Journal
ORPHANET JOURNAL OF RARE DISEASES
Volume 17, Issue 1, Pages -Publisher
BMC
DOI: 10.1186/s13023-022-02437-z
Keywords
Obstacles; Dietary management; Caregivers; Children; Citrin deficiency
Funding
- Medical Scientific Research Foundation of Guangdong Province, China [2021317]
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This study examines the difficulties encountered by caregivers of children with citrin deficiency in home-based dietary management and the reasons behind these challenges. The findings highlight the adverse effects of multi-dimensional contradictions on the adherence of caregivers to dietary management.
Background Dietary management is the most important and effective treatment for citrin deficiency, as well as a decisive factor in the clinical outcome of patients. However, the dietary management ability of caregivers of children with citrin deficiency is generally poor, especially in East Asia where carbohydrate-based diets are predominant. The aim of this study was to identify the difficulties that caregivers encounter in the process of home-based dietary management, and the reasons responsible for these challenges. Results A total of 26 caregivers of children with citrin deficiency were recruited, including 24 mothers, one father, and one grandmother. Grounded theory was employed to identify three themes (covering 12 sub-themes) related to the dilemma of dietary management: dietary management that is difficult to implement; conflicts with traditional concepts; and the notion that children are only a part of family life. The first theme describes the objective difficulties that caregivers encounter in the process of dietary management; the second theme describes the underlying reasons responsible for the non-adherent behavior of caregivers; the third theme further reveals the self-compromise by caregivers in the face of multiple difficulties. Conclusions This study reflects the adverse effects of multi-dimensional contradictions on the adherence of caregivers to dietary management. These findings reveal that the dietary management of citrin deficiency is not only a rational process, rather it is deeply embedded in family, social, and dietary traditions.
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