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A 'normal' life: a qualitative study exploring parents' experiences of everyday life with a child diagnosed with
Gitte Færk1,2,3, Elisabeth Søndergaard4, Lone Skov1
1Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University Hospital of Copenhagen, Copenhagen, Denmark.
Insights
Parents of children with atopic dermatitis (AD) and comorbidities face significant daily challenges beyond medical treatment. They employ strategies like risk avoidance and pursuing normalcy to manage their child's condition and ensure a good quality of life.
Area of Science:
- Pediatrics
- Dermatology
- Psychology
Background:
- Atopic dermatitis (AD) and related atopic diseases are increasing in children.
- Comorbidities in children with AD complicate management and daily life.
- Parents are primary caregivers and play a crucial role in managing chronic childhood illnesses.
Purpose of the Study:
- To explore the experiences of parents managing the everyday tasks associated with their children's atopic dermatitis and comorbidities.
- To identify parental strategies for coping with the challenges of raising a child with chronic atopic conditions.
Main Methods:
- Qualitative study involving face-to-face interviews.
- Eleven families with children aged 1–5 years with AD and at least one atopic comorbidity (food allergy, allergic rhinoconjunctivitis, or asthma) participated.
- Study conducted in the Capital Region of Denmark.
Main Results:
- Families engage in numerous tasks beyond direct medical treatment, both inside and outside the home.
- Parents utilize three main strategies: risk avoidance, pursuing a normal childhood, and good parenting.
- These strategies are driven by the desire to provide their child with as normal a childhood as possible.
Conclusions:
- Healthcare professionals should recognize the extensive "invisible work" parents perform.
- Awareness of parental workload, even when downplayed, is essential for effective care.
- Understanding parents as individuals can strengthen the healthcare provider-patient relationship.
Introduction:
Atopic dermatitis (AD) and related atopic diseases are among the chronic health conditions that are becoming more common in children. Children with AD may develop atopic comorbidities, which makes it more difficult to manage treatment and necessitates more precautions in the child's everyday life. The parents of chronically ill children play a key role as the children's primary carers. This article explores the experiences of parents with the everyday tasks related to their children's illnesses.
Methods:
Face-to-face interviews in the Capital Region of Denmark, with eleven families with children, aged between one and five years, with AD and at least one atopic comorbidity (food allergy, allergic rhinoconjunctivitis or asthma).
Results:
We argue that, aside from the immediate tasks directly linked to the child's treatments, there are numerous other types of tasks, both inside and outside the home, that emerge when a family adjusts to living with a child with AD and atopic comorbidities. We present three major strategies that parents use to protect their child: risk avoidance, pursuing a normal childhood, and good parenting. These strategies are closely related to the parents' wish to give their child as normal a childhood as possible.
Conclusion:
Based on the findings, we suggest that healthcare professionals, beside the medical examination and treatment, are sensitive and attentive towards the large amounts of invisible work that parents of children with AD and atopic comorbidities accomplish and maintain awareness that parents may downplay the workload. Knowing the patients as persons can help facilitate and strength a trusting relationship.
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