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Stock NM, Pearse L, Murfett L, Pearse K, Kearney A, Horton J, Hilton C, Wilkinson-Bell K. Surgery for Craniosynostosis: Developing a Psychosocial Booklet for Families. J Craniofac Surg 2024:00001665-990000000-01764. [PMID: 39012620 DOI: 10.1097/scs.0000000000010422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 05/21/2024] [Indexed: 07/17/2024] Open
Abstract
Parents of children with craniosynostosis may experience psychological distress, particularly during intensive periods of treatment. Yet, recent research indicates parents may not be accessing the support they need to cope with common challenges. The aim was to develop an evidence-based booklet to promote psychological health in families undergoing surgery and to assess the acceptability of the booklet among the craniosynostosis community. Researchers collaborated with UK charity Headlines Craniofacial Support, 5 parent representatives, and 2 specialist clinical psychologists to develop the booklet based on data obtained from online focus groups, individual interviews, and written accounts. The draft booklet was attached to an online acceptability survey and distributed to a broader group of parents and multidisciplinary craniofacial specialists for feedback. A total of 52 complete responses to the online acceptability survey were received, and acceptability (measured by the number of respondents who would recommend the booklet) was 100%. All respondents supported the UK-wide distribution of the booklet. Evidence for psychological intervention in the craniofacial field remains scarce, and specialist teams may be under-resourced to effectively screen and support families. It is hoped this booklet can begin to address the gap in psychological support for families affected by craniosynostosis.
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Affiliation(s)
- Nicola M Stock
- Centre for Appearance Research, University of the West of England, Bristol
| | | | | | | | - Anna Kearney
- Alder Hey Children's NHS Foundation Trust, Liverpool
| | - Jo Horton
- Birmingham Women and Children's NHS Foundation Trust, Birmingham, UK
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Zerpe AS, Ramklint M, Nowinski D, Öster C. Parental satisfaction with hospital care for children with non-syndromic craniosynostosis: A mixed-method study. J Pediatr Nurs 2024; 77:e465-e473. [PMID: 38762423 DOI: 10.1016/j.pedn.2024.05.011] [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: 10/17/2023] [Revised: 05/06/2024] [Accepted: 05/06/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE The study aims to investigate factors influencing parents' satisfaction with hospital care for children with craniosynostosis during hospitalization for surgery. DESIGN AND METHODS A mixed-methods study with a convergent, parallel design was used. Ninety-five parents responded to the Swedish Pyramid Questionnaire for Treatment, a 25-item questionnaire with six quality domains. In addition, 20 parents were interviewed about their experiences. Frequencies were calculated, and content analysis was used to analyze free-text comments and transcribed interviews. RESULTS Parents' assessment of the overall quality of care was high (mean 87%, range 10-100%). They were most satisfied in the domain staff attitudes and less satisfied with information routines and participation. Content analysis of the interviews gave two overarching themes: Factors that parents experienced as facilitating good quality of care and Factors that parents experienced as impeding good quality of care. CONCLUSIONS Parents were generally satisfied with the care provided, and interviews captured parents´ views on important factors. Staff attitudes affected parents' perception of quality of care. PRACTICAL IMPLICATIONS Clear information and dialogue as well as making parents feel they are part of their child's team can result in higher satisfaction, and allowing families to stay together in the hospital can ease the hospitalization experience. Using a theoretical model can help in suggesting relevant caring actions based on parents' reported care experiences.
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Affiliation(s)
- Anna Stenson Zerpe
- Department of Surgical Sciences, Plastic and Maxillofacial Surgery, Uppsala University Hospital, Entrance 85, S-75185, Uppsala, Sweden.
| | - Mia Ramklint
- Department of Medical Sciences, Child and Adolescent Psychiatry, Uppsala University Hospital, Entrance 10, S-75185, Uppsala, Sweden
| | - Daniel Nowinski
- Department of Surgical Sciences, Plastic and Maxillofacial Surgery, Uppsala University Hospital, Entrance 85, S-75185, Uppsala, Sweden
| | - Caisa Öster
- Department of Medical Sciences, Psychiatry, Uppsala University Hospital, Entrance 10, S-75185, Uppsala, Sweden
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Samur Erguven S, Topsakal KG, Aksoy M. YouTube™ as a source of parents' information for craniosynostosis. Orthod Craniofac Res 2024; 27 Suppl 1:141-149. [PMID: 37971196 DOI: 10.1111/ocr.12732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE This study aimed to evaluate the content, reliability and quality levels of YouTube™ videos regarding craniosynostosis for parents' information. METHODS A keyword search for 'craniosynostosis' was conducted on YouTube, and the uniform resource locators of the first 160 videos were initially recorded and evaluated. Ninety-four videos that met the inclusion criteria were analysed. Each video received a score ranging from 0 to 9 points, classifying them as low-content (0-3), moderate-content (4-6) and high-content (7-9). The reliability scores adapted from DISCERN and Global Quality Scale (GQS) scores were recorded. RESULTS The median content score for the videos was 4. According to the content scores, 34% of included videos (n = 32) were classified as low-content, 60.6% (n = 57) as moderate-content, and 5.3% (n = 5) as high-content. The median reliability score for the videos was 3, and the median GQS score was 3. The reliability and quality levels of videos classified as high-content and moderate-content were significantly superior to low-content videos (P < .05). Laypersons were identified as the most frequent source of information in the videos. However, most of the videos lacked information about syndromic/non-syndromic forms and specific complications. The importance of early referral/timing of surgery and minimally invasive surgical treatment techniques was mentioned in all high-content videos. CONCLUSION The results of the present study suggest that YouTube™ in its current format, is not a fully trustable source for parents seeking information on craniosynostosis. Craniofacial units must increase the content, quality and reliability level of videos on craniosynostosis.
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Affiliation(s)
- Sara Samur Erguven
- Department of Oral and Maxillofacial Surgery, Gulhane Faculty of Dentistry, University of Health Sciences, Ankara, Turkey
| | - Kubra Gulnur Topsakal
- Department of Orthodontics, Gulhane Faculty of Dentistry, University of Health Sciences, Ankara, Turkey
| | - Merve Aksoy
- Department of Pediatric Dentistry, Gulhane Faculty of Dentistry, University of Health Sciences, Ankara, Turkey
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Costa B, Edwards W, Wilkinson-Bell K, Stock NM. Raising a Child with Craniosynostosis: Psychosocial Adjustment in Caregivers. Cleft Palate Craniofac J 2023; 60:1284-1297. [PMID: 35786018 DOI: 10.1177/10556656221102043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE While knowledge of the psychosocial impact of craniofacial conditions is growing, literature regarding the impact on parents remains limited. Parents of children born with a health condition may be at risk of experiencing a range of psychosocial challenges. This study conducted an initial investigation of psychosocial adjustment of parents of individuals with craniosynostosis to inform support provision for families. SETTING An online UK-wide mixed-methods survey was distributed to members of Headlines Craniofacial Support. DESIGN Quantitative data including standardized measures were analysed using descriptive statistics and independent samples t-tests, and inductive content analysis was used for open-ended questions. PARTICIPANTS Mothers (n = 109) and fathers (n = 9) of individuals ages 3 months to 49 years with single suture (63%) or syndromic (33%) craniosynostosis participated. RESULTS Compared to the general population, parents of individuals with craniosynostosis reported higher levels of stress, anxiety, and depression; lower levels of resilience and optimism. Qualitative responses provided insight into parents' experiences of birth, diagnosis, healthcare provision, familial wellbeing, and relationships. Parents reported several unmet information and support needs, alongside a range of positive outcomes. CONCLUSIONS This study illustrates the potential long-term psychosocial implications for parents raising children with craniosynostosis. There is a need for routine psychological screening for family members and provision of appropriate psychological support for those at risk for distress. Non-specialist health professionals may benefit from additional training about craniofacial conditions so they are better equipped to support and refer families.
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Affiliation(s)
- Bruna Costa
- Centre for Appearance Research, University of the West of England, Coldharbour Lane, Bristol, BS16 1QY, UK
| | - Wendy Edwards
- Headlines Craniofacial Support, St Albans, Hertfordshire, UK
| | | | - Nicola Marie Stock
- Centre for Appearance Research, University of the West of England, Coldharbour Lane, Bristol, BS16 1QY, UK
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Zerpe AS, Nowinski D, Ramklint M, Öster C. "When the surgery was over, I felt like the worst part had passed": experiences of parents of children with craniosynostosis. J SPEC PEDIATR NURS 2022; 27:e12370. [PMID: 35266265 PMCID: PMC9286684 DOI: 10.1111/jspn.12370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 01/11/2022] [Accepted: 03/02/2022] [Indexed: 11/27/2022]
Abstract
PURPOSE Parents of children scheduled for surgery often experience emotional distress and anxiety. This study aimed to explore parents' experiences of hospital care after their child's craniosynostosis surgery and their perception of support during the year after discharge. DESIGN AND METHODS A purposive sample of 19 parents of 12 children with nonsyndromic craniosynostosis, who had undergone surgery, was recruited from one of two national centers in Sweden. An interview was conducted ~1 year after the child's surgery, from September 2017 to August 2018. The interviews followed a semistructured interview guide, were recorded, transcribed verbatim, and analyzed using inductive content analysis. RESULTS The analysis yielded six categories with subcategories as follows: (1) cared for and confident: the hospital staff was perceived as kind, professional, and reliable. (2) Alone and abandoned: sometimes, parents found it hard to initiate contact with professionals during hospitalization and after discharge. (3) The importance of information: thorough information was perceived as essential and the need for information varied during postsurgery period. (4) Feelings of worry: some parents remained worried about risks during recovery and were concerned about comorbidities and development. (5) Alright after all: parents felt that the worst part had been before surgery. (6) The need for support: parents were generally satisfied with the support offered and they often received support from family and friends, or other parents through social media/online forums. PRACTICE IMPLICATIONS Healthcare professionals must be responsive to what support parents need at different stages in the care process and be aware that parents sometimes hesitate to initiate contact and ask for help and support. Support from healthcare professionals to everyone in the follow-up program, as a default, might be more accessible or acceptable for some parents. Providing online support from professionals should be considered and caregivers could also facilitate peer support among parents, either face-to-face or online.
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Affiliation(s)
- Anna S Zerpe
- Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.,Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital, Uppsala, Sweden
| | - Daniel Nowinski
- Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.,Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital, Uppsala, Sweden
| | - Mia Ramklint
- Department of Neuroscience Psychiatry, Uppsala University, Uppsala, Sweden
| | - Caisa Öster
- Department of Neuroscience Psychiatry, Uppsala University, Uppsala, Sweden
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A Booklet to Promote Psychological Health in New Families Affected by Craniosynostosis. J Craniofac Surg 2021; 33:1670-1673. [PMID: 34974462 DOI: 10.1097/scs.0000000000008454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 11/09/2021] [Indexed: 11/26/2022] Open
Abstract
ABSTRACT Recent research indicates that parents of children with craniosynostosis may be at risk of emotional distress. Yet, parents may not be accessing the support they need to cope with common challenges. The aim of this project was to develop a research-informed booklet to promote psychological health in new families, and to assess acceptability of the booklet within the craniosynostosis community. The first draft was designed in close collaboration with leading UK charity Headlines Craniofacial Support 5 parent representatives, and 3 specialist clinical psychologists via online focus groups. The draft booklet, attached to an online acceptability survey, was distributed to a broader group of parents and multidisciplinary specialists working in craniofacial teams in England for feedback. A total of 44 complete responses to the online acceptability survey were received. Acceptability (measured by the number of respondents who would recommend the booklet) was 100%. All respondents reported they "agreed" or "strongly agreed" with the UK-wide distribution of the booklet. Evidence for psychological intervention in the craniofacial field remains scarce, and specialist teams may be under-resourced to effectively screen and support parents. It is hoped this booklet will begin to address the gap in psychological support for new families affected by craniosynostosis.
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Rotimi O, Jung GYP, Ong J, Jeelani NUO, Dunaway DJ, James G. Sporting activity after craniosynostosis surgery in children: a source of parental anxiety. Childs Nerv Syst 2021; 37:287-290. [PMID: 32529547 PMCID: PMC7790766 DOI: 10.1007/s00381-020-04723-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 06/03/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE Craniosynostosis correction involves major skull surgery in infancy-a potential source of worry for parents when their treated children begin involvement in sports. METHODS Electronic multiple choice survey of parents of children who had undergone craniosynostosis surgery in infancy using 5-point Likert scales. RESULTS Fifty-nine completed surveys were obtained from parents of children who had undergone previous craniosynostosis surgery. Mean age of children was 7.8 years (range 3 months to 22 years), with 36 non-syndromic and 23 syndromic cases. The most common surgery was fronto-orbital remodelling (18). Fifty-two of 59 were involved in athletic activity. The most intense sport type was non-contact in 23, light contact in 20, heavy contact in 4 and combat in 5. Participation level was school mandatory in 12, school club in 17, non-school sport club in 21 and regional representative in 2. One child had been advised to avoid sport by an external physician. Mean anxiety (1-5 Likert) increased with sport intensity: non-contact 1.7, light contact 2.2, heavy contact 3.5 and combat 3.6. Twenty-nine of 59 parents had been given specific advice by the Craniofacial Team regarding athletic activity, 28 of which found useful. Three sport-related head injuries were reported, none of which required hospitalisation. CONCLUSION Little information exists regarding sports for children after craniosynostosis surgery. This study suggests that parental anxiety remains high, particularly for high impact/combat sports, and that parents would like more information from clinicians about the safety of post-operative sporting activities.
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Affiliation(s)
| | | | - Juling Ong
- Craniofacial Unit, Great Ormond Street Hospital, London, UK
- Great Ormond Street Institute of Child Health, University College London, 30 Guildford Street, London, WC1N 1EH, UK
| | - N U Owase Jeelani
- Craniofacial Unit, Great Ormond Street Hospital, London, UK
- Great Ormond Street Institute of Child Health, University College London, 30 Guildford Street, London, WC1N 1EH, UK
| | - David J Dunaway
- Craniofacial Unit, Great Ormond Street Hospital, London, UK
- Great Ormond Street Institute of Child Health, University College London, 30 Guildford Street, London, WC1N 1EH, UK
| | - Greg James
- Craniofacial Unit, Great Ormond Street Hospital, London, UK.
- Great Ormond Street Institute of Child Health, University College London, 30 Guildford Street, London, WC1N 1EH, UK.
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