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Qualitative Parental Perceptions of a Paediatric Multidisciplinary Team Clinic for Prader-Willi Syndrome
Jennifer S. Cox1, Claire Semple2, Rhian Augustus2
1National Institute for Health Research, Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, Bristol, United Kingdom
Insights
Families with children with Prader-Willi syndrome (PWS) found a pilot multidisciplinary team (MDT) clinic highly beneficial. The PWS MDT clinic provided integrated care, professional input, and community connection, improving support for children with PWS.
Area of Science:
- Pediatric Endocrinology
- Genetics
- Developmental Pediatrics
Background:
- Prader-Willi syndrome (PWS) presents complex, multifaceted health and developmental challenges.
- Families of children with PWS often require coordinated and specialized support services.
- Existing care models may not adequately address the diverse and evolving needs of individuals with PWS.
Purpose of the Study:
- To inform the design of a novel service supporting families with children with Prader-Willi syndrome (PWS).
- To evaluate the preliminary effectiveness and parental perception of a pilot multidisciplinary team (MDT) clinic for PWS.
- To gather insights into family-centered care needs for children with PWS.
Main Methods:
- A pilot clinic was established in a hospital outpatient setting, involving a multidisciplinary team (MDT).
- Six families with children diagnosed with PWS participated in semi-structured qualitative interviews post-clinic.
- Thematic analysis was employed to analyze transcribed audio recordings of the interviews.
Main Results:
- Families reported enhanced support across several domains, including integrated care and professional input.
- Key benefits identified were improved signposting to social support (respite, financial) and connection with the PWS community.
- Parents highlighted the clinic's effectiveness in providing behavioral support tailored to PWS.
Conclusions:
- This study presents the first documented parental perspective on an MDT clinic for children with PWS.
- Families perceived the MDT clinic as superior to current care models, offering more convenient access.
- The MDT clinic model is proposed to provide integrated, consistent, and enhanced care for the complex needs of children with PWS.
Objective:
This preliminary review was conducted to inform the design of a new service to support families with children with Prader-Willi syndrome (PWS). Families were invited to attend a pilot clinic at a hospital outpatient department, comprising appointments with a multi-disciplinary team (MDT).
Methods:
Following the clinic, families (n=6) were invited to take part in semi-structured qualitative interviews that were audio-recorded, transcribed and analysed using thematic analysis.
Results:
Families reported that the clinic offered enhanced support in the following categories: integrated care; professional input; signposting to social support (respite and financial); connection with the wider PWS community; and behavioural support.
Conclusion:
This is the first paper that documents the parental perspective of an MDT clinic for children with PWS. The families felt an MDT clinic was superior to current care, offering more convenient access to an enhanced service, which would provide integrated and consistent care for their children’s diverse, challenging and changing needs.
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