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Pediatric Hypertension: Parent Perspectives

Assim M AlAbdulKader1, Erica F Morse2, Matthew F Daley2

  • 1University Hospitals of Cleveland/Case Western Reserve University, Cleveland, OH, USA.

Global Pediatric Health
|December 23, 2020
PubMed

Insights

Most pediatric hypertension cases go undiagnosed due to complex standards and lack of awareness. Parent interviews revealed diagnostic uncertainty and treatment challenges, highlighting the need for practice improvements in childhood hypertension management.

Area of Science:

  • Pediatric Medicine
  • Cardiovascular Health
  • Public Health

Background:

  • Pediatric hypertension diagnosis and management guidelines exist but are underutilized.
  • Most childhood hypertension cases remain undiagnosed, with provider and system factors contributing to underdiagnosis.
  • The impact of patient and family behaviors on pediatric hypertension diagnosis and treatment is not well understood.

Purpose of the Study:

  • To explore parental perspectives on the diagnosis and treatment of pediatric hypertension.
  • To identify barriers and facilitators from the patient and family viewpoint to inform clinical practice improvements.

Main Methods:

  • A qualitative study was conducted at two sites.
  • Semi-structured interviews were performed with parents of 15 children diagnosed with hypertension.

Main Results:

  • Parents reported uncertainty regarding the diagnosis of pediatric hypertension.
  • Concerns about the accuracy of blood pressure measurements were a significant barrier.
  • Delayed diagnosis and lack of child engagement were identified as obstacles to effective treatment.

Conclusions:

  • Parental perspectives reveal key barriers to diagnosing and treating pediatric hypertension.
  • Addressing diagnostic uncertainty and improving child engagement are crucial for better clinical outcomes.
  • Findings offer insights for enhancing clinical practice and improving care for children with hypertension.

Keywords:
child engagementelevated blood pressurelifestyle changesobesitypediatric hypertension

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