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Parents' experience of children with acquired brain injury undergoing neuro-rehabilitation: thematic synthesis
Marta Fernandes1, Chandrasekar Rathinam2,3, Anne Elizabeth Topping3,4
1Paediatric Physiotherapy, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK marta.fernandes1@nhs.net.
Insights
This study synthesizes qualitative evidence on parents' experiences with children undergoing neuro-rehabilitation after acquired brain injury. Understanding these experiences is crucial for developing effective parental support models during the critical first year of care.
Area of Science:
- Pediatric Neurology
- Rehabilitation Medicine
- Qualitative Research Synthesis
Background:
- Children with moderate to severe acquired brain injury (ABI) require extensive medical and rehabilitative care.
- Parental experiences during this intensive period are critical for optimizing child outcomes and quality of life.
- Understanding parental challenges is essential for providing adequate support.
Purpose of the Study:
- To synthesize qualitative evidence on parents' experiences with children undergoing neuro-rehabilitation.
- To identify key challenges and support needs of parents during their child's first year post-ABI.
- To inform the development of a model for parental support in pediatric neuro-rehabilitation.
Main Methods:
- Systematic review protocol guided by Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines.
- Population, Exposure, Outcome (PEO) model used for search strategy refinement.
- Comprehensive database searches (Embase, MEDLINE, CINAHL, Scopus, PsycINFO) from 2009-2022.
- Dual independent reviewer screening, quality appraisal (CASP), and data extraction.
- Thematic synthesis using Thomas and Harden's approach.
Main Results:
- (Study in progress - results pending synthesis)
- (Study in progress - results pending synthesis)
- (Study in progress - results pending synthesis)
Conclusions:
- Effective parental support is vital during pediatric neuro-rehabilitation following acquired brain injury.
- Synthesized evidence will inform a model to enhance support for parents navigating their child's recovery.
- Findings will be disseminated through publications, conferences, and community outreach.
Introduction:
Children with moderate to severe acquired brain injury frequently require a period of demanding medical and rehabilitative care to optimise their long-term capabilities and quality of life. Usually, the initial acute care is provided in tertiary centres and can last up to 12 months following the original injury. Parents of children with acquired brain injury share that experience with their child and face many different challenges encountered as their child's long-term needs become apparent. Parents are essential partners in care, hence there is a need to better understand their experiences to support them as they face those challenges and adapt to the needs of their child. We aim to synthesise the qualitative evidence exploring parents' experiences of children undergoing neuro-rehabilitative care.
Methods And Analysis:
The Enhancing Transparency in Reporting the Synthesis of Qualitative Research guideline was used in the design of this protocol. The Population, Exposure and Outcome model was used to define inclusion and exclusion criteria and refine search terms. The databases Ovid Embase, Ovid MEDLINE, CINAHL, Scopus and PsychINFO will be searched from 2009 to 2022. Two independent reviewers will review studies, assess quality using the Critical Appraisal Skills Programme and scrutinise and extract the data. Disagreements will be resolved after discussion with the third reviewer. Thematic synthesis using Thomas and Harden's approach will be undertaken to provide the evidence to develop a model for parental support during the first year of their child's neuro-rehabilitation.
Ethics And Dissemination:
Ethical committee approval will not be required as no new data will be collected. The findings will be disseminated through presentations at professional conferences, publications in peer-reviewed journals and shared with the public through relevant charities and local family support groups and networks.
Prospero Registration Number:
CRD42022333182.
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