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The lived experience and supportive care needs of Australian parents caring for children with Epidermolysis Bullosa:
Hayley Ruf1, Colin J Ireland1, Lemuel J Pelentsov1
1Clinical and Health Sciences, University of South Australia, Adelaide, Australia.
Insights
Parents of children with inherited epidermolysis bullosa (EB) in Australia require comprehensive support. Addressing their practical, emotional, and informational needs is crucial for improving family quality of life.
Area of Science:
- Dermatology
- Genetics
- Psychology
Background:
- Inherited epidermolysis bullosa (EB) is a rare, incurable genodermatosis causing skin blistering and mucosal fragility.
- Wound care and nursing are vital for children with EB, significantly impacting family quality of life.
- This study explores the lived experiences and support needs of Australian parents raising children with EB.
Purpose of the Study:
- To understand the lived experiences of parents caring for children with EB in Australia.
- To identify the supportive care needs of these families.
- To inform the development of family-centered EB care services.
Main Methods:
- Interpretative phenomenological analysis (IPA) was employed.
- Semi-structured focus group interviews were conducted with 43 Australian parents of children with EB (18 EBS, 9 JEB, 16 DEB).
- Thematic analysis was used to analyze the collected data.
Main Results:
- Six key themes emerged: practical, emotional, informational, psychological, social, and physical needs.
- Parents expressed diverse challenges across these domains, irrespective of EB subtype.
- The findings highlight significant unmet needs in supportive care for EB families.
Conclusions:
- Parents of children with EB in Australia face substantial challenges requiring comprehensive, family-focused care.
- Improved services are needed to alleviate the burden of EB care.
- Holistic care approaches can enhance the quality of life for individuals with EB and their families.
Background:
Inherited epidermolysis bullosa (EB) is a rare, incurable genodermatosis characterised with recurrent skin blistering and mucosal fragility. Wound care and nursing are critical to everyday lives of children living with EB, while the profound effect of caring for a child with a painful genetic condition leaves a significant effect on quality of life of parents and the family. This study aimed to better understand the lived experiences and supportive care needs of parents of children with EB in Australia.
Methods:
Interpretative phenomenological analysis was used, and semi structured focus groups interviews were conducted with Australian parents of children with EB. This included 18 parents of children with EB simplex (EBS), 9 parents of children with Junctional EB (JEB) and 16 parents of children with Dystrophic EB (DEB). The data were thematically analysed, all participants are residents of Australia and therefore reflect the services in this geographical location.
Results:
Six overarching themes included: practical needs, emotional needs, informational needs, psychological needs, social needs and physical needs.
Conclusions:
Parents caring for a child with EB in Australia face numerous needs and challenges regardless of EB severity which highlights the need for provision of better more comprehensive services to deliver family focused holistic EB care that can alleviate some of the burden of EB and improve the quality of life for families and individuals living with EB.
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