Understanding mothers' perception of child's illness: Adapting the CONNECT Instrument for pediatrics

Kristin Magner1, Dawn Bragg2, Robert Treat3

  • 1Division of Pediatric Critical Care, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wisconsin.

Insights

This study adapted the CONNECT Instrument for pediatric use, finding it valid and reliable for understanding mothers' illness perceptions. Pediatric providers showed understanding of these perceptions, improving parent-provider communication.

Area of Science:

  • Pediatric healthcare research
  • Patient-provider communication
  • Psychometric validation

Background:

  • The CONNECT Instrument, validated in adults, previously excluded pediatric populations and advanced practice providers.
  • Understanding patient perspectives is crucial for effective healthcare delivery.

Purpose of the Study:

  • Adapt the CONNECT Instrument for pediatric use (CONNECT for Pediatrics).
  • Assess the validity and reliability of the adapted CONNECT for Pediatrics instrument.
  • Evaluate concordance between mothers' illness perceptions and healthcare providers' understanding.

Main Methods:

  • Prospective, cross-sectional, observational study design.
  • Adaptation of the original CONNECT Instrument for the inpatient pediatric setting.
  • Enrollment of 85 participants (mothers, advanced practice providers, physicians) in a pediatric epilepsy monitoring unit.
  • Statistical analyses including principal components analysis, inter-item reliability, and RM-ANOVA.

Main Results:

  • The adapted CONNECT for Pediatrics demonstrated good validity and reliability.
  • Statistically significant differences were observed between mothers' and physicians' perceptions in the domains of meaning and preference for partnership.
  • Pediatric advanced practice providers and physicians demonstrated an understanding of mothers' illness perceptions.

Conclusions:

  • The CONNECT for Pediatrics is a valid and reliable tool for assessing mothers' illness perceptions in a pediatric setting.
  • Healthcare providers possess an understanding of mothers' perceptions of their child's illness.
  • This instrument can enhance communication and understanding between parents and pediatric healthcare providers.
Abstract

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