How do we live with chronic disease? A rights-based approach promoting the wellbeing of children with chronic disease
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Published on: June 6, 2020
Sofia Castanheira Pais1, Isabel Menezes1
1Centre for Research and Intervention in Education, Faculty of Psychology and Education Sciences, University of Porto. R. Alfredo Allen. 4200-135. Porto, Portugal. sofiapais@fpce.up.pt.
Insights
Children with chronic diseases face unique challenges due to social stereotypes. Inclusive environments in family, school, and healthcare settings are crucial for their well-being and overcoming these barriers.
Area of Science:
- Pediatric Health
- Child Psychology
- Sociology of Health
Background:
- Children with chronic diseases often experience invisibility within family, school, and healthcare systems.
- This invisibility presents unique challenges in their interactions with professionals and in daily life contexts.
- Existing research often overlooks the holistic life experiences of these children.
Purpose of the Study:
- To explore the lived experiences of children with chronic diseases.
- To understand the challenges they face in family, school, and hospital settings.
- To identify factors influencing their well-being.
Main Methods:
- A mixed-methods approach combining qualitative and quantitative data.
- Phase 1: 15 interviews with parents, educators, health professionals, and focus groups with children and mothers.
- Phase 2: Self-report questionnaires administered to 152 parents and 176 children with chronic diseases.
Main Results:
- Social stereotypes and a focus on individual problem-solving persist, often isolating the chronic disease experience.
- Children with chronic diseases and their families encounter significant challenges in navigating social contexts.
- Inclusive educational and healthcare environments were found to play a pivotal role in enhancing children's well-being.
Conclusions:
- Addressing social stereotypes and promoting inclusive environments are essential for supporting children with chronic diseases.
- A deeper understanding of their life experiences requires acknowledging the interplay of individual, familial, and societal factors.
- Interdisciplinary collaboration and tailored support systems are vital for improving outcomes for this population.
Abstract:
This paper focuses on the life experiences of children with chronic disease, a group whose invisibility involves particular challenges in their relationship with professionals in important life contexts, such as family, school and hospital. The study includes two complementary phases: i) Phase 1, composed of 15 interviews with parents, education and health professionals and two focus group discussions with children, and children and their mothers; and ii) Phase 2, which included self-report questionnaires administered to parents (n = 152) and children with chronic disease (n = 176). Based on a mixed methodology, this study combines quantitative and qualitative methods assuming that plural approaches allow for a deeper understanding of the life conditions of children with chronic disease and their families. The results reinforce the reproduction of social stereotypes and the tendency to focus on the individual ability to solve problems, which still remain to be circumscribed to the people's chronic disease sphere. Moreover, this paper reveals the central role that inclusive contexts have on children's wellbeing.
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