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Joubert Syndrome in Children-A Comprehensive Analysis of Quality of Life, Functional Independence and Family Impact
Erhan Elmaoğlu1, Adnan Batuhan Coşkun2, Serkan Usgu3
1Department of Nursing, Kilis 7 Aralik University, Faculty of Health Sciences, Kilis, Turkey.
Insights
Children with Joubert Syndrome (JS) experience significant developmental delays and reduced quality of life, impacting family well-being. Early, multidisciplinary interventions and genetic counseling are crucial for improving outcomes.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Clinical Psychology
Background:
- Joubert Syndrome (JS) presents complex developmental and psychosocial challenges.
- Limited literature exists on the quality of life and family impact for children with JS.
Purpose of the Study:
- To assess the quality of life, functional independence, and family impact in children with JS.
- To identify key areas for intervention and support for affected families.
Main Methods:
- A descriptive, cross-sectional study involving 49 parents of children with JS in Turkey.
- Utilized validated instruments: Pediatric Quality of Life Inventory, Pediatric Functional Independence Measure, and Impact on Family Scale.
- Data analyzed using descriptive statistics and reliability assessments.
Main Results:
- Children with JS demonstrated significant motor and cognitive delays, decreased functional independence, and lower quality of life.
- Feeding difficulties were prevalent (38.8%), and consanguineous marriage was common (61.2%) with low genetic screening rates (8.2%).
- Parents reported substantial psychosocial and economic burdens.
Conclusions:
- Early, multidisciplinary interventions (physical/speech therapy, nutrition, psychosocial care) are essential for enhancing functional independence and well-being.
- A comprehensive, family-centered care model integrating various specialties and robust genetic counseling is recommended.
- Expanding rehabilitation, genetic counseling, and family education programs can improve long-term outcomes for children with JS and their families.
Abstract:
This study examines the quality of life, functional independence, and family impact of children diagnosed with Joubert Syndrome (JS) to address gaps in the literature on its developmental and psychosocial challenges. A descriptive, cross-sectional study was conducted with 49 parents of children with JS in Turkey. Data were collected using the Pediatric Quality of Life Inventory, Pediatric Functional Independence Measure, and Impact on Family Scale. Statistical analyses included descriptive and reliability assessments. Children with JS exhibited significant motor and cognitive delays, reduced functional independence, and lower quality of life. Feeding difficulties affected 38.8% of participants, highlighting the need for early nutritional interventions. Consanguineous marriage was reported by 61.2% of families, yet only 8.2% underwent genetic screening, emphasizing the importance of genetic counseling. Parents faced high psychosocial and economic burdens, underscoring the need for structured family support programs. The findings highlight the need for early, multidisciplinary interventions, including physical and speech therapy, nutritional support, and psychosocial care, to enhance functional independence and overall well-being. A comprehensive care model integrating neurology, pulmonology, rehabilitation, and genetic counseling is essential for improving outcomes in JS. A family-centered, multidisciplinary approach should be prioritized to improve patient care and caregiver support. Expanding rehabilitation services, genetic counseling, and structured family education can enhance long-term quality of life and independence in children with JS.
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