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  6. Toward Digital Caregiving Network Interventions For Children With Medical Complexity Living In Socioeconomically Disadvantaged Neighborhoods

Toward digital caregiving network interventions for children with medical complexity living in socioeconomically disadvantaged neighborhoods

Nicole E Werner1,2, Makenzie Morgen3, Anna Jolliff1,2

  • 1Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN 37203, United States.

JAMIA Open
|March 5, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Digital interventions for children with medically complex conditions (CMC) must consider family caregiving networks. Neighborhood socioeconomic status impacts network structure, influencing intervention design for these vulnerable families.

Keywords:
children with medical complexityconsumer health information technologyinformal caregiversneighborhood socioeconomic disadvantage

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Area of Science:

  • Sociotechnical systems in healthcare
  • Digital health interventions
  • Family caregiving networks

Background:

  • Families of children with medically complex conditions (CMC) often reside in socioeconomically disadvantaged neighborhoods, impacting their health and caregiving networks.
  • The complex sociotechnical context of care for CMC necessitates tailored digital interventions.
  • Neighborhood characteristics can shape the structure and function of caregiving networks.

Purpose of the Study:

  • To explore the structures, functions, barriers, and facilitators of caregiving networks for CMC in disadvantaged neighborhoods.
  • To inform the design of digital network interventions for these families.

Main Methods:

  • Conducted 6 virtual focus groups with primary and secondary caregivers of CMC living in socioeconomically disadvantaged neighborhoods.
  • Included 18 primary caregivers (parents/guardians) and 9 secondary caregivers (other family, in-home nurses).
  • Utilized thematic analysis to analyze focus group transcripts.

Main Results:

  • Identified four key themes influencing digital network intervention design.
  • Caregiving networks (average size 3.9) are influenced by family communication preferences, external forces, and neighborhood assets.
  • Gaps in secondary caregiver roles create vulnerability and increase primary caregiver burden.

Conclusions:

  • Caregiving networks for CMC in disadvantaged neighborhoods are dynamic and influenced by multiple factors.
  • Findings provide a foundation for designing effective digital network interventions.
  • Interventions must account for family preferences, external pressures, and neighborhood resources.