Evidence map›Paper›PMID 34879743›Full record

ArticleJournal of child health care : for professionals working with children in the hospital and community2023

Barriers and facilitators to discussing parent mental health within child health care: Perspectives of parents raising a child with congenital heart disease.

Melanie K Franklin, Allison Karpyn, Jennifer Christofferson, Linda G McWhorter, Abigail C Demianczyk, Cheryl L Brosig, Emily A Jackson, Stacey Lihn, Sinai C Zyblewski, Anne E Kazak and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of child health care : for professionals working with children in the hospital and community, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Psychological wellbeing among parents of a child living with a serious chronic illness: A cross-sectional survey study.Journal of child health care : for professionals working with children in the hospital and community · 2025
    Article
  3. Article
  4. Article
  5. Mental health-related quality of life in mothers of children with surgically repaired congenital heart disease: a 13-year longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  6. Review
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

11 authors at 7 institutions in 1 country.

Melanie K FranklinDivision of Behavioral Health, Department of Pediatrics, Nemours Children's Health, Wilmington, DE, USA.
Allison KarpynCenter for Research in Education and Social Policy, Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA.
Jennifer ChristoffersonCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.
Linda G McWhorterDivision of Behavioral Health, Department of Pediatrics, Nemours Children's Health, Wilmington, DE, USA.ORCID 0000-0002-4546-0591
Abigail C DemianczykDepartment of Child and Adolescent Psychiatry and Behavioral Sciences & Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Cheryl L BrosigHerma Heart Institute, Children's Wisconsin and Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Emily A JacksonDepartment of Patient and Family Services, Nemours Children's Health, Wilmington, DE, USA.
Stacey LihnSisters by Heart, El Segundo, CA, USA.
Sinai C ZyblewskiDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Anne E KazakCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.
Erica SoodCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.ORCID 0000-0001-8817-4213
Nemours Children's Health System · USThomas Jefferson University · USChildren's Hospital of Philadelphia · USChildren's Hospital of Wisconsin · USMedical University of South Carolina · USSisters of Mercy of the Americas · USUniversity of Delaware · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Claudine T Jurkovitz · 2013 to 2026
$60.5M
PEDSnet Scholars: A Training Program for Pediatric Learning Health System ResearchersK12HS026393 · AHRQ · CHILDREN'S HOSP OF PHILADELPHIA · PI FORREST, CHRISTOPHER B, MOON, JEANHEE · 2018 to 2022
$4.0M
AHRQ HHS K12 HS026393NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

This study aimed to identify barriers and facilitators to discussing parent mental health within child health care for parents of children with congenital heart disease (CHD). Seventy-nine parents of young children with CHD who received care across 40 hospitals in the United States responded to questions about barriers and facilitators to discussing their mental health with their child's health care providers. Responses were analyzed using qualitative research methods. Parents described multiple barriers: (1) belief that parent mental health support was outside the care team's scope of practice, (2) perceived expectation to "stay strong," (3) fear of negative judgment or repercussion, (4) individual preferences for communication/support, (5) desire to maintain care resources on their child, (6) perceived need to compartmentalize emotions, and (7) negative reactions to past emotional disclosure. Parents also described several facilitators: (1) confidence in the care team's ability to provide support, (2) intentional efforts by the care team to provide support, (3) naturally extroverted tendencies, and (4) developing personal connections with health care providers. It is important that health care providers normalize the impact of child illness on the family and create an environment in which parents feel comfortable discussing mental health challenges.

Indexed as

Heart Defects, CongenitalMental HealthChildChild HealthChild, PreschoolEmotionsHumansParentscongenitalemotional adjustmentHeart defectsmental healthparentingpsychological distress

Identifiers

PMID34879743
PMCPMC9174345
OpenAlexW4200381425

What OpenQuestion holds

Textmetadata
LicenceTDM
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.