'I've got to prioritise': being a parent with cystic fibrosis
Hazel Barker1, Jennifer Moses2, Catherine O'Leary3
1a Clinical Psychologist , Cardiff and Vale University Health Board, Cancer Services, University Hospital Wales, Heath Park , Cardiff CF14 4XW , UK.
Insights
Parents with cystic fibrosis (CF) face unique challenges balancing daily treatment demands with parenting. This study reveals their experiences highlight the need for better psychological support for CF families.
Area of Science:
- Psychology
- Health Psychology
- Medical Sociology
Background:
- Increased life expectancy for individuals with cystic fibrosis (CF) leads to more parents living with the condition.
- Psychological understanding and applied research on parenting with CF lag behind medical advancements.
- Limited resources exist for parents with CF and healthcare professionals regarding the psychological aspects of CF parenting.
Purpose of the Study:
- To explore the lived experiences of mothers and fathers with CF in managing their dual roles.
- To develop an understanding of the unique challenges and strategies employed by parents with CF.
- To inform the development of psychological support for CF parenting.
Main Methods:
- Qualitative research methodology utilizing semi-structured interviews.
- Interpretive Phenomenological Analysis (IPA) to interpret participant experiences.
- Nine participants (4 males, 5 females, aged 21-50) with CF who are parents were interviewed.
Main Results:
- The super-ordinate theme identified was 'Being a parent on compressed time'.
- This theme reflects the challenges of parenting with a limited life expectancy and complex daily treatment regimens.
- Participants described significant time pressures related to CF management and adherence.
Conclusions:
- Findings underscore the need for evidence-based psychological support for parents with CF and those considering parenthood.
- Healthcare professionals in CF services require enhanced understanding to guide these families effectively.
- Further research is recommended to explore diverse family structures and transplant recipients' experiences.
Abstract:
Due to advances in earlier diagnosis and treatment, the life expectancy of a person born with cystic fibrosis (CF) has increased. Therefore, more people with CF are becoming parents but the psychological understanding of CF has lagged behind advances in medical treatment; there is very limited applied psychological research on which parents and professionals can draw when considering issues of parenting in this context. This qualitative research explored how mothers and fathers with CF experience and manage the dual roles of being a parent and living with CF. The aim was to facilitate development of an understanding of experience rather than test existing theory. A qualitative methodology was chosen as it allowed participants to reflect openly on their individual experiences. Nine participants completed semi-structured interviews either in their own homes or a clinic base which examined parenting, CF and the interaction between the two roles. Four participants were male and five were female with an age range of 21-50. Interpretive Phenomenological Analysis was used to interpret the participants' accounts and generate super-ordinate and master themes. 'Being a parent on compressed time' was the super-ordinate theme which reflected the challenge of parenting within both a limited life trajectory and a complex treatment regime with daily adherence and time pressures. The findings have implications for parents with CF, those considering parenting and for health professionals working in CF services whose guidance needs to be grounded in an evidence-base. Further research is needed to explore the experiences of parents within different family structures, parents who have had a transplant and the perspectives of others in the wider system in which parents with CF are located.
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