“Your Life Turns Upside Down”: A Qualitative Study of the Experiences of Parents with Children Diagnosed with Phelan-McDermid Syndrome
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants, Context, and Sampling Strategies
2.3. Ethical Considerations
2.4. Data Collection
2.5. Data Analysis
2.6. Rigor
3. Results
3.1. Theme 1: Understanding and Accepting the Disease
3.2. Theme 2: Living Day by Day
3.3. Theme 3: Expectations versus Reality
3.4. Theme 4: Suffering and Happiness
4. Discussion
4.1. Understanding and Accepting the Disease
4.2. Living Day by Day
4.3. Expectations versus Reality
4.4. Suffering and Happiness
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Areas to Be Investigated | Questions |
---|---|
Symptoms | When did you become aware of the onset of symptoms? Which are the most relevant to you? What do these symptoms mean to you? |
Diagnosis | How was the process to get a diagnosis? What was the most relevant part of this process? |
Treatment and care | What treatment is your child currently receiving? What is the most relevant aspect to you? Does it affect or limit your daily life? How? Are there any side effects? What are your expectations for the treatment? Do you perceive any barriers and facilitators to go through the recommended treatment? Do you use any coping strategies to deal with the symptoms of the disease? Can you describe the caregiving to your child? What are the barriers and/or facilitators of your child caregiving? |
Illness | What is your experience of living with Phelan McDermid Syndrome? Which is the most relevant aspect for you? How does it affect your routine? What are your expectations about the syndrome and its evolution? |
Impact on parents | How do you experience your child’s illness? What feelings and/or thoughts do you have? What is most relevant? |
Criteria | Techniques Performed |
---|---|
Credibility | Investigator triangulation: each interview was analyzed by two researchers. Team meetings were performed. Triangulation of data collection methods: semistructured interviews and researcher field notes were used. Member-checking. All participants were asked to review their audio and/or video records to confirm their perspective and no comments were added. |
Transferability | In-depth and detailed descriptions of the research process were performed. |
Dependability | Audits were applied by an external researcher on the research protocol (the methods applied and study design). Also, another external researcher checked the codification process. |
Confirmability | Investigator triangulation, member-checking, and data collection triangulation. Researcher reflexivity was encouraged via the performance of reflexive reports. |
Code | Sex | Age | Marital Status | Age at Diagnosis (Years) | Age of Child with PMS (Years) | Diagnosis |
---|---|---|---|---|---|---|
E1 | Male | 40 | Married | 3 | 12 | Deletion |
E2 | Female | 46 | Married | 3 | 12 | Deletion |
E3 | Female | 46 | Married | 3 | 16 | Deletion |
E4 | Female | 39 | Married | 1.5 | 8 | Deletion |
E5 | Female | 49 | Divorced | 0.9 | 20 | Deletion |
E6 | Female | 35 | Married | 0.5 | 3 | Deletion |
E7 | Male | 38 | Married | 0.5 | 3 | Deletion |
E8 | Female | 54 | Married | 1 | 22 | Deletion |
E9 | Female | 38 | Married | 0.3 | 4 | Deletion |
E10 | Female | 39 | Married | 9 | 11 | SHANK3 gene mutation |
E11 | Female | 42 | Divorced | 3 | 9 | Deletion |
E12 | Female | 62 | Divorced | 34 | 36 | Deletion |
E13 | Female | 52 | Married | 16 | 18 | Deletion |
E14 | Female | 46 | Married | 6 | 9 | SHANK3 gene mutation |
E15 | Female | 38 | Married | 3 | 6 | Deletion |
E16 | Male | 39 | Married | 3 | 6 | Deletion |
E17 | Female | 34 | Married | 7 | 13 | Deletion |
E18 | Male | 42 | Married | 3 | 6 | Deletion |
E19 | Female | 44 | Divorced | 1.5 | 3 | Deletion |
E20 | Female | 38 | Married | 1 | 2 | Deletion |
E21 | Female | 60 | Married | 33 | 35 | Deletion |
E22 | Male | 40 | Married | 1.5 | 8 | Deletion |
E23 | Male | 52 | Married | 16 | 18 | Deletion |
E24 | Male | 38 | Married | 3 | 5 | Deletion |
E25 | Female | 38 | Married | 3 | 5 | Deletion |
E26 | Female | 46 | Married | 7 | 10 | Deletion |
E27 | Female | 48 | Divorced | 39 | 40 | Deletion |
E28 | Female | 45 | Divorced | 9 | 10 | Deletion |
E29 | Female | 40 | Married | 3 | 5 | Deletion |
E30 | Male | 43 | Married | 3 | 5 | Deletion |
E31 | Female | 36 | Married | 3.5 | 5 | Deletion |
E32 | Male | 41 | Divorced | 4 | 8 | Deletion |
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García-Bravo, C.; Palacios-Ceña, D.; Huertas-Hoyas, E.; Pérez-Corrales, J.; Serrada-Tejeda, S.; Pérez-de-Heredia-Torres, M.; Gueita-Rodríguez, J.; Martínez-Piédrola, R.M. “Your Life Turns Upside Down”: A Qualitative Study of the Experiences of Parents with Children Diagnosed with Phelan-McDermid Syndrome. Children 2023, 10, 73. https://doi.org/10.3390/children10010073
García-Bravo C, Palacios-Ceña D, Huertas-Hoyas E, Pérez-Corrales J, Serrada-Tejeda S, Pérez-de-Heredia-Torres M, Gueita-Rodríguez J, Martínez-Piédrola RM. “Your Life Turns Upside Down”: A Qualitative Study of the Experiences of Parents with Children Diagnosed with Phelan-McDermid Syndrome. Children. 2023; 10(1):73. https://doi.org/10.3390/children10010073
Chicago/Turabian StyleGarcía-Bravo, Cristina, Domingo Palacios-Ceña, Elisabet Huertas-Hoyas, Jorge Pérez-Corrales, Sergio Serrada-Tejeda, Marta Pérez-de-Heredia-Torres, Javier Gueita-Rodríguez, and Rosa Mª Martínez-Piédrola. 2023. "“Your Life Turns Upside Down”: A Qualitative Study of the Experiences of Parents with Children Diagnosed with Phelan-McDermid Syndrome" Children 10, no. 1: 73. https://doi.org/10.3390/children10010073
APA StyleGarcía-Bravo, C., Palacios-Ceña, D., Huertas-Hoyas, E., Pérez-Corrales, J., Serrada-Tejeda, S., Pérez-de-Heredia-Torres, M., Gueita-Rodríguez, J., & Martínez-Piédrola, R. M. (2023). “Your Life Turns Upside Down”: A Qualitative Study of the Experiences of Parents with Children Diagnosed with Phelan-McDermid Syndrome. Children, 10(1), 73. https://doi.org/10.3390/children10010073