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"I don't like talking about it because that's not who I am": Challenges children face during epilepsy-related family
S O'Toole1, V Lambert2, P Gallagher2
1School of Nursing and Human Sciences, Faculty of Science and Health, Dublin City University, Dublin, Ireland stephanie.otoole29@mail.dcu.ie.
Insights
Children with epilepsy face communication challenges with parents, impacting normalcy and activities. Understanding these barriers is key to developing supportive interventions for families managing childhood epilepsy.
Area of Science:
- Pediatric Neurology
- Child Psychology
- Communication Studies
Background:
- Childhood epilepsy significantly affects social, psychosocial, and family dynamics.
- Children with epilepsy depend on parents for condition management and guidance.
- Limited research exists on communication challenges between children with epilepsy and their parents.
Purpose of the Study:
- To explore the challenges children with epilepsy encounter when discussing their condition with parents.
- To identify barriers in parent-child communication regarding epilepsy.
Main Methods:
- Qualitative study involving semi-structured interviews with 29 children (aged 6-16) with epilepsy.
- Participants recruited from a pediatric hospital neurology department and a national epilepsy association.
- Verbatim interview transcripts were thematically analyzed.
Main Results:
- Four key themes emerged: communication hindering normalcy, parental overprotection, parental responses to epilepsy discussions, and activity restrictions due to communication.
- Children experienced difficulties in maintaining a sense of normalcy.
- Parental reactions and overprotection created communication barriers.
Conclusions:
- Greater understanding of parent-child dialogue about epilepsy is needed.
- Facilitating open communication is crucial for children's well-being.
- Findings can inform the development of communication-based interventions for families affected by childhood epilepsy.
Objectives:
Childhood epilepsy not only significantly impacts a child's social relationships and psychosocial wellbeing, but it can also cause disruptions in family relations. Children living with epilepsy often rely on parental figures for guidance in relation to their condition. A paucity of research has examined the challenges for children when communicating about epilepsy with parental figures. This qualitative study explored the challenges faced by children when talking about epilepsy with their parent(s).
Methods:
Semi-structured interviews were conducted with 29 children (aged 6-16 years) living with epilepsy. Participants were recruited from a neurology department of a major pediatric hospital and from a national epilepsy association. Interviews were transcribed verbatim and thematically analyzed.
Results:
Findings revealed four themes: communication impeding normalcy, parental overprotection, parental reactions to epilepsy-related communication, and restriction of activities as a consequence of epilepsy-related communication.
Discussion:
The study highlights the need for a greater understanding of parent-child dialogue surrounding epilepsy and where challenges lie for children in conversing about their condition. Parents and health care professionals play a pivotal role in facilitating an environment where children feel comfortable talking about epilepsy. This information will be instrumental in the development of a communication-based intervention for families living with epilepsy.
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