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Lived Experiences of Parents of Children with Celiac Disease: A Descriptive Qualitative Study

  • Nesibe S. Kutahyalioglu (Department of Pediatric Nursing, Faculty of Health Sciences, Karabuk University) ;
  • Gamze Kas Alay (Department of Pediatric Nursing, Postgraduate Education Institute, Istanbul University-Cerrahpasa)
  • Received : 2023.09.19
  • Accepted : 2023.12.07
  • Published : 2024.05.15

Abstract

Purpose: Celiac disease (CD) is one of the most prevalent food-related illnesses in children, with a global prevalence of approximately 1.4%. CD can create an emotional burden, particularly on mothers, who are mainly responsible for managing challenges related to adherence to a gluten-free diet, high food costs, and food problems in schools and social areas. There is a gap in the literature, and parental experiences of raising children with CD should be explicitly examined. This qualitative study sought to provide insights into the experiences of parents raising a child with CD in the Turkish context. Methods: This study used a descriptive qualitative research methodology and conducted individual semi-structured video-based dyadic interviews with 19 parents. Results: Participants experienced both challenges and motivators through management of their children's CD. Analyses of the interview transcripts through the data uncovered three main themes focusing primarily on parental concerns: (1) parental challenges in child's disease management, (2) supportive care needs, and (3) parental expectations. Conclusion: A multidisciplinary team should approach the child and family immediately after diagnosis, and facilities should support parents with continuing education and psychological, financial, and social assistance.

Keywords

Acknowledgement

We express our sincere gratitude to Dr. Zeynep Kurnaz for her valuable guidance in methodology and data analysis, and Dr. Kevin R. Mallinson for his final revision, professional editing, and feedback, which improved our manuscript.

References

  1. Sahin Y. Celiac disease in children: a review of the literature. World J Clin Pediatr 2021;10:53-71.
  2. Russo C, Wolf RL, Leichter HJ, Lee AR, Reilly NR, Zybert P, et al. Impact of a child's celiac disease diagnosis and management on the family. Dig Dis Sci 2020;65:2959-69.
  3. Skjerning H, Mahony RO, Husby S, DunnGalvin A. Health-related quality of life in children and adolescents with celiac disease: patient-driven data from focus group interviews. Qual Life Res 2014;23:1883-94.
  4. Stahl M, Li Q, Lynch K, Koletzko S, Mehta P, Gragert L, et al. Incidence of pediatric celiac disease varies by region. Am J Gastroenterol 2023;118:539-45.
  5. Ministry of Health, General Directorate of Public Health. Celiac and its incidence 2021 [Internet]. Ministry of Health, General Directorate of Public Health; 2022 [cited 2023 Sep 1]. Available from: https://hsgm.saglik.gov.tr/tr/metabolizma-ve-colyak 
  6. Brosnahan T. Gluten intolerance (celiac) [Internet]. Turkey Travel Planner; 2019 [cited 2023 Sep 1]. Available from: https://turkeytravelplanner.com/details/Food/allergy_gluten.html 
  7. Arnone J, Fitzsimons V. Adolescents with celiac disease: a literature review of the impact developmental tasks have on adherence with a gluten-free diet. Gastroenterol Nurs 2012;35:248-54.
  8. Moreno M. Celiac disease in children and adolescents. JAMA Pediatr 2014;168:300.
  9. Ramos RM, Nobrega VMD, Fernandes LTB, Machado AN, Collet N. Paternal care to children and adolescent with chronic disease: maternal perception. Rev Gaucha Enferm 2017;38:e0006.
  10. Sevinc N, Ozturk A, Sevinc E. [Effect of celiac disease in children on the quality of life and depression levels of mothers]. Akad Gastroenterol Derg 2019;18:59-63. Turkish.
  11. Erickson K, Freeborn D, Roper SO, Mandleco B, Anderson A, Dyches T. Parent experiences raising young people with type 1 diabetes and celiac disease. J Pediatr Nurs 2015;30:353-63.
  12. Rose C, Howard R. Living with coeliac disease: a grounded theory study. J Hum Nutr Diet 2014;27:30-40.
  13. Doyle L, McCabe C, Keogh B, Brady A, McCann M. An overview of the qualitative descriptive design within nursing research. J Res Nurs 2020;25:443-55.
  14. Sandelowski M. What's in a name? Qualitative description revisited. Res Nurs Health 2010;33:77-84.
  15. Bradshaw C, Atkinson S, Doody O. Employing a qualitative description approach in health care research. Glob Qual Nurs Res 2017;4:2333393617742282.
  16. Mariyana R, Betriana F. "I checked her while she was sleeping just to make sure she was still alive": a qualitative study of parents and caregivers of children with chronic disease in Indonesia. J Pediatr Nurs 2021;59:e7-12.
  17. Goh JX, Aishworiya R, Ho RCM, Wang W, He HG. A qualitative study exploring experiences and support needs of parents of children with autism spectrum disorder in Singapore. J Clin Nurs 2021;30:3268-80.
  18. Glaser BG. Theoretical sensitivity: advances in the methodology of grounded theory. Sociology Press, 1978. 
  19. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Sage Publications, 1998. 
  20. Cederborg AC, Hultman E, Magnusson KF. Living with children who have coeliac disease: a parental perspective. Child Care Health Dev 2012;38:484-9.
  21. Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. 4th ed. Sage, 2015. 
  22. van Manen M. Researching Lived experience: human science for an action sensitive pedagogy. State University of New York Press, 1990. 
  23. Gomes GC, Nornberg PKO, Jung BC, Nobre MCG, Rodrigues EF, Xavier DM. Chronic disease in children: family experience in diagnostic reception. J Nurs UFPE On Line 2016;10(Suppl 6):4837-44. 
  24. Cummings AJ, Knibb RC, King RM, Lucas JS. The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: a review. Allergy 2010;65:933-45.
  25. Bacigalupe G, Plocha A. Celiac is a social disease: family challenges and strategies. Fam Syst Health 2015;33:46-54.
  26. Bystrom IM, Hollen E, Falth-Magnusson K, Johansson A. Health-related quality of life in children and adolescents with celiac disease: from the perspectives of children and parents. Gastroenterol Res Pract 2012;2012:986475.
  27. Sahin Y, Sevinc E, Bayrak NA, Varol FI, Akbulut UE, Bukulmez A. Knowledge regarding celiac disease among healthcare professionals, patients and their caregivers in Turkey. World J Gastrointest Pathophysiol 2022;13:178-85.
  28. Tong H, Qiu F, Fan L. Characterising common challenges faced by parental caregivers of children with type 1 diabetes mellitus in mainland China: a qualitative study. BMJ Open 2022;12:e048763.
  29. Khandan M, Tirgari B, Abazari F, Cheraghi MA. Mothers' experiences of maze path of type 1 diabetes diagnosis in children. Ethiop J Health Sci 2018;28:635-44.
  30. Zarkadas M, Dubois S, MacIsaac K, Cantin I, Rashid M, Roberts KC, et al. Living with coeliac disease and a gluten-free diet: a Canadian perspective. J Hum Nutr Diet 2013;26:10-23.
  31. Lee R, Crowley ET, Baines SK, Heaney S, Brown LJ. Patient perspectives of living with coeliac disease and accessing dietetic services in rural Australia: a qualitative study. Nutrients 2021;13:2074.