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Donmez H, Tas Arslan F. The Effectiveness of a Parent Empowerment Intervention for Caregivers of Children with Cystic Fibrosis: A Randomized Controlled Trial. Compr Child Adolesc Nurs 2024:1-17. [PMID: 39382937 DOI: 10.1080/24694193.2024.2411986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 09/18/2024] [Indexed: 10/10/2024]
Abstract
This paper focused on the effectiveness of a parent empowerment intervention based on nursing education (PEINE). This study examined whether the intervention improved the quality of life of children with cystic fibrosis (CF) and improved their caregivers learn about the disease and develop problem-solving and coping skills. This randomized-controlled trial used a pretest-posttest parallel-group research design. The sample consisted of 48 parents (caregivers) of children with CF. Participants were randomly assigned to an intervention (n = 24) and a control group (n = 24). The intervention group received PEINE and standard care and treatment for ten weeks. The control group received standard care and treatment. Data were collected using a Disease Information Survey (DIS), the Ways of Coping Inventory (WCI), the Problem-Solving Inventory (PSI), and the Cystic Fibrosis Questionnaire (CFQ-R). After the intervention, the intervention group DIS scores (d: 1,627 [CI: 0.934,2.305], had more correct answers than the control group. Nursing interventions were effective (p < .001). There was no significant difference in the mean pretest-posttest PSI scores (d: 0.378 [CI: -0.221-0.972], posttest WCI scores (d: 0.239 [CI:-0.356-0.831]) between the intervention and control groups (p>.05). There was a significant difference in the mean posttest CFQ-R scores between the intervention and control groups (d: 1.363 [CI: l.698, 2.015]);(p < .001). PEINE increased the intervention group participants develop disease-management skills. However, the increase in their PSI and WCI scores was statistically insignificant. PEINE also increased the quality of life of children with CF. Parents of children followed in pediatric pulmonary diseases participated in the study. Parents were informed during outpatient clinic visits. After the first meeting, the children and parents who voluntarily agreed to participate in the research were contacted by phone. The outpatient nurse assisted in communicating with children and parents.
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Affiliation(s)
- Hatice Donmez
- College of Health Science, Karamanoğlu Mehmetbey University, Karaman, Turkey
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Young CC, Enichen E, Rao A, Hilker S, Butler A, Laird-Gion J, Succi MD. Pilot Study of Large Language Models as an Age-Appropriate Explanatory Tool for Chronic Pediatric Conditions. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2024:2024.08.06.24311544. [PMID: 39148860 PMCID: PMC11326333 DOI: 10.1101/2024.08.06.24311544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 08/17/2024]
Abstract
There exists a gap in existing patient education resources for children with chronic conditions. This pilot study assesses large language models' (LLMs) capacity to deliver developmentally appropriate explanations of chronic conditions to pediatric patients. Two commonly used LLMs generated responses that accurately, appropriately, and effectively communicate complex medical information, making them a potentially valuable tool for enhancing patient understanding and engagement in clinical settings.
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Affiliation(s)
- Cameron C. Young
- Harvard Medical School, Boston, MA
- Medically Engineered Solutions in Healthcare Incubator, Innovation in Operations Research Center, Mass General Brigham, Boston, MA
| | - Elizabeth Enichen
- Harvard Medical School, Boston, MA
- Medically Engineered Solutions in Healthcare Incubator, Innovation in Operations Research Center, Mass General Brigham, Boston, MA
| | - Arya Rao
- Harvard Medical School, Boston, MA
- Medically Engineered Solutions in Healthcare Incubator, Innovation in Operations Research Center, Mass General Brigham, Boston, MA
| | - Sidney Hilker
- Harvard Medical School, Boston, MA
- Boston Children’s Hospital, Boston, MA
| | - Alex Butler
- Harvard Medical School, Boston, MA
- Boston Children’s Hospital, Boston, MA
| | - Jessica Laird-Gion
- Harvard Medical School, Boston, MA
- Boston Children’s Hospital, Boston, MA
| | - Marc D. Succi
- Harvard Medical School, Boston, MA
- Medically Engineered Solutions in Healthcare Incubator, Innovation in Operations Research Center, Mass General Brigham, Boston, MA
- Department of Radiology, Massachusetts General Hospital, Boston, MA
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Amin R, Vaishali K, Maiya GA, Mohapatra AK, Sinha MK, Bhat A, Bommasamudram T, Acharya V, Gore S. Patient education for individuals with Interstitial Lung Disease: A scoping review. F1000Res 2024; 13:405. [PMID: 38895701 PMCID: PMC11184280 DOI: 10.12688/f1000research.147340.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/12/2024] [Indexed: 06/21/2024] Open
Abstract
Objectives Interstitial Lung Disease (ILD) is a severe and rapidly progressing disease with a high fatality rate. Patient education (PE) has been demonstrated to promote long-term adherence to exercise and lifestyle improvements by assisting patients in developing self-management techniques. Our scoping review's goal was to chart out the prevailing level of research about the content, processes, and effectiveness of PE for patients with ILD. Methods The relevant databases were searched using the rules provided by Arksey and O'Malley in 2005 and the Joanna Briggs Institute reviewers' manual 2015: an approach for JBI scoping reviews. Individuals with ILD, published in English between the years of inception and 2020, and describing PE administered by various healthcare practitioners were among the 355 studies found and reviewed. Thirteen studies met these criteria. Results PE delivery process, delivery techniques, quality of life assessments, common PE themes, and healthcare professional participation were all recognized and cataloged. Conclusion Despite the fact that healthcare professionals (physicians, nurses, and physiotherapists) provide PE to patients with ILD regularly, the PE provided varies greatly (contents of PE, process of delivery and delivery techniques). During the scoping review, a significant variation in the themes was addressed. They could not provide any evidence-based specific recommendations for all healthcare practitioners due to the studies' heterogeneity and lack of effectiveness measures.
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Affiliation(s)
- Revati Amin
- Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - K. Vaishali
- Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - G. Arun Maiya
- Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Aswini Kumar Mohapatra
- Respiratory Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Mukesh Kumar Sinha
- Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Anup Bhat
- Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Tulasiram Bommasamudram
- Exercise and Sports Science, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Vishak Acharya
- Pulmonary Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, Karnataka, 575001, India
| | - Shweta Gore
- MGH Institute of Health Professions, Boston, Massachusetts, 02129, USA
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Chow AJ, Saad A, Al‐Baldawi Z, Iverson R, Skidmore B, Jordan I, Pallone N, Smith M, Chakraborty P, Brehaut J, Cohen E, Dyack S, Gillis J, Goobie S, Greenberg CR, Hayeems R, Hutton B, Inbar‐Feigenberg M, Jain‐Ghai S, Khangura S, MacKenzie JJ, Mitchell JJ, Moazin Z, Nicholls SG, Pender A, Prasad C, Schulze A, Siriwardena K, Sparkes RN, Speechley KN, Stockler S, Taljaard M, Teitelbaum M, Trakadis Y, Van Karnebeek C, Walia JS, Wilson K, Potter BK. Family-centred care interventions for children with chronic conditions: A scoping review. Health Expect 2024; 27:e13897. [PMID: 39102737 PMCID: PMC10837485 DOI: 10.1111/hex.13897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 09/08/2023] [Accepted: 10/10/2023] [Indexed: 08/07/2024] Open
Abstract
INTRODUCTION Children with chronic conditions have greater health care needs than the general paediatric population but may not receive care that centres their needs and preferences as identified by their families. Clinicians and researchers are interested in developing interventions to improve family-centred care need information about the characteristics of existing interventions, their development and the domains of family-centred care that they address. We conducted a scoping review that aimed to identify and characterize recent family-centred interventions designed to improve experiences with care for children with chronic conditions. METHODS We searched Medline, Embase, PsycInfo and Cochrane databases, and grey literature sources for relevant articles or documents published between 1 January 2019 and 11 August 2020 (databases) or 7-20 October 2020 (grey literature). Primary studies with ≥10 participants, clinical practice guidelines and theoretical articles describing family-centred interventions that aimed to improve experiences with care for children with chronic conditions were eligible. Following citation and full-text screening by two reviewers working independently, we charted data covering study characteristics and interventions from eligible reports and synthesized interventions by domains of family-centred care. RESULTS Our search identified 2882 citations, from which 63 articles describing 61 unique interventions met the eligibility criteria and were included in this review. The most common study designs were quasiexperimental studies (n = 18), randomized controlled trials (n = 11) and qualitative and mixed-methods studies (n = 9 each). The most frequently addressed domains of family-centred care were communication and information provision (n = 45), family involvement in care (n = 37) and access to care (n = 30). CONCLUSION This review, which identified 61 unique interventions aimed at improving family-centred care for children with chronic conditions across a range of settings, is a concrete resource for researchers, health care providers and administrators interested in improving care for this high-needs population. PATIENT OR PUBLIC CONTRIBUTION This study was co-developed with three patient partner co-investigators, all of whom are individuals with lived experiences of rare chronic diseases as parents and/or patients and have prior experience in patient engagement in research (I. J., N. P., M. S.). These patient partner co-investigators contributed to this study at all stages, from conceptualization to dissemination.
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Affiliation(s)
- Andrea J. Chow
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
| | - Ammar Saad
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
| | - Zobaida Al‐Baldawi
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
| | - Ryan Iverson
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
| | | | | | | | - Maureen Smith
- Canadian Organization for Rare DisordersOttawaOntarioCanada
| | - Pranesh Chakraborty
- Newborn Screening Ontario, Children's Hospital of Eastern OntarioOttawaOntarioCanada
- Department of PediatricsUniversity of OttawaOttawaOntarioCanada
| | - Jamie Brehaut
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
- Clinical Epidemiology ProgramOttawa Hospital Research InstituteOttawaOntarioCanada
| | - Eyal Cohen
- Department of PediatricsUniversity of Toronto/Hospital for Sick ChildrenTorontoOntarioCanada
| | - Sarah Dyack
- Department of PediatricsDalhousie UniversityHalifaxNova ScotiaCanada
| | | | - Sharan Goobie
- Department of PediatricsDalhousie UniversityHalifaxNova ScotiaCanada
| | - Cheryl R. Greenberg
- Department of Pediatrics and Child HealthUniversity of ManitobaWinnipegManitobaCanada
| | - Robin Hayeems
- Child Health Evaluative SciencesUniversity of Toronto/Hospital for Sick ChildrenTorontoOntarioCanada
| | - Brian Hutton
- Clinical Epidemiology ProgramOttawa Hospital Research InstituteOttawaOntarioCanada
| | - Michal Inbar‐Feigenberg
- Division of Clinical & Metabolic GeneticsHospital for Sick ChildrenTorontoOntarioCanada
- Department of PediatricsUniversity of TorontoTorontoOntarioCanada
| | - Shailly Jain‐Ghai
- Department of Medical GeneticsUniversity of AlbertaEdmontonAlbertaCanada
| | - Sara Khangura
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
| | - Jennifer J. MacKenzie
- Department of PediatricsMcMaster UniversityHamiltonOntarioCanada
- Department of MedicineQueen's UniversityKingstonOntarioCanada
| | | | - Zeinab Moazin
- Newborn Screening Ontario, Children's Hospital of Eastern OntarioOttawaOntarioCanada
| | - Stuart G. Nicholls
- Clinical Epidemiology ProgramOttawa Hospital Research InstituteOttawaOntarioCanada
| | - Amy Pender
- McMaster Children's HospitalHamiltonOntarioCanada
| | - Chitra Prasad
- Department of PediatricsWestern UniversityLondonOntarioCanada
| | - Andreas Schulze
- Department of Biochemistry and Department of PediatricsUniversity of TorontoTorontoOntarioCanada
- Clinical and Metabolic GeneticsHospital for Sick ChildrenTorontoOntarioCanada
| | - Komudi Siriwardena
- Department of Medical GeneticsUniversity of AlbertaEdmontonAlbertaCanada
| | | | - Kathy N. Speechley
- Departments of Pediatrics and Epidemiology and BiostatisticsWestern UniversityLondonOntarioCanada
| | | | - Monica Taljaard
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
- Clinical Epidemiology ProgramOttawa Hospital Research InstituteOttawaOntarioCanada
| | | | | | - Clara Van Karnebeek
- Departments of Pediatrics and Human GeneticsEmma Center for Personalized Medicine, Amsterdam UMCAmsterdamThe Netherlands
| | | | - Kumanan Wilson
- Department of PediatricsUniversity of OttawaOttawaOntarioCanada
- Department of MedicineUniversity of OttawaOttawaOntarioCanada
- Bruyère Research InstituteOttawaOntarioCanada
| | - Beth K. Potter
- School of Epidemiology and Public HealthUniversity of OttawaOttawaOntarioCanada
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Tutus D, Niemitz M, Plener PL, Fegert JM, Lehmann C, Weiss C, Knaevelsrud C, Biehl L, Rassenhofer M. A web-based psychological support program for caregivers of children with rare chronic diseases: a randomized controlled trial. Orphanet J Rare Dis 2024; 19:27. [PMID: 38281056 PMCID: PMC10821309 DOI: 10.1186/s13023-024-03029-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 01/19/2024] [Indexed: 01/29/2024] Open
Abstract
BACKGROUND Approximately 50% of rare diseases have symptom onset during childhood. A high level of nursing care and an often uncertain prognosis put caregivers of the affected children at high risk for psychological distress. At the same time, their caregivers have limited access to appropriate psychological care. The aim of this study was to evaluate a web-based psychological support program for caregivers of children with chronic rare diseases (WEP-CARE). METHODS German-speaking parents (recruited between May 2016 and March 2018) caring for children aged 0-25 years with a rare disease showing clinically relevant anxiety symptoms, were assigned to either the WEP-CARE (n = 38) or treatment as usual (n = 36) condition within a randomized controlled trial. The primary outcome measure was parental anxiety, assessed with the Generalized Anxiety Disorder Questionnaire (GAD-7). Secondary outcomes were fear of disease progression, depression, coping, quality of life and user satisfaction. The group differences were tested through repeated-measures analyses of variance. The WEP-CARE group was additionally followed up three months after the treatment. RESULTS A significant time-group interaction was found for anxiety (F (1,35) = 6.13, p = .016), fear of disease progression (F (1,331) = 18.23, p < .001), depression (F (1,74) = 10.79, p = .002) and coping (F (1,233) = 7.02, p = .010), suggesting superiority of the WEP-CARE group. Sustainability of the treatment gains regarding anxiety, fear of disease progression and coping was confirmed at the 6-month follow-up assessment (p < .01). A significant interaction effect could not be found for quality of life (F(1,2) = 0.016; p = .899). Both participating parents and therapists were satisfied with WEP-CARE. CONCLUSIONS Our results underline the efficacy and feasibility of WEP-CARE for parents of children with various rare diseases.
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Affiliation(s)
- Dunja Tutus
- Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhoevelstr, 5, 89075, Ulm, Germany.
| | - Mandy Niemitz
- Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhoevelstr, 5, 89075, Ulm, Germany
| | - Paul L Plener
- Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhoevelstr, 5, 89075, Ulm, Germany
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
| | - Jörg M Fegert
- Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhoevelstr, 5, 89075, Ulm, Germany
| | - Christine Lehmann
- Department of Paediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité University Medicine Berlin, Berlin, Germany
| | - Christa Weiss
- Department of Paediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité University Medicine Berlin, Berlin, Germany
| | | | - Lisa Biehl
- German Alliance of Chronic Rare Diseases, Berlin, Germany
| | - Miriam Rassenhofer
- Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhoevelstr, 5, 89075, Ulm, Germany
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Ramay BM, Sierra AGE, Enríquez AL, Espel C, Zelaya C, Gonzalez ALA, Lou-Meda R. A multimedia program for caregivers of pediatric patients with chronic kidney disease in Guatemala. J Pediatr Nurs 2023; 73:67-71. [PMID: 37647790 DOI: 10.1016/j.pedn.2023.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 08/13/2023] [Accepted: 08/14/2023] [Indexed: 09/01/2023]
Abstract
OBJECTIVES A multimedia medication training program for parents and legal guardians of children with chronic kidney disease (CKD) aimed to improve comprehension CKD and general information about medications used in pediatric patients attending The Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City). METHODS A quasi-experimental study was carried out to measure the impact of the educational intervention on medication knowledge, at FUNDANIER from September to October 2019. Means and standard deviations was used to described test results. A Wilcoxon test was performed, to compare scores of pre and post-tests. Odds Ratio (OR) was used to determine if there was an improvement in the knowledge score before and after the intervention. Results There was significant improvement in knowledge scores knowledge before and after the intervention(27/35 versus 33/35, P < 0.005). Mestizo participants had higher odds of improvement before and after the intervention (OR 7, CI: 0.6-78). Parent-guardians with prior education, and who spoke Spanish had higher odds of improved knowledge scores (OR 3.2, CI:0.3-35; OR 1.1 CI: 0.1-14 respectively). CONCLUSION Caregivers who participated in the educational workshop improved and retained information related to CKD comprehension and medications used. This study provides a model for educational modules that can be used, tested, and applied in other chronic disease settings in low to middle income countries. PRACTICE IMPLICATIONS A culturally relevant multimedia CKD educational platform was effective in improving medication knowledge among parent/guardians of children with CKD in a low literacy setting.
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Affiliation(s)
- Brooke M Ramay
- Department of Pharmaceutical Chemistry, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala; Center for Health Studies, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala; Paul G. Allen School for Global Health, Washington State University, 1155 NE College Ave, Pullman, WA 99164, United States.
| | - Ana Gabriela Espinoza Sierra
- Department of Pharmaceutical Chemistry, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala
| | - Ana Lucía Enríquez
- Department of Pharmaceutical Chemistry, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala
| | - Celeste Espel
- Fundación para el Niño Enfermo Renal-FUNDANIER, 5ta. Avenida 6-22 z.11, Emergencia de Pediatría, Hospital Roosevelt, Guatemala City, Guatemala
| | - Cristina Zelaya
- Fundación para el Niño Enfermo Renal-FUNDANIER, 5ta. Avenida 6-22 z.11, Emergencia de Pediatría, Hospital Roosevelt, Guatemala City, Guatemala
| | - Angie Lizet Aguilar Gonzalez
- Fundación para el Niño Enfermo Renal-FUNDANIER, 5ta. Avenida 6-22 z.11, Emergencia de Pediatría, Hospital Roosevelt, Guatemala City, Guatemala.
| | - Randall Lou-Meda
- Fundación para el Niño Enfermo Renal-FUNDANIER, 5ta. Avenida 6-22 z.11, Emergencia de Pediatría, Hospital Roosevelt, Guatemala City, Guatemala
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McMullan J, Crowe AL, Downes K, McAneney H, McKnight AJ. Carer reported experiences: Supporting someone with a rare disease. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:1097-1108. [PMID: 33955634 DOI: 10.1111/hsc.13336] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 12/18/2020] [Accepted: 02/04/2021] [Indexed: 06/12/2023]
Abstract
This exploratory study aimed to gain an understanding of carer reported experiences derived specifically from persons caring for someone with a rare disease. The survey took place online on the SmartSurvey platform from November 2019 to January 2020. The facilitated workshop took place in Bangor Carnegie Library, Northern Ireland. To be eligible to participate in the online survey respondents had to be adults caring for someone with a rare disease. Fifty-seven respondents took part, 15.8% male, 84.2% female. Thirty-two attendees were part of the facilitated workshop. While carers reported several positive aspects of their caring role, the majority of comments highlighted challenges such as sub-optimal interactions with healthcare professionals, insufficient (or absent) emotional, psychological and social support, lack of financial support and lack of awareness of existing support services. It is important that strategies are put in place to ensure that carers are given the time they need to care for themselves, and that awareness is raised of what support options are available for carers of people with a rare disease(s) from health and social care providers, charities or support groups.
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Affiliation(s)
- Julie McMullan
- Centre for Public Health, School of Medicine Dentistry and Biomedical Sciences, Institute of Clinical Science Block A, Belfast, UK
| | - Ashleen L Crowe
- Centre for Public Health, School of Medicine Dentistry and Biomedical Sciences, Institute of Clinical Science Block A, Belfast, UK
| | - Kirsten Downes
- Centre for Public Health, School of Medicine Dentistry and Biomedical Sciences, Institute of Clinical Science Block A, Belfast, UK
| | - Helen McAneney
- Centre for Public Health, School of Medicine Dentistry and Biomedical Sciences, Institute of Clinical Science Block A, Belfast, UK
| | - Amy Jayne McKnight
- Centre for Public Health, School of Medicine Dentistry and Biomedical Sciences, Institute of Clinical Science Block A, Belfast, UK
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Kelada L, Wakefield C, Vidic N, Armstrong DS, Bennetts B, Boggs K, Christodoulou J, Harrison J, Ho G, Kapur N, Lindsey-Temple S, McDonald T, Mowat D, Schultz A, Selvadurai H, Tai A, Jaffe A. Genomic testing for children with interstitial and diffuse lung disease (chILD): parent satisfaction, understanding and health-related quality of life. BMJ Open Respir Res 2022; 9:e001139. [PMID: 35190460 PMCID: PMC8862491 DOI: 10.1136/bmjresp-2021-001139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 02/02/2022] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE Research is needed to determine best practice for genomic testing in the context of child interstitial or diffuse lung disease (chILD). We explored parent's and child's health-related quality of life (HRQoL), parents' perceived understanding of a genomic testing study, satisfaction with information and the study and decisional regret to undertake genomic testing. METHODS Parents of children with diagnosed or suspected chILD who were enrolled in a genomic sequencing study were invited to complete questionnaires pretesting (T1) and after receiving the result (T2). RESULTS Parents' (T1, n=19; T2, n=17) HRQoL was lower than population norms. Study satisfaction (T1) and perceived understanding (T2) were positively correlated (rs=0.68, p=0.014). Satisfaction with information (T1 and T2) and decisional regret (T2) were negatively correlated (T1 rs=-0.71, p=0.01; T2 rs=-0.56, p=0.03). Parents reported wanting more frequent communication with staff throughout the genomic sequencing study, and greater information about the confidentiality of test results. CONCLUSIONS Understanding of genomic testing, satisfaction with information and participation and decisional regret are inter-related. Pretest consultations are important and can allow researchers to explain confidentiality of data and the variable turnaround times for receiving a test result. Staff can also update parents when there will be delays to receiving a result.
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Affiliation(s)
- Lauren Kelada
- Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia
- School of Clinical Medicine, UNSW Medicine & Health, UNSW, Sydney, New South Wales, Australia
| | - Claire Wakefield
- Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia
- School of Clinical Medicine, UNSW Medicine & Health, UNSW, Sydney, New South Wales, Australia
| | - Nada Vidic
- School of Clinical Medicine, UNSW Medicine & Health, UNSW, Sydney, New South Wales, Australia
| | - David S Armstrong
- Department of Respiratory Medicine, Monash Children's Hospital, Melbourne, Victoria, Australia
- Department of Paediatrics, Monash University, Melbourne, Victoria, Australia
| | - Bruce Bennetts
- Discipline of Genetic Medicine and Discipline of Child & Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
- Sydney Genome Diagnostics, Western Sydney Genetics Program, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
- KidGen Collaborative, Australian Genomics Health Alliance, Parkville, Victoria, Australia
| | - Kirsten Boggs
- Department of Clinical Genetics, Sydney Children's Hospital Network, Westmead, New South Wales, Australia
- Mackenzie's Mission, Australian Genomics Health Alliance, Melbourne, Victoria, Australia
- Centre for Clinical Genetics, Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia
| | - John Christodoulou
- Discipline of Genetic Medicine and Discipline of Child & Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
- Brain and Mitochondrial, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
| | - Joanne Harrison
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
- Department of Respiratory and Sleep Medicine, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
- Division of Infection and Immunity, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Victoria, Australia
| | - Gladys Ho
- Discipline of Genetic Medicine and Discipline of Child & Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
- Sydney Genome Diagnostics, Western Sydney Genetics Program, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
| | - Nitin Kapur
- Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, South Brisbane, Queensland, Australia
- School of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Suzanna Lindsey-Temple
- School of Clinical Medicine, UNSW Medicine & Health, UNSW, Sydney, New South Wales, Australia
- Department of Clinical Genetics, Liverpool Hospital, Liverpool, New South Wales, Australia
| | - Tim McDonald
- Paediatrics, Canberra Hospital, Canberra, Australian Capital Territory, Australia
| | - David Mowat
- School of Clinical Medicine, UNSW Medicine & Health, UNSW, Sydney, New South Wales, Australia
- Centre for Clinical Genetics, Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia
| | - André Schultz
- Department of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia
- Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Western Australia, Australia
- Wal-yan Respiratory Research Centre, Telethon Kids Institute, University of Western Australia, Nedlands, Western Australia, Australia
| | - Hiran Selvadurai
- Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
- Discipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia
| | - Andrew Tai
- Respiratory and Sleep Medicine, Women's and Children's Hospital Adelaide, North Adelaide, South Australia, Australia
- Robinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia
| | - Adam Jaffe
- School of Clinical Medicine, UNSW Medicine & Health, UNSW, Sydney, New South Wales, Australia
- Respiratory Department, Sydney Children's Hospital Randwick, Randwick, New South Wales, Australia
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Tutus D, Niemitz M, Fegert JM, Rassenhofer M. E-Mental-Health-Angebote für Eltern eines Kindes mit einer seltenen chronischen Erkrankung. Monatsschr Kinderheilkd 2021. [DOI: 10.1007/s00112-021-01180-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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