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Updated: Jul 9, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Empowering patients with sickle cell anemia and their families through innovative educational methods
Riley Plett1,2, Craig Eling3, Sarah Tehseen1,3
1Department of Pediatrics University of Saskatchewan Saskatoon Canada.
Insights
Innovative educational videos for pediatric sickle cell anemia (SCA) patients and parents were developed. Feedback improved materials, enhancing knowledge and self-efficacy for better illness management and reduced hospitalizations.
Area of Science:
- Hematology
- Pediatric Medicine
- Health Education
Background:
- Sickle cell disease (SCD), referred to as sickle cell anemia (SCA), affects approximately 5000 Canadians.
- Pediatric SCA patient education is crucial for improving health outcomes, including reduced hospitalizations and better functioning.
- Existing educational materials may not adequately address the needs of pediatric patients and their families.
Purpose of the Study:
- To develop and evaluate innovative educational materials for pediatric SCA patients and their parents/guardians.
- To improve patient and parent knowledge and self-efficacy in managing SCA.
- To gather feedback for refining educational content to meet specific needs.
Main Methods:
- Development of educational videos tailored for pediatric SCA patients and parents.
- Recruitment of 5 pediatric patients (aged 8-18) and 5 parents (aged 0-18) with SCA.
- Focus groups and interviews conducted via Zoom, with transcripts analyzed using NVivo software.
- Thematic analysis focused on SCA management concepts, including age appropriateness, empowerment, and medication adherence.
Main Results:
- Key themes identified include 'Age Appropriateness', 'Empowerment', 'Knowledge Gaps', 'Linguistic Accessibility', 'Medication Adherence', 'Strength in Community', and 'Transition to Adult Care'.
- The educational video was positively received, with participants reporting it 'brought peace of mind'.
- Patient and parent feedback was successfully incorporated into the final version of the educational materials.
Conclusions:
- The developed educational materials are effective in improving knowledge and self-efficacy for SCA management in pediatric patients and their families.
- Incorporating patient and parent feedback is essential for creating accessible and impactful health education resources.
- These materials have the potential to decrease hospitalizations and improve overall quality of life for individuals with SCA.
Abstract:
Sickle cell disease (SCD) is a group of inherited blood disorders caused by a mutation in the beta subunit of hemoglobin (HbS). SCD will hereafter be referred to as sickle cell anemia (SCA) as this is the term our patients and their families prefer. There are approximately 5000 Canadians living with SCA including children. Pediatric SCA patient education can: improve knowledge, decrease hospitalization, improve medication possession ratio, lead to better SCA-related functioning, and lower pain impact. Innovative educational materials were developed to improve knowledge and self-efficacy regarding the illness management of patients and parents/guardians. Patients (n = 5; aged 8-18) with SCA and parents (n = 5) of patients (aged 0-18) were recruited via flyers sent directly to patients and distributed through partner patient organization Sickle Cell Awareness Network of Saskatchewan. Patient and parent focus groups were held separately over Zoom to receive feedback for the video. An additional interview was held for a participant that required a translation of the video. Audio recordings were transcribed using Zoom and Otter.ai. The coding of transcripts was facilitated by NVivo (QSR International Pty Ltd, 2022, release 1.6.2). The thematic analysis centered around SCA management concepts relevant to the research aims. Important themes that emerged included 'Age Appropriateness', 'Empowerment', 'Knowledge Gaps', 'Linguistic Accessibility', 'Medication Adherence', 'Strength in Community', and 'Transition to Adult Care'. The video was well received, and "brought peace of mind". Patient feedback was incorporated into the final version of the educational materials.
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