4.1 Article

Experience of Parents of Children with Genetically Determined Leukoencephalopathies Regarding the Adapted Health Care Services During the COVID-19 Pandemic

Journal

JOURNAL OF CHILD NEUROLOGY
Volume 37, Issue 4, Pages 237-245

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/08830738211065317

Keywords

leukodystrophy; COVID-19 pandemic; pediatrics; quality of life

Funding

  1. McGill University Health Center Department of Medicine
  2. Estate of Daphne Joan Townsend Dale
  3. Montreal Children's Hospital Foundation
  4. Desjardins Studentship in Child Health Research through the Research Institute of McGill University Health Centre
  5. Healthy Brains for Healthy Lives Graduate Student Fellowship
  6. Integrated Program in Neuroscience at McGill University
  7. Fonds de Recherche du Quebec-Sante (FRQS)
  8. Canadian Institutes of Health Research

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This study explored the experience of parents of children with genetically determined leukoencephalopathies during the COVID-19 pandemic. The results showed that parents experience a higher level of stress due to the shortage of health care services and the vulnerability of their children. Additionally, parents had a positive response to telemedicine and wished to continue using it after the pandemic.
Parents of children with genetically determined leukoencephalopathies play a major role in their children's health care. Because of the COVID-19 pandemic, many health care services were suspended, delayed or delivered remotely with telemedicine. We sought to explore the experience of parents of children with genetically determined leukoencephalopathies during the pandemic given the adapted health care services. We conducted semistructured interviews with 13 parents of 13 affected children. Three main themes were identified using thematic analysis: perceived impact of COVID-19 on health care services, benefits and challenges of telemedicine, and expectations of health care after the pandemic. Parents perceived a loss/delay in health care services while having a positive response to telemedicine. Parents wished telemedicine would remain in their care after the pandemic. This is the first study assessing the impact of COVID-19 on health care services in this population. Our results suggest that parents experience a higher level of stress owing to the shortage of services and the children's vulnerability.

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