Evidence map›Paper›PMID 31253163›Full record

ArticleOrphanet journal of rare diseases2019

The experience of parents of children with rare diseases when communicating with healthcare professionals: towards an integrative theory of trust.

Beni Gómez-Zúñiga, Rafael Pulido Moyano, Modesta Pousada Fernández, Alicia García Oliva, Manuel Armayones Ruiz

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
14.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
  6. Article
  7. Fragmentation of healthcare systems: challenges through patients' eyes.International journal of qualitative studies on health and well-being · 2025
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  18. Review
  19. The Right to Ask, the Need to Answer-When Patients Meet Research: How to Cope with Time.International journal of environmental research and public health · 2023
    Article
  20. Rare disease education in Europe and beyond: time to act.Orphanet journal of rare diseases · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Beni Gómez-ZúñigaEstudis de Psicologia i Ciències de l'Educació, Universitat Oberta de Catalunya, Rambla Poblenou, 156 08018, Barcelona, Spain. bgomezz@uoc.edu.ORCID 0000-0001-7968-588X
Rafael Pulido MoyanoEdificio Departamental de Humanidades y Ciencias de la Educación I (Edif. A). Planta 2, despacho 14, Universidad de Almería, Ctra. Sacramento s/n, La Cañada de San Urbano, 04120, Almería, Spain.
Modesta Pousada FernándezEstudis de Psicologia i Ciències de l'Educació, Universitat Oberta de Catalunya, Rambla Poblenou, 156 08018, Barcelona, Spain.
Alicia García OlivaPSiNET Research Group, Universitat Oberta de Catalunya, Barcelona, Spain.
Manuel Armayones RuizeHealth Center, Estudis de Psicologia i Ciències de l'Educació, Universitat Oberta de Catalunya, Ctra. Sacramento s/n, La Cañada de San Urbano, 04120, Barcelona, Spain.
Universitat Oberta de Catalunya · ESUniversity of Almería · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the inherent complexity of rare paediatric diseases and the sensitive emotional context of the situations they create (due to the patients' age and the tense uncertainty surrounding the progression of the disease), communication between the adults involved is a key tool in the efforts to provide these children and youths a better quality of life. We conducted ten interviews with families of children with rare diseases, in the aim of exploring how communication between doctors and patients affect their daily lives. All participants, members of FEDER (a Spanish federation of associations of patients with rare diseases) were invited by phone or email to participate in a semi-structured interview including questions on clinical information, communication experiences with healthcare professionals, and the impact these had on the interviewees' relationships with them. To analyse these interviews, we used the 'grounded theory' methodology and open and axial text coding techniques, in addition to those identifying the properties and dimensions of the categories formulated.

resultsThe core category we have proposed is 'adjustment of mutual trust', with said category describing the attitude and behaviour of doctors who inspire trust in the parents of paediatric patients diagnosed with a rare disease. More specifically, said behaviours or sources of trust are: appearing human, sensitive and empathetic; showing transparency and communicative openness; being supportive of parental proactivity; and being available to families at all times.

conclusionsTrust is the cornerstone of parent-doctor communication in the field of children with rare diseases. If the sources of trust are present, they create a degree of trust that bolsters both parties in the search for a common goal: providing the child with the best possible care.

Indexed as

Rare DiseasesFemaleHumansMaleQualitative ResearchDoctor-family communicationQualitative researchRare diseases

Identifiers

PMID31253163
PMCPMC6599337
OpenAlexW2953665651

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.