Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study

The study objective was to identify communication messages that parents of children diagnosed with congenital cytomegalovirus (cCMV) infection reported as essential and helpful. We performed a secondary analysis of focus groups and interviews conducted with 41 parents of children with cCMV who had e...

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Main Authors: Tatiana M. Lanzieri, Mary Ann K. Hall, Ashrita Rau, Holly McBride, Danie Watson, Carol Rheaume, Gail Demmler-Harrison
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/9/3/49
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author Tatiana M. Lanzieri
Mary Ann K. Hall
Ashrita Rau
Holly McBride
Danie Watson
Carol Rheaume
Gail Demmler-Harrison
author_facet Tatiana M. Lanzieri
Mary Ann K. Hall
Ashrita Rau
Holly McBride
Danie Watson
Carol Rheaume
Gail Demmler-Harrison
author_sort Tatiana M. Lanzieri
collection DOAJ
description The study objective was to identify communication messages that parents of children diagnosed with congenital cytomegalovirus (cCMV) infection reported as essential and helpful. We performed a secondary analysis of focus groups and interviews conducted with 41 parents of children with cCMV who had enrolled in a long-term follow-up cCMV study at an academic medical center. Three groups of parents who had children with cCMV participated in the study: parents with children symptomatic at birth, parents with children asymptomatic at birth who later developed sensorineural hearing loss, and parents with children asymptomatic at birth who remained asymptomatic into adulthood. Using a health marketing approach, we identified six general themes from the focus group sessions: initial diagnosis, likely health outcome(s), comfort and coping, symptom watch, resources, and prevention. Receiving the initial diagnosis was shocking for many parents, and they wanted to know how their child would or could be affected. They valued access to the information, follow-up visits for early detection of hearing loss and other developmental delays, and support from other parents. Parents wished to obtain this information from their pediatrician but felt that experts offered more up-to-date knowledge about prognosis, monitoring, and treatment. With more U.S. states implementing cCMV screening strategies which would lead to more infant diagnoses, it will be necessary for providers to meet parents’ expectations and communication needs.
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spelling doaj.art-424e6d6169ba4438b22f152d70c641442023-11-19T11:12:29ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2023-08-01934910.3390/ijns9030049Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative StudyTatiana M. Lanzieri0Mary Ann K. Hall1Ashrita Rau2Holly McBride3Danie Watson4Carol Rheaume5Gail Demmler-Harrison6Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop A-34, Atlanta, GA 30333, USADivision of Hospital Medicine, Emory University School of Medicine, 101 Woodruff Cir, Atlanta, GA 30322, USADivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop A-34, Atlanta, GA 30333, USADepartment of Pediatrics, Baylor College of Medicine, 6701 Fannin St., Houston, TX 77030, USAKirby Marketing Solutions, 3808 Villas Del Sol Ct, Tampa, FL 33609, USAKirby Marketing Solutions, 3808 Villas Del Sol Ct, Tampa, FL 33609, USADepartment of Pediatrics, Baylor College of Medicine, 6701 Fannin St., Houston, TX 77030, USAThe study objective was to identify communication messages that parents of children diagnosed with congenital cytomegalovirus (cCMV) infection reported as essential and helpful. We performed a secondary analysis of focus groups and interviews conducted with 41 parents of children with cCMV who had enrolled in a long-term follow-up cCMV study at an academic medical center. Three groups of parents who had children with cCMV participated in the study: parents with children symptomatic at birth, parents with children asymptomatic at birth who later developed sensorineural hearing loss, and parents with children asymptomatic at birth who remained asymptomatic into adulthood. Using a health marketing approach, we identified six general themes from the focus group sessions: initial diagnosis, likely health outcome(s), comfort and coping, symptom watch, resources, and prevention. Receiving the initial diagnosis was shocking for many parents, and they wanted to know how their child would or could be affected. They valued access to the information, follow-up visits for early detection of hearing loss and other developmental delays, and support from other parents. Parents wished to obtain this information from their pediatrician but felt that experts offered more up-to-date knowledge about prognosis, monitoring, and treatment. With more U.S. states implementing cCMV screening strategies which would lead to more infant diagnoses, it will be necessary for providers to meet parents’ expectations and communication needs.https://www.mdpi.com/2409-515X/9/3/49congenital cytomegalovirusnewborn screeningcommunicationsqualitative study
spellingShingle Tatiana M. Lanzieri
Mary Ann K. Hall
Ashrita Rau
Holly McBride
Danie Watson
Carol Rheaume
Gail Demmler-Harrison
Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study
International Journal of Neonatal Screening
congenital cytomegalovirus
newborn screening
communications
qualitative study
title Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study
title_full Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study
title_fullStr Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study
title_full_unstemmed Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study
title_short Parental Perspectives on Communication from Health Care Providers following a Newborn Diagnosis of Congenital Cytomegalovirus Infection: A Secondary Analysis of a Qualitative Study
title_sort parental perspectives on communication from health care providers following a newborn diagnosis of congenital cytomegalovirus infection a secondary analysis of a qualitative study
topic congenital cytomegalovirus
newborn screening
communications
qualitative study
url https://www.mdpi.com/2409-515X/9/3/49
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