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Characterizing parent language about home respiratory technology for children.
Kiara Smith1, Sara Munoz-Blanco1, Holly Vo2,3
1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Parents discussing pediatric home mechanical ventilation use medical jargon and focus on family impact, not just the child. This language often carries negative emotions regarding time, finances, and home adaptation.
Area of Science:
- Pediatric healthcare
- Medical communication
- Family-centered care
Background:
- Pediatric invasive home mechanical ventilation presents complex challenges for families.
- Effective communication between healthcare providers and families is crucial for decision-making and adaptation.
- Existing counseling often prioritizes the child's experience over the family's holistic needs.
Purpose of the Study:
- To develop a taxonomy of family-centered vocabulary for counseling on pediatric home mechanical ventilation.
- To analyze parent language regarding medical technology used in home ventilation.
- To understand the focus and emotional valence of family discussions about technology.
Main Methods:
- Analysis of interviews with 38 families using home ventilation.
- Creation, indexing, and organization of a limited data set of technology vocabulary excerpts.
- Quantification of parent vocabulary frequency, focus (child vs. family), and affective valence.
Main Results:
- 2299 excerpts referenced medical technology, primarily tracheostomies and ventilators.
- Parent vocabulary largely mirrored clinical jargon, not lay language.
- Discussions focused twice as often on the family's experience (60% negative valence) rather than the child's.
- Negative emotions were linked to time commitment, home adaptation, and finances.
Conclusions:
- Parental language about home ventilation technology aligns with clinician terminology.
- Counseling should address the significant impact on the family unit, not solely the child.
- Healthcare teams require actionable, balanced language to support families navigating logistical and financial burdens.
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