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.
Abstract