Evidence map›Paper›PMID 39353333›Full record

ArticlePediatric neurology2024

Youth and Family Perspectives on Diagnosis Communication About Pediatric Functional Seizures: A Qualitative Study.

Himadri Patel, Ryan Malave, Sydney Bitting, Kaycee Weir, Taylor Naus, Levi Shelton, Kelly W Harris, Wesley T Kerr, Anne C Van Cott, Laura Kirkpatrick

Abstract read
In one paragraph

Article in Pediatric neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Himadri PatelDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address: patelh15@upmc.edu.
Ryan MalaveDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Sydney BittingNortheast Ohio Medical University, Rootstown, Ohio.
Kaycee WeirDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Taylor NausDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Levi SheltonDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Kelly W HarrisDivision of Palliative Medicine and Supportive Care, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Wesley T KerrDepartments of Neurology & Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania.
Anne C Van CottDepartment of Neurology, VA Pittsburgh Healthcare System and University of Pittsburgh, Pittsburgh, Pennsylvania.
Laura KirkpatrickDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Funding

Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
Feasibility of machine learning to improve the diagnostic odyssey for functional seizuresK23NS135134 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Wesley Thomas Kim Kerr · 2025 to 2026
$448k
NICHD NIH HHS L40 HD113008NINDS NIH HHS K12 NS098482NINDS NIH HHS K23 NS135134
6 · The paper itself

Abstract

backgroundThis study aims to understand diagnosis communication experiences and preferences of youths with functional seizures and their parents.

methodsSemistructured interviews with youths and their parents from a tertiary care children's hospital were conducted separately. We confirmed the diagnosis of functional seizures with the youth's treating providers. All interviews were audio recorded and professionally transcribed. Two coders performed thematic analysis and determined themes.

resultsThirteen youths (aged 12 to 18) and 13 parents completed interviews separately. Themes included the following: (1) both parents and youths reported substantial fear about their symptoms, diagnosis, prognosis, and treatment options; (2) good communication skills highlighted included providing reassurance, listening, and allowing time for questions, with different preferences between youths and parents in the mode of communication; (3) poor communication for both youths and parents included use of medical jargon, brevity of communication especially with the youth, minimization of youth's symptoms, lack of apparent compassion, and lack of written materials to supplement discussions; (4) perspectives on the role of mental health in functional seizures were heterogeneous, yet concrete treatment plans were desired including access to behavioral therapy; and (5) youths and parents wanted practical guidance including plans for school and how to respond to functional seizures in all settings.

conclusionsYouths and parents provided concrete recommendations for optimal diagnosis communication. Study findings will inform the future development of an educational intervention to improve communication and create a supportive environment for youths with functional seizures.

Indexed as

CommunicationParentsQualitative ResearchSeizuresAdolescentChildFemaleHumansMaleAdolescentsDiagnosis communicationParents/caregiversPerceptionsPsychogenic nonepileptic seizures (PNES)Thematic analysisTherapy

Identifiers

PMID39353333
PMCPMC12954792

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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.