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Published on: August 7, 2017
Parental knowledge about familial Mediterranean fever: a cross-sectional study
Deniz Gezgin Yıldırım1, Sevcan A Bakkaloğlu1, A Şebnem Soysal-Acar2
1Division of Pediatric Rheumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
Insights
Parental knowledge about familial Mediterranean fever (FMF) is insufficient, especially regarding disease risks and treatments. Improved educational programs are crucial for parents of pediatric FMF patients to enhance understanding of FMF management.
Area of Science:
- Pediatric Rheumatology
- Genetics
- Public Health
Background:
- Familial Mediterranean Fever (FMF) requires lifelong management, with parents needing comprehensive understanding of its course, complications, treatments, and side effects.
- Assessing parental knowledge and information-seeking behaviors is vital for effective pediatric FMF patient care.
Purpose of the Study:
- To evaluate the knowledge level of parents regarding pediatric Familial Mediterranean Fever (FMF).
- To identify how parents obtain scientific information about FMF.
Main Methods:
- A cross-sectional study involving 171 pediatric FMF patients and their parents.
- Parents completed a three-part questionnaire covering socio-demographics, FMF knowledge/perceptions, and information sources.
Main Results:
- While 90.1% recognized colchicine's efficacy, only 39.2% knew FMF attacks pose no vital risk.
- Physicians were the primary information source (98.8%), followed by websites (47.9%).
- Higher knowledge scores correlated with anti-interleukin-1 therapy use and higher parental education levels.
Conclusions:
- Parental knowledge regarding pediatric FMF is generally inadequate.
- Parents of children with more severe FMF (requiring anti-interleukin-1 therapy) demonstrated higher knowledge.
- Immediate and ongoing educational initiatives for parents, utilizing diverse resources, are recommended post-diagnosis.
Background:
The life-long course, long-term complications, necessity for regular treatment, and potential side effects of the medications must be well understood by parents of pediatric familial Mediterranean fever (FMF) patients. The aim of this study was to assess parental knowledge and to investigate how parents obtained scientific information about FMF.
Methods:
One hundred and seventy-one pediatric FMF patients and their parents were enrolled in this crosssectional study. Three-part questionnaires, including forms on socio-demographics, knowledge and perceptions of FMF, and how to get information about FMF, were administered to parents.
Results:
In the analysis of the knowledge questions, 90.1% of parents were aware of colchicine as an effective drug for FMF, but only 39.2% of them were aware that there is no vital risk during FMF attacks. Caregivers preferred to obtain information from physicians (98.8%), websites (47.9%), seminars (3.5%), and books (1.7%). The knowledge scores of parents were significantly higher among those whose children were using antiinterleukin- 1 therapy in addition to colchicine relative to those on colchicine alone (p = 0.04). There was a positive correlation between knowledge level and parental educational status (p = 0.0001).
Conclusions:
Knowledge scores among parents of pediatric FMF patients are unsatisfactory. The parents whose children have a severe disease course and a need for anti-interleukin-1 therapy are more knowledgeable. For parents, continuing education programs including books, seminars and web-sites giving information about the course, prognosis, complications and treatments of FMF should be employed immediately after the diagnosis and thereafter.
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