Aim: To qualitatively assess the impact of disability-based discrimination in healthcare on the parents of children with medical complexity (CMC).
Method: In this qualitative study, we conducted in-depth, semi-structured interviews with the parents of CMC. Data collection and analysis occurred iteratively; constant comparison methods were used to identify themes describing the impact of disability-based discrimination in pediatric healthcare on the parents of CMC.
Results: Thirty participants from 15 US states were interviewed. Four themes were developed regarding the impact of disability-based discrimination in healthcare on parents. The themes were: (1) discrimination leads to a loss of trust in healthcare providers; (2) discrimination increases the burden of caregiving; (3) discrimination impacts parental well-being; and (4) racism and poverty-based discrimination amplifies disability-based discrimination.
Interpretation: The experience of discrimination toward their child results in loss of trust and therapeutic relationship between provider and parent, causes increased burden to the family, and contributes to decreased parental well-being. These experiences are magnified in minoritized families and in families perceived to have a lower socioeconomic status based on insurance type.
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http://dx.doi.org/10.1111/dmcn.15870 | DOI Listing |
J Pain Symptom Manage
December 2024
Division of Psychosocial Oncology and Palliative Care, Department of Supportive Oncology; Dana Farber Cancer Institute; Department of Pediatrics, Boston Children's Hospital; Harvard Medical School. Electronic address:
Background: Parents of children with severe neurological impairment (SNI) face barriers in the pediatric intensive care unit (PICU) to humanistic care. Photo-narratives are a promising strategy to share perspectives about well-being. This study describes the iterative refinement and lessons learned in adapting a photo-narrative intervention for children with SNI in the PICU.
View Article and Find Full Text PDFJ Appl Res Intellect Disabil
January 2025
Department of Occupational Therapy, University of Pretoria, Gezina, South Africa.
Background: When supporting learners with severe intellectual disabilities, teaching methods needs to be adapted. Vona du Toit Model of Creative Ability (VdTMoCA) aims to enhance participation and facilitate adaptive responses through targeted intervention principles. This study aimed to develop and evaluate the impact of an intervention programme for learners with severe intellectual disability based on the VdTMoCA to improve independence in an Instrumental Activity of Daily Living (IADL), namely doing a laundry activity.
View Article and Find Full Text PDFBMC Oral Health
November 2024
Department of Rheumatology and Immunology, Medical School, University of Pécs, 1 Akác street, Pécs, H-7632, Hungary.
Background: Objectives were to assess the mouth opening ability (MOA) among patients with systemic sclerosis (SSc) in comparison to a healthy control population. The impact of microstomia (decrease in any of the MOA parameters) on physical performance and long-term survival was also investigated.
Methods: Interincisal (ID), interlabial (LD), the intercommissural distances at both opened mouth and closed mouth (OW, CW) and the oral area (OA) and circumference (OC) all were assessed in 131 SSc patients.
Rehabil Psychol
August 2024
Department of Psychology, California State University, Fullerton.
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