Evidence map›Paper›PMID 37232332›Full record

ArticlePediatric pulmonology2023

Parent and adolescent perceptions of cystic fibrosis management responsibility: A mixed-methods study.

Katherine South, Arlene Smaldone, Hossein Sadeghi, Victoria Piane, Rebecca Kowal, Leanna Wei, Maureen George

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Observational
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

7 authors.

Katherine SouthSchool of Nursing, Columbia University School of Nursing, New York, New York, USA.ORCID 0000-0002-3486-8794
Arlene SmaldoneSchool of Nursing, Columbia University School of Nursing, New York, New York, USA.
Hossein SadeghiDivision of Pediatric Pulmonology and Sleep Medicine, Columbia University Irving Medical School, New York, New York, USA.ORCID 0000-0002-6717-8183
Victoria PianeDivision of Pediatric Pulmonology and Sleep Medicine, Columbia University Irving Medical School, New York, New York, USA.
Rebecca KowalDivision of Pediatric Pulmonology and Sleep Medicine, Columbia University Irving Medical School, New York, New York, USA.
Leanna WeiSchool of Nursing, Columbia University School of Nursing, New York, New York, USA.
Maureen GeorgeSchool of Nursing, Columbia University School of Nursing, New York, New York, USA.

Funding

Expectations and Outcomes of Healthcare Transition in Adolescents and Young Adults with Cystic FibrosisF31NR020141 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MELTON, KATHERINE T · 2021 to 2022
$85k
AHRQ HHS T32 HS000063NINR NIH HHS F31 NR020141
6 · The paper itself

Abstract

backgroundAdolescents with cystic fibrosis (CF) and their parents must navigate changing roles and responsibilities within the family including transfer of disease management responsibilities. AIM/

objectiveThe aim of this qualitative study was to explore how families share and transfer CF management responsibility from the perspectives of adolescents with CF and their parents.

methodsGuided by qualitative descriptive methodology, we purposively sampled adolescent/parent dyads. Participants completed two surveys measuring family responsibility (Family Responsibility Questionnaire [FRQ]) and transition readiness (Transition Readiness Assessment Questionnaire [TRAQ]) We conducted semistructured video or phone interviews, used a codebook to guide team coding and analyzed qualitative data using both content analysis and dyadic interview analysis.

resultsThirty participants (15 dyads) enrolled (7% Black; 33% Latina/o; 40% female; adolescent age 14.4 ± 2 years; 66% prescribed highly effective modulator therapy; 80% of parents were mothers). Parent FRQ and TRAQ scores were significantly higher than their adolescent indicating differing perceptions of responsibility and transition readiness. We inductively identified four themes: (1) CF management is a delicate balance (CF management is a routine which is easily disrupted), (2) Growing up and parenting under extraordinary circumstances (the burden of CF weighs on families as they navigate adolescence), (3) Differing Perceptions of risk and responsibility (adolescent and parent perceptions of treatment responsibility and the risks of nonadherence do not always align), and (4) Balancing independence and protection (families must weigh the benefits and risks of allowing adolescents increased independence).

conclusionsAdolescents and parents demonstrated differing perceptions of CF management responsibility, which may be related to a lack of communication between family members about this topic. To help facilitate alignment of parent and adolescent expectations, discussion of family roles and responsibility for CF management should begin early during the transition process and be discussed regularly during clinic visits.

Indexed as

Cystic FibrosisAdolescentChildFemaleHumansMaleParentingParentsQualitative ResearchSurveys and Questionnairesadolescentcystic fibrosishealthcare transitionparentqualitativeself-management

Identifiers

PMID37232332
PMCPMC10524381

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Registered trials

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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.