Parental life participation in chronic kidney disease: an analysis of Standardised Outcomes in Nephrology (SONG-Kids) life participation workshops

 

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https://storage.unitedwebnetwork.com/files/1099/131668de88eaef12ee9658f725293f29.pdf
Parental life participation in chronic kidney disease: an analysis of Standardised Outcomes in Nephrology (SONG-Kids) life participation workshops

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Anastasia
Hughes
Anastasia Hughes anastasia.hughes@sydney.edu.au University of Sydney Sydney School of Public Health Sydney Australia *
Allison Jaure allison.jaure@sydney.edu.au University of Sydney Sydney School of Public Health Sydney Australia -
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Caregivers of children with CKD experience increased burden impairing their life participation. However, little remains known about assessing life participation in caregivers of children with CKD. We aim to describe the perspectives of children with CKD, their caregivers and health professionals on caregiver life participation.

A secondary analysis of qualitative data from the Standardised Outcomes in Nephrology – Children and Adolescents Initiative (SONG-Kids) life participation stream were analysed, including four workshops (one in-person English language, three online, two English and one Spanish language) involving 171 participants including 79 patients and caregivers and 92 health professionals from 16 countries. We extracted and thematically analysed data from children with CKD, caregivers, and health professionals, on the perspectives on life participation of caregivers of children with CKD.

Six themes were identified. Limiting family activities and normality included CKD altering family activities and a sense of normality. Traditional gender roles impeding life participation highlighted the caring responsibilities largely felt by the mother. Balancing carer and parental responsibilities included holding multiple, often conflicting responsibilities. Allowing for flexible work arrangements focussed on facilitating work opportunities amongst caregiving activities. Downstream effects determining a child’s life participation highlighted that a caregiver’s wellbeing and life participation enables their child’s life participation. Assessing life participation in parents of children with CKD proposes measuring life participation in caregivers.

Patients, caregivers and health professionals all identified challenges faced by caregivers resulting in impaired life participation, whilst also recognising the opportunity to frequently assess life participation of caregivers, noting the influence of caregiver life participation on children with CKD life participation. More efforts are needed to determine clear strategies to address caregiver life participation.

Kewords