Evidence map›Paper›PMID 40288781›Full record

ArticleHospital pediatrics2025

Caregivers of Children With Medical Complexity: A Qualitative Study of Their Adaptation.

Nathaniel D Bayer, Kathleen D Krieg, Reza Yousefi Nooraie, Jori F Bogetz, Justin A Yu, Jennifer Johnson, Jan Schriefer, Suzannah Iadarola, Thomas G O'Connor, Dennis Z Kuo and 2 more

Abstract read
In one paragraph

Article in Hospital pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Nathaniel D BayerDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.
Kathleen D KriegUniversity of Rochester School of Medicine and Dentistry, Rochester, New York.
Reza Yousefi NooraieDepartment of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Jori F BogetzDivisions of Bioethics and Palliative Care, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
Justin A YuDivision of Palliative Medicine and Supportive Care, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pennsylvania.
Jennifer JohnsonDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.
Jan SchrieferDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.
Suzannah IadarolaDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.
Thomas G O'ConnorDepartment of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Dennis Z KuoDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.
Jill S HaltermanDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.
Christie L M PetrenkoDepartment of Pediatrics, University of Rochester, Golisano Children's Hospital, Rochester, New York.

Funding

Institutional Career Development CoreKL2TR001999 · NCATS · UNIVERSITY OF ROCHESTER · PI XIAO, JIN · 2016 to 2024
$5.2M
NCATS NIH HHS KL2 TR001999
6 · The paper itself

Abstract

objectiveCaregivers of children with medical complexity (CMC) modify their lives extensively to care for their children who have chronic conditions and often use medical devices. This study aimed to identify processes through which CMC caregivers adapt to meeting their child's needs and their own.

methodsWe conducted semistructured interviews with a group of CMC caregivers at a children's hospital in the Northeastern United States. We virtually interviewed caregivers to identify processes that enhanced their adaptation and coping. Interviews were recorded and transcribed. Following a grounded theory approach, we assigned process, emotion, and in vivo codes using MAXQDA qualitative data analysis software. We identified themes by conducting iterative group discussion. We processed themes through triangulation with our family advisory council. After reaching thematic saturation, we finalized themes through consensus with our study team, including a family partner.

resultsWe interviewed 14 caregivers (11 mothers, 3 fathers) from June to August 2021. Participants' children all had developmental delays and used medical devices (eg, feeding tube or tracheostomy). We identified 3 themes describing processes that helped these CMC caregivers adapt: (1) Finding acceptance and meaning in the caregiving experience; (2) organizing a practical system to care for their child; and (3) developing strategies to cope with stress.

conclusionThis study identified emotional, practical, and social processes that helped our group of CMC caregivers adapt to caregiving. Our findings indicate that interventions likely to enhance caregiver adaptation could involve supporting caregivers to find acceptance and meaning, create caregiving systems, and develop coping strategies.

Indexed as

Adaptation, PsychologicalCaregiversAdultChildChild, PreschoolChronic DiseaseFemaleGrounded TheoryHumansInterviews as TopicMaleMiddle AgedQualitative Research

Identifiers

PMID40288781
PMCPMC12624565

What OpenQuestion holds

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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.