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Fornari A, Antonazzo IC, Rocino A, Preti D, Fragomeno A, Cucuzza F, Ceresi N, Santoro C, Ferretti A, Facchetti R, Cozzolino P, Biasoli C, Cassone C, Coppola A, Cortesi PA, Mantovani LG. The psychosocial impact of haemophilia from patients' and caregivers' point of view: The results of an Italian survey. Haemophilia 2024; 30:449-462. [PMID: 38147066 DOI: 10.1111/hae.14926] [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: 06/22/2022] [Revised: 06/29/2023] [Accepted: 12/13/2023] [Indexed: 12/27/2023]
Abstract
BACKGROUD A huge amount of data about psychosocial issues of people with haemophilia (PwH) are available; however, these materials are fragmentary and largely outdated, failing to reflect the impact of current treatment strategies. AIM Describing the influence of illness on psychosocial aspects of adult PwH (≥18 years) and caregivers of children with haemophilia (CPwH) without inhibitors, in Italy. METHODS Surveys (for adult PwH, CPwH and haemophilia specialists) were developed by a multidisciplinary working group and conducted from November 2019 to June 2020. RESULTS A total of 120 PwH without inhibitors and 79 CPwH completed the survey. Adult patients reported a significant impairment in many psychosocial aspects, including working activities, relations with family members and social relations. Caregivers generally reported better scores in all aspects of the survey. Mobility, Pain and Mental health domains of EQ-5D were the most frequently impaired in both patients and caregivers, reducing the perceived quality of life. Genetic counselling was an important issue, 53% of CPwH declaring unawareness of their carrier status, as well as the psychological support offered by the reference center, 67.0% of respondents reporting that no psychological support was provided at the time of diagnosis communication. CONCLUSION This study provides information about PwH's and CPwH's point of view in the current scenario of continuous innovations in haemophilia treatment and management furthermore, updated insights on psychosocial problems faced by patients and caregivers are reported.
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Affiliation(s)
- Arianna Fornari
- Research Centre on Public Health (CESP), University of Milano-Bicocca, Monza, Italy
- Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | | | - Angiola Rocino
- UOC di Ematologia-Centro Emofilia e Trombosi, Ospedale del Mare-ASL NA1, Napoli, Italy
| | - Daniele Preti
- Italian Federation of Haemophilia Associations (FedEmo), Rome, Italy
| | - Anna Fragomeno
- Italian Federation of Haemophilia Associations (FedEmo), Rome, Italy
| | - Francesco Cucuzza
- Italian Federation of Haemophilia Associations (FedEmo), Rome, Italy
| | - Nicola Ceresi
- Italian Federation of Haemophilia Associations (FedEmo), Rome, Italy
| | - Cristina Santoro
- Haematology, University Hospital Policlinico Umberto I, Rome, Italy
| | - Antonietta Ferretti
- Haematology, University Hospital Policlinico Umberto I, Rome, Italy
- Haemorrhagic and Thrombotic Diseases Service, Area of Haematology, Fondazione Policlinico Universitario 'A. Gemelli', IRCCS, Rome, Italy
| | - Rita Facchetti
- Research Centre on Public Health (CESP), University of Milano-Bicocca, Monza, Italy
| | | | - Chiara Biasoli
- Haemophilia Centre and Transfusion Department, Bufalini Hospital, Cesena, Italy
| | - Cristina Cassone
- Italian Federation of Haemophilia Associations (FedEmo), Rome, Italy
| | - Antonio Coppola
- Regional Reference Centre for Inherited Bleeding Disorders, University Hospital of Parma, Parma, Italy
| | - Paolo Angelo Cortesi
- Research Centre on Public Health (CESP), University of Milano-Bicocca, Monza, Italy
| | - Lorenzo Giovanni Mantovani
- Research Centre on Public Health (CESP), University of Milano-Bicocca, Monza, Italy
- IRCCS Multimedica, Sesto San Giovanni, Italy
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Alves Feitoza de Andrade I, Castanheira Nascimento L, Albuquerque de Paula WK, Rocha Guimarães TM, Leite Meirelles Monteiro EM, Pereira Linhares FM, De Moraes Lima M, de Lavor Coriolano Marinus MW. Socio-emotional repercussions of severe haemophilia A in the daily lives of children. Haemophilia 2022; 28:1000-1006. [PMID: 35768907 DOI: 10.1111/hae.14611] [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: 10/08/2020] [Revised: 06/03/2022] [Accepted: 06/11/2022] [Indexed: 11/29/2022]
Abstract
INTRODUCTION AND AIM Haemophilia A, in its most severe form, can have serious repercussions, including issues that are physical, emotional, affective, and social, particularly in childhood. This qualitative study aims to understand the socio-emotional repercussions of severe haemophilia A in children, based on their own testimonies and subjective expressions of their daily lives, in the contexts of the family, school and health service. METHODS Individual qualitative interviews were carried out using a playful approach through puppets with 15 children, aged 6-12 years old, in a service for the treatment of haemophilia, located in the northeast of Brazil. Data were analysed using inductive thematic analysis. RESULTS Four themes were elaborated: (a) Reflecting how I am and how I relate to others; (b) Enjoying family moments; (c) Experiencing the school context: learning, affectivity and play; and (d) Dealing with haemophilia: acceptance and overcoming strategies. CONCLUSION The experiences shared by children with severe haemophilia A and their daily needs should be the basis for guiding child-centred care. Encouraging self-care, including self-administration of the deficient factor, requires a partnership between health professionals, family members, school and child in the construction of therapeutic plans that consider the child's active participation.
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Chiu AS, Blanchette VS, Barrera M, Hilliard P, Young NL, Abad A, Feldman BM. Social participation and hemophilia: Self-perception, social support, and their influence on boys in Canada. Res Pract Thromb Haemost 2021; 5:e12627. [PMID: 34877447 PMCID: PMC8633242 DOI: 10.1002/rth2.12627] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 10/08/2021] [Accepted: 10/17/2021] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Patients with hemophilia may experience joint damage, which can impair participation, yet few studies have examined the impact hemophilia may have on social participation and quality of life. OBJECTIVES The aims of this study are to assess the relationship between patient social participation and self-perception, social support, and impact on the family. PATIENTS/METHODS A random representative sample of 50 boys with hemophilia from The Hospital for Sick Children, Toronto, Canada, completed measures of social participation (Participation Scale for kids), self-perception (Self-Perception Profile for children and adolescents), and social support (Social Support Scale for children). Participants' parents completed Family Impact Module of the Pediatric Quality of Life Inventory. Data were analyzed using Pearson product-moment correlations. RESULTS Social participation was strongly correlated with self-perception subscales Social Acceptance (r = -0.5, p = <0.001) and Global Self-Worth (r = -0.6, p = <0.001) for all participants. The Athletic Competence subscale was strongly correlated for adolescents only (r = -0.6, p = <0.01). There were strong correlations between social participation and social support from parents (r = -0.6, p = <0.001), teachers (r = -0.5, p = <0.001), and classmates (r = -0.6, p = <0.001) and moderate correlations for support from close friends (r = -0.4, p = <0.01). There were no significant correlations with family impact. CONCLUSION In the context of a country with unlimited access to safe clotting factor concentrates, boys with hemophilia have few social participation restrictions. Although correlational findings do not represent causality, they suggest that encouragement of social participation may be beneficial in boys with hemophilia to increase self-perception as well as strengthen their social support network.
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Affiliation(s)
| | - Victor S. Blanchette
- The Hospital for Sick ChildrenTorontoOntarioCanada
- The University of TorontoTorontoOntarioCanada
| | - Maru Barrera
- The Hospital for Sick ChildrenTorontoOntarioCanada
- The University of TorontoTorontoOntarioCanada
| | | | | | - Audrey Abad
- The Hospital for Sick ChildrenTorontoOntarioCanada
| | - Brian M. Feldman
- The Hospital for Sick ChildrenTorontoOntarioCanada
- The University of TorontoTorontoOntarioCanada
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4
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Bérubé S, Ogez D, Aramideh J, Amesse C, Bourque CJ, Longpré C, Muise L, Levesque A, Sultan S. It's difficult to say no: Development of a parenting booklet about physical activity restrictions and recommendations in pediatric hemophilia. Health Psychol Open 2021; 8:20551029211039920. [PMID: 34881045 PMCID: PMC8647236 DOI: 10.1177/20551029211039920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Physical activity restrictions can be particularly difficult for children with hemophilia and their parents, as most children want to engage in the same activities as their friends or siblings. This study aimed to assess parents' need for a booklet on how to manage physical activity restrictions based on the self-determination theory and gather their suggestions for the booklet's improvement in a focus group. Data were analyzed using thematic analyses to highlight to what extent the needs of parents were met by the booklet, as well as their suggestions for improvement. A discussion on the methodology of the booklet's creation is also presented.
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Affiliation(s)
- Sarah Bérubé
- Department of Psychology, University of Montreal, Montreal, QC, Canada
- Sainte-Justine UHC, Montreal, QC, Canada
| | - David Ogez
- Department of Psychology, University of Montreal, Montreal, QC, Canada
- Sainte-Justine UHC, Montreal, QC, Canada
- Hôpital Maisonneuve-Rosemont, Montreal, QC, Canada
| | - Jennifer Aramideh
- Department of Psychology, University of Montreal, Montreal, QC, Canada
- Sainte-Justine UHC, Montreal, QC, Canada
| | | | - Claude J Bourque
- Sainte-Justine UHC, Montreal, QC, Canada
- Department of Pediatrics, Université de Montréal, Montreal, QC, Canada
| | | | | | - Ariane Levesque
- Department of Psychology, University of Montreal, Montreal, QC, Canada
- Sainte-Justine UHC, Montreal, QC, Canada
| | - Serge Sultan
- Department of Psychology, University of Montreal, Montreal, QC, Canada
- Sainte-Justine UHC, Montreal, QC, Canada
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5
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Cox A, Pritchard C. Hearing the Voice of a Shadow Child: Healthy Siblings Experience of Cystic Fibrosis and Other Life-Threatening Conditions. J Patient Exp 2021; 7:878-881. [PMID: 33457514 PMCID: PMC7786705 DOI: 10.1177/2374373520948652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Cystic fibrosis (CF) is a chronic, life-threatening disease, similar to other chronic life-disrupting pediatric conditions, and this creates physical and psychosocial problems for parents and the healthy sibling/s of the sick child, who often become sibling carers. It is feared that, despite good intentions, professionals fail to hear the authentic voice of those intimately involved, especially these sibling carers, who can feel they became a “shadow child.” This study is a partnership between an academic and a former CF sibling carer, who wrote a “fairy story” for his children about the Uncle they never knew. It is an effort to hear the “voice of shadow children” who can feel left behind and unseen as families and professionals focus upon their ill sibling.
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Affiliation(s)
- Andrew Cox
- Faculty of Health & Social Sciences, Bournemouth University, Poole, UK
| | - Colin Pritchard
- Faculty of Health & Social Sciences, Bournemouth University, Poole, UK
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Cikili-Uytun M, Çetin FH, Yılmaz R, Uytun S, Babadağı Z, Karadogan M, Mutlu FT, Altuner-Torun Y. Psychiatric problems and its contributing factors in children and adolescents with hemophilia: a single centre study in a Turkish sample. EGYPTIAN PEDIATRIC ASSOCIATION GAZETTE 2020. [DOI: 10.1186/s43054-020-00032-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
We aimed to evaluate the psychiatric symptoms in addition quality of life in children and adolescents with hemophilia and to determine which factors contributed to psychiatric problems of them.
A total of 20 children and adolescents with hemophilia A or B and 20 healthy controls, aged 6–16 years old, were included. Kiddie-Schedule for Affective Disorders and Schizophrenia, present and life time version (K-SADS-PL) was applied to parents. Sociodemographic questionnaire, Child Depression Inventory (CDI), The Spielberger State-Trait Anxiety Inventory (STAI), and KINDLR Questionnaire was used for children and adolescents in both groups. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and KINDL parent form were used for mothers in both groups.
Results
The study results demonstrated higher anxiety scores and increased anxiety disorder diagnosis among children and adolescents with hemophilia. However, mother’s anxiety and depression scores are higher than control group, and QoL of their children also shows lower scores in parents’ KINDL forms. Mothers’ depression and anxiety scores are associated with childrens’ depression, anxiety, and QoL scores.
Conclusion
Psychiatric factors should not be ignored in the treatment and follow-up of children and adolescents with hemophilia and their parents.
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Bérubé S, Amesse C, Sultan S. Illness perceptions and their relation to physical activity in children and adolescents with hemophilia. Health Psychol Behav Med 2020; 8:461-474. [PMID: 34040881 PMCID: PMC8114379 DOI: 10.1080/21642850.2020.1823226] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 07/28/2020] [Indexed: 11/02/2022] Open
Abstract
Background: Hemophilia is a rare bleeding disorder in which illness perceptions have seldom been studied. Illness perceptions are important in predicting patients' behavior. Due to the risk of bleeding and joint damage, healthcare professionals often discourage some physical activities. Those restrictions can be difficult to follow for pediatric patients. This study investigates the relationship between illness perceptions, physical activity behavior, and intentions amongst this population. Methods: Twenty-four 6-18-year-old patients with severe hemophilia completed the Brief Illness Perception Questionnaire. A questionnaire assessing their level of physical activity and intentions toward safe and higher-risk physical activity was also administered. Clinical and socio-demographic data were collected. Associations were studied using hierarchical clustering of physical activity patterns, and Mann-Whitney U comparisons between clusters. Results: Perceptions ranged from slightly to moderately threatening, and 20-30% of participants had highly threatening perceptions on Consequences, Identity, Concern, and Emotional response. The subgroup who engaged in more high-risk physical activity and had stronger intentions to engage in this type of activity also held more concerns and perceived more symptoms. Conclusion: Patients at risk of non-adherence to recommendations concerning physical activity have more threatening illness beliefs that could be addressed during specific interventions or routine appointments. Addressing illness beliefs could be an element to behavior change. Strong emotional responses to hemophilia also stresses the need for psychosocial support strategies.
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Affiliation(s)
- Sarah Bérubé
- Université de Montréal, Montreal, Canada
- Sainte-Justine University Health Centre, Montreal, Canada
| | | | - Serge Sultan
- Université de Montréal, Montreal, Canada
- Sainte-Justine University Health Centre, Montreal, Canada
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8
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Mantik MFJ, Gunawan S, Wowiling S. Knowledge about hemophilia among teachers of patients with hemophilia in Indonesia. PEDIATRIC HEMATOLOGY ONCOLOGY JOURNAL 2020. [DOI: 10.1016/j.phoj.2020.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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9
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Dinet J. La co-conception d’un jeu sérieux dédié au sport pour enfants hémophiles. ENFANCE 2020. [DOI: 10.3917/enf2.203.0337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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10
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Klein DE, Winterowd CL, Ehrhardt MD, Carter JC, Khan O, Mayes S. The relationship of self-compassion and hope with quality of life for individuals with bleeding disorders. Haemophilia 2020; 26:e66-e73. [PMID: 32175665 DOI: 10.1111/hae.13959] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 12/02/2019] [Accepted: 02/24/2020] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Minimal research has been conducted examining the relationship of positive psychology variables with quality of life (QOL) for individuals with bleeding disorders. While many individuals manage their bleeding disorders well, some are at higher risk of developing psychosocial complications due to the daily stressors of managing illness-related symptoms. AIM The purpose of this study is to better understand the relationships between two positive psychology variables, self-compassion and hope and QOL (overall, psychosocial and physical) among individuals diagnosed with bleeding disorders. METHODS Participants completed a survey identifying demographic information as well as rating scales of self-compassion, hope and quality of life. We conducted Pearson correlational and standard multiple regression analyses to explore the bivariate and linear relationships between the aforementioned variables in a sample of 86 patients with bleeding disorders between the ages of 15 and 65. RESULTS Self-compassion and hope were significantly related to QOL. Together, self-compassion and hope were predictive of overall QOL, psychosocial QOL and physical QOL. However, hope was the only individual predictor of all three QOL dimensions. CONCLUSION Due to the significant relationships found between self-compassion, hope and QOL in this sample, it may be beneficial to incorporate positive psychology factors into the treatment of those diagnosed with bleeding disorders, especially those at higher risk for decreased QOL.
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Affiliation(s)
- Darci E Klein
- School of Community Health Sciences, Counseling and Counseling Psychology, Willard Hall Oklahoma State University, Stillwater, OK, USA
| | - Carrie L Winterowd
- School of Community Health Sciences, Counseling and Counseling Psychology, Willard Hall Oklahoma State University, Stillwater, OK, USA
| | | | | | - Osman Khan
- University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Sunnye Mayes
- University of Louisville School of Medicine, Louisville, KY, USA
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11
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Little T, Strodl E, Brown S, Mooney T. Parenting a child with haemophilia while living in a non-metropolitan area. ACTA ACUST UNITED AC 2018. [DOI: 10.17225/jhp00066] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
The experience of living in a non-metropolitan area and parenting a child with haemophilia is relatively unknown. Using Interpretive Phenomenological Analysis (IPA), the following study explored the experiences of seven parents, from which four themes emerged: ‘bearing the brunt of diagnosis’ captures the impact of the diagnosis; ‘if you can’t help me, who can?’ reveals experiences with the health system; ‘tackling the challenge of treatment’ encompasses difficulties in adhering to the treatment regime; ‘I need you to understand’ reflects desires for others support and understanding. These themes should be considered when developing support systems and interventions for parents living in non-metropolitan areas.
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Affiliation(s)
- Trudi Little
- Queensland University of Technology, Brisbane , Australia
| | - Esben Strodl
- School of Psychology and Counselling, Queensland University of Technology, Victoria Park Road, Kelvin Grove , Queensland, 4059, Australia
| | - Simon Brown
- Lady Cilento Children’s Hospital, Brisbane , Australia
| | - Tara Mooney
- Queensland University of Technology, Brisbane , Australia
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12
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Forgeron P, King S, Reszel J, Fournier K. Psychosocial interventions to improve social functioning of children and adolescents with chronic physical conditions: A systematic review. CHILDRENS HEALTH CARE 2017. [DOI: 10.1080/02739615.2017.1328600] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Paula Forgeron
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | - Sara King
- Faculty of Education, School Psychology Program, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
| | - Jessica Reszel
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
- Children’s Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, Ontario, Canada
| | - Karine Fournier
- Health Sciences Library, University of Ottawa, Ottawa, Ontario, Canada
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13
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von der Lippe C, Frich JC, Harris A, Solbraekke KN. Treatment of hemophilia: A qualitative study of mothers' perspectives. Pediatr Blood Cancer 2017; 64:121-127. [PMID: 27472376 DOI: 10.1002/pbc.26167] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 07/01/2016] [Accepted: 07/05/2016] [Indexed: 11/09/2022]
Abstract
BACKGROUND In Norway, boys with hemophilia usually begin treatment after their first bleeding episode. Boys with severe hemophilia usually start prophylactic treatment around 18-24 months. Health professionals administer factor concentrate initially, but when boys are around 4 years old most parents start treating their children at home. There is a lack of research on how parents, and especially how carrier mothers, experience the medical treatment for their sons' hemophilia. Our aim was to investigate how carrier mothers experience this treatment in the hospital setting and at home. METHODS In this qualitative study, we interviewed 16 mothers of boys or men with hemophilia A or B. Data were collected via semistructured interviews and analyzed using an inductive thematic analytical approach. RESULTS Mothers experienced both practical and emotional challenges in relation to their sons' treatment, and repeated venipuncture was especially difficult emotionally. Parents preferred home treatment to hospital treatment because it was less time-consuming, less disruptive to family life, and provided a greater sense of control. Encountering healthcare professionals who were unfamiliar with hemophilia was a second major stress factor, especially when parents felt that health professionals lacked competence and were unwilling to seek advice. CONCLUSION While home treatment for hemophilia enables freedom, flexibility, and autonomy for the boys as well as for the family, mothers may experience treatment of hemophilia as a burden. Health professionals should provide tailored practical and emotional support to parents by probing into their experiences with treating their sons' hemophilia.
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Affiliation(s)
| | - Jan C Frich
- Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Anna Harris
- Department of Technology and Society Studies, Maastricht University, Maastricht, The Netherlands
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14
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Rolstad EB. Perceptions of Men With Moderate to Severe Hemophilia Regarding the Management of Their Chronic Disorder and Utilization of Community-Based Support. Am J Mens Health 2014; 9:486-95. [DOI: 10.1177/1557988314551360] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Hemophilia is a genetic bleeding disorder that almost exclusively affects men. There is a nationwide network of nonprofit organizations providing support to men with hemophilia, which are affiliated with localized agencies that serve affected individuals within specific regions of the country. This community-based study was implemented in response to a local Utah agency’s concern that men with hemophilia may be disengaged from and underserved by their local support network. The goal of the study was to gain a better understanding of the (a) unique challenges, (b) adaptations, and (c) physical, financial, psychological, and social needs of adult men with moderate to severe hemophilia from the local community. Over a period of 9 months, verbal qualitative interviews were conducted with 10 affected individuals, and written interviews were obtained from 3 additional participants. Using a grounded-theory approach, six themes were identified, based on men’s commentary from interviews, across a spectrum of physical, social, communal, personal, medical, and vocational dimensions. Resilience theory, which explores internal resources that assist in coping with adverse situations, was used as a framework for interpreting research results. Findings indicate that men value the array of educational, social, and medical services that are available to them but choose to manage their hemophilia independently from the community and access support according to their individual needs. Understanding this dynamic may be helpful in developing services that are more specifically tailored to the physical and psychosocial needs of adult men with hemophilia and, potentially, men with other chronic health disorders.
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15
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Cassis FRMY, Buzzi A, Forsyth A, Gregory M, Nugent D, Garrido C, Pilgaard T, Cooper DL, Iorio A. Haemophilia Experiences, Results and Opportunities (HERO) Study: influence of haemophilia on interpersonal relationships as reported by adults with haemophilia and parents of children with haemophilia. Haemophilia 2014; 20:e287-95. [PMID: 24800872 DOI: 10.1111/hae.12454] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2014] [Indexed: 12/01/2022]
Abstract
Evidence delineating the effects of haemophilia on interpersonal relationships is sparse and largely outdated, failing to reflect the impact of current treatment strategies. HERO (Haemophilia Experiences, Results and Opportunities) was commenced to garner a more comprehensive understanding of psychosocial issues facing persons with haemophilia (PWH). This article describes the findings of the quantitative HERO survey relating to the influence of haemophilia on interpersonal relationships of adult PWH, and parents/caregivers of children with haemophilia. Separate questionnaires were completed by adult PWH and parents of minor children from 10 countries, including satisfaction with support from partners, family, friends and other social contacts; disclosure of haemophilia and carrier status and family dynamics. A total of 675 PWH and 561 parents completed the survey. Over half of PWH (57%) and parents (84%) were married. Most PWH were satisfied with support from partners (94%), family (90%) and friends (85%), with lower percentages reported among those with inhibitors. Most parents were likewise satisfied with support from partners (88%) and family (83%). Whereas PWH were reticent to disclose their diagnosis beyond family and friends, parents were more likely to share their son's diagnosis, and most were satisfied with the support from their son's peers (74%), teachers (83%) and other adults in supervisory roles (85%). PWH and parents surveyed were satisfied overall with the support they received from partners, family, friends and social contacts. Relationships are affected by haemophilia in various ways, and particularly affected in terms of disease burden, age and social life.
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Affiliation(s)
- F R M Y Cassis
- Hemophilia Center, University of São Paulo Faculty of Medicine Clinics Hospital, São Paulo, Brazil
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16
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Wollenhaupt J, Rodgers B, Sawin KJ. Family management of a chronic health condition: perspectives of adolescents. JOURNAL OF FAMILY NURSING 2012; 18:65-90. [PMID: 22184753 DOI: 10.1177/1074840711427545] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
A growing number of adolescents and their families are dealing with a chronic health condition that impacts their daily life. Research using the Family Management Style Framework (FMSF) has added much to our understanding of how the family integrates chronic condition management into family life. Less clear, however, is the adolescent perspective of the FMSF components. The purpose of this secondary qualitative analysis was to explore 25 interviews of adolescents with spina bifida to uncover the adolescent's perspective of the three major FMSF components: Definition of the Situation, Management Behaviors, and Perceived Consequences. Adolescents were able to articulate their perspectives and their observations of their parents' behaviors that related to the three components and related dimensions of the framework. Data from this analysis led to proposed expansion of the FMSF definitions from an adolescent perspective. Implications for integrating the adolescent perspective into future research and clinical practice are discussed.
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