that, in this sample, the levels of phenylalanine may be related to changes in body composition.
Collapse
Affiliation(s)
| | - Ney Boa-Sorte
- Universidade do Estado da Bahia, Salvador, BA, Brazil
| | | | | | - Tatiana Amorim
- Association of Parents and Friends of Intelectually Disabled Individuals (Associação de Pais e Amigos dos Excepcionais de Salvador - APAE), BA, Brazil
| |
Collapse
|
4
|
Berrocoso S, Amayra I, Lázaro E, Martínez O, López-Paz JF, García M, Pérez M, Al-Rashaida M, Rodríguez AA, Luna PM, Pérez-Núñez P, Blanco R, Nevado J. Coping with Wolf-Hirschhorn syndrome: quality of life and psychosocial features of family carers. Orphanet J Rare Dis 2020; 15:293. [PMID: 33076957 PMCID: PMC7574588 DOI: 10.1186/s13023-020-01476-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 07/21/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Wolf-Hirschhorn Syndrome (WHS) is a rare, congenital disease characterized by a distinctive facial phenotype, seizures, intellectual disability and developmental delay, and pre and postnatal growth requiring lifelong care. The psychosocial status of the family caregivers of children diagnosed with WHS is unknown. This study aims to characterize the sociodemographic and psychosocial profile of WHS caregivers and analyze how these variables impact their quality of life (QoL) and well-being. RESULTS The sociodemographic and clinical profile of 22 Spanish caregivers of children with WHS and the characteristics of those affected have been described. Significant relationships were found between sociodemographic and psychosocial characteristics among caregivers. The impact on the parents' QoL and negative relationship with the symptomatology were assessed. The use of engagement strategies such as problem focused coping was associated with improved psychological QoL and social support. CONCLUSIONS WHS caregivers share similarities in their profile and needs with caregivers of children with other rare diseases. Pychosocial support groups involving parents caring for children with the same disease could improve caregivers' well-being and QoL by strengthening their social support network and using positive coping styles.
Collapse
Affiliation(s)
- Sarah Berrocoso
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Imanol Amayra
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Esther Lázaro
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Oscar Martínez
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Juan Francisco López-Paz
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Maitane García
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Manuel Pérez
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Mohammad Al-Rashaida
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Alicia Aurora Rodríguez
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Paula Maria Luna
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Paula Pérez-Núñez
- Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007 Bilbao, Spain
| | - Raquel Blanco
- Hospital Universitario Central de Asturias, Neurología Pediátrica, Oviedo, Spain
| | - Julián Nevado
- INGEMM Hospital Universitario La Paz Madrid, Instituto de Genética Médica y Molecular; CIBERER, Madrid, Spain
| |
Collapse
|
5
|
State of the Art of Family Quality of Life in Early Care and Disability: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197220. [PMID: 33023172 PMCID: PMC7578947 DOI: 10.3390/ijerph17197220] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 09/19/2020] [Accepted: 09/27/2020] [Indexed: 12/14/2022]
Abstract
Background: In recent years, there has been a growing international interest in family quality of life The objective of this systematic review is to understand and analyze the conceptualization of the quality of life of families with children with disabilities between 0 and 6 years of age, the instruments for their measurement and the most relevant research results. Method: A bibliographic search was conducted in the Web of Science, Scopus and Eric databases of studies published in English and Spanish from 2000 to July 2019 focused on "family quality of life" or "quality of family life" in the disability field. A total of 63 studies were selected from a total of 1119 and analyzed for their theoretical and applied contributions to the field of early care. Results: The functional conceptualization of family quality of life predominates in this area, and a nascent and enriching holistic conceptualization is appreciated. There are three instruments that measure family quality of life in early care, although none of them is based on unified theory of FQoL; none of them focus exclusively on the age range 0-6 nor do they cover all disabilities. Conclusions: The need to deepen the dynamic interaction of family relationships and to understand the ethical requirement that the methods used to approach family quality of life respect the holistic nature of the research is noted.
Collapse
|
6
|
Alonso Rueda IO, Tornero Patricio S, García Calvente MDM. Perspectiva de género sobre los cuidados informales de las niñas y niños con enfermedades raras. An Pediatr (Barc) 2019; 91:281-282. [DOI: 10.1016/j.anpedi.2019.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 03/05/2019] [Indexed: 11/16/2022] Open
|
7
|
Tejada-Ortigosa EM, Flores-Rojas K, Moreno-Quintana L, Gil-Campos M. Perspectiva de género sobre los cuidados informales de las niñas y niños con enfermedades raras. An Pediatr (Barc) 2019; 91:282. [DOI: 10.1016/j.anpedi.2019.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Accepted: 03/26/2019] [Indexed: 11/26/2022] Open
|
8
|
Izquierdo-García E, Escobar-Rodríguez I, Moreno-Villares JM, Iglesias-Peinado I. Social and health care needs in patients with hereditary fructose intolerance in Spain. ACTA ACUST UNITED AC 2019; 67:253-262. [PMID: 31399332 DOI: 10.1016/j.endinu.2019.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 05/27/2019] [Accepted: 06/19/2019] [Indexed: 12/11/2022]
Abstract
INTRODUCTION Hereditary fructose intolerance is a metabolic disease due to an aldolase B deficiency. Our objective was to ascertain the social and health care needs of those with this deficiency. MATERIAL AND METHODS A prospective, observational study was performed. A survey of social and health care needs was conducted to hereditary fructose intolerance patients living in Spain. RESULTS Most patients had been diagnosed, mainly by genetic analysis in children and based on fructose overload in adults. Population surveyed had no sequelae (72.34%) or disability (64%), and 83.33% of children and 52.38% of adults were taking drugs (p <.05) (2.06 drugs on average). Most patients had attended medical visits in the past two years, mainly in metabolic disease units (42.5%) and/or nutrition units (42.5%), but less than a half attended reference centers (mostly children [p <0.05]). Although 48% were satisfied with health care, they felt discriminated in recreational activities, school, health and/or daily activities. The most reliable sources of information were the specialized care physician (69.39%) and patients' association (59.18%). Fifty-five percent reported no problem in any quality of life dimension, although some had problems in daily activities, pain, and anxiety. CONCLUSIONS Although hereditary fructose intolerance is less disabling than other rare diseases, it is important to know the needs of those who suffer from it. Although time to diagnosis has shortened, the poorer health care and satisfaction with it perceived in adults makes it necessary to emphasize the needs of this population, and the critical need of training and information of health care professionals.
Collapse
Affiliation(s)
- Elsa Izquierdo-García
- Servicio de Farmacia, Hospital Universitario Infanta Leonor, Madrid, España; Asociación de Afectados por Intolerancia Hereditaria a la Fructosa (AAIHF), España.
| | | | | | | |
Collapse
|
9
|
Cardinali P, Migliorini L, Rania N. The Caregiving Experiences of Fathers and Mothers of Children With Rare Diseases in Italy: Challenges and Social Support Perceptions. Front Psychol 2019; 10:1780. [PMID: 31428029 PMCID: PMC6690318 DOI: 10.3389/fpsyg.2019.01780] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Accepted: 07/17/2019] [Indexed: 11/13/2022] Open
Abstract
Family caregiving is a growing phenomenon with the increased prevalence of chronic illness and shorter hospitalizations. Rare diseases pose significant challenges not only to patients living with these kinds of pathologies but also to those who care for these patients. The caregiving role has specific characteristics. The present work aims to increase knowledge of the challenges that are common or specific to fathers and mothers of children diagnosed with a rare disease. Moreover, the paper analyses the kinds of social support they experience according to gender. A descriptive study was conducted using grounded theory methodology. A semi-structured interview with open-ended questions was conducted with 15 parents of children with a rare disease. The interview was organized into three main areas: personal experiences in caring for a child with a rare disease, family changes and perceived social support. The transcriptions were analyzed using NVivo 11 software. From data analysis, themes emerged regarding the challenges shared by fathers and mothers, but some aspects also emerged that were gender-specific. The analyses of differences between mothers' and fathers' narratives showed that there is a specific experience of the impact that caregiving has on parents' relationships with their jobs and on their worries. Self-help group is the main source of social support for all respondents. We discuss these findings in relation to possible appropriate specific interventions and support for family caregiving.
Collapse
Affiliation(s)
- Paola Cardinali
- Department of Educational Science, University of Genoa, Genoa, Italy
| | | | | |
Collapse
|