What aspects of health and wellbeing are most important to parent carers of children with disabilities?

Introduction: Parent carers of children with special educational needs or disabilities are at risk of poorer health and wellbeing outcomes because of the distinct and challenging circumstances they face. Evaluations of interventions promoting the health of parent carers should focus on measuring the...

Full description

Bibliographic Details
Main Authors: McGlinchey, C, Harniess, P, Borek, AJ, Garrood, A, McDonald, A, Boyle, F, Logan, S, Morris, C
Format: Journal article
Language:English
Published: Wiley Open Access 2024
_version_ 1811139590111625216
author McGlinchey, C
Harniess, P
Borek, AJ
Garrood, A
McDonald, A
Boyle, F
Logan, S
Morris, C
author_facet McGlinchey, C
Harniess, P
Borek, AJ
Garrood, A
McDonald, A
Boyle, F
Logan, S
Morris, C
author_sort McGlinchey, C
collection OXFORD
description Introduction: Parent carers of children with special educational needs or disabilities are at risk of poorer health and wellbeing outcomes because of the distinct and challenging circumstances they face. Evaluations of interventions promoting the health of parent carers should focus on measuring the aspects of health and wellbeing which are most relevant to this group. As part of a programme of research on parent carer‐focused interventions, this study aimed to understand which aspects of health and wellbeing are perceived by parent carers as most meaningful and important. Methods: A qualitative study using semistructured online interviews was conducted. A purposive sample of parent carers was interviewed about relevant health and wellbeing outcomes. Transcripts were analysed thematically. Results: Thirty parent carers were interviewed, 19 of whom had experienced a health‐promoting intervention, either as participants (n = 14) or facilitators (n = 5). Three main themes were identified: ‘self, identity and beliefs’; ‘social connections and support’ and ‘health‐promoting practices and outcomes.’ Each theme encompassed the challenges participants faced, and the changes that helped them overcome these challenges. ‘Self‐identity’ challenges focused on the overwhelming nature of the parental care role and the emotional impact of this. Changes were brought about by developing a positive mindset, increasing confidence, and reconnecting with aspects of their identity which were important to them before they became parent carers. Challenges related to ‘social connections’ reflected parent carers' isolation. Change was brought about through increased peer support and peer interactions. Parent carers experienced challenges in terms of ‘health‐promoting activities’ because they lacked free time and experienced poor physical health. Changes were brought about by engagement in health‐promoting activities of various kinds. Conclusion: Parent carers view health and wellbeing in terms of overcoming the common challenges they face as a group. These challenges reflect the ways in which their physiological and psychological needs are often unmet. Researchers interested in measuring parent carer health and wellbeing should consider the specific challenges this group face, as well as theoretical frameworks which can make sense of these challenges, such as self‐determination theory. Patient or Public Contribution: Our team carries out patient and public involvement (PPI) through a Family Faculty group facilitated by a Family Involvement Co‐ordinator (A. McD.) who is herself a parent carer. A study‐specific PPI working group was established which included members of the Family Faculty. The PPI group advised on various aspects of the research as reported in the paper. The manuscript was co‐authored by the team's Family Involvement Co‐ordinator (A. McD.).
first_indexed 2024-09-25T04:08:30Z
format Journal article
id oxford-uuid:256bf79e-fec5-4713-8cca-11457d7afd56
institution University of Oxford
language English
last_indexed 2024-09-25T04:08:30Z
publishDate 2024
publisher Wiley Open Access
record_format dspace
spelling oxford-uuid:256bf79e-fec5-4713-8cca-11457d7afd562024-06-07T20:05:09ZWhat aspects of health and wellbeing are most important to parent carers of children with disabilities?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:256bf79e-fec5-4713-8cca-11457d7afd56EnglishJisc Publications RouterWiley Open Access2024McGlinchey, CHarniess, PBorek, AJGarrood, AMcDonald, ABoyle, FLogan, SMorris, CIntroduction: Parent carers of children with special educational needs or disabilities are at risk of poorer health and wellbeing outcomes because of the distinct and challenging circumstances they face. Evaluations of interventions promoting the health of parent carers should focus on measuring the aspects of health and wellbeing which are most relevant to this group. As part of a programme of research on parent carer‐focused interventions, this study aimed to understand which aspects of health and wellbeing are perceived by parent carers as most meaningful and important. Methods: A qualitative study using semistructured online interviews was conducted. A purposive sample of parent carers was interviewed about relevant health and wellbeing outcomes. Transcripts were analysed thematically. Results: Thirty parent carers were interviewed, 19 of whom had experienced a health‐promoting intervention, either as participants (n = 14) or facilitators (n = 5). Three main themes were identified: ‘self, identity and beliefs’; ‘social connections and support’ and ‘health‐promoting practices and outcomes.’ Each theme encompassed the challenges participants faced, and the changes that helped them overcome these challenges. ‘Self‐identity’ challenges focused on the overwhelming nature of the parental care role and the emotional impact of this. Changes were brought about by developing a positive mindset, increasing confidence, and reconnecting with aspects of their identity which were important to them before they became parent carers. Challenges related to ‘social connections’ reflected parent carers' isolation. Change was brought about through increased peer support and peer interactions. Parent carers experienced challenges in terms of ‘health‐promoting activities’ because they lacked free time and experienced poor physical health. Changes were brought about by engagement in health‐promoting activities of various kinds. Conclusion: Parent carers view health and wellbeing in terms of overcoming the common challenges they face as a group. These challenges reflect the ways in which their physiological and psychological needs are often unmet. Researchers interested in measuring parent carer health and wellbeing should consider the specific challenges this group face, as well as theoretical frameworks which can make sense of these challenges, such as self‐determination theory. Patient or Public Contribution: Our team carries out patient and public involvement (PPI) through a Family Faculty group facilitated by a Family Involvement Co‐ordinator (A. McD.) who is herself a parent carer. A study‐specific PPI working group was established which included members of the Family Faculty. The PPI group advised on various aspects of the research as reported in the paper. The manuscript was co‐authored by the team's Family Involvement Co‐ordinator (A. McD.).
spellingShingle McGlinchey, C
Harniess, P
Borek, AJ
Garrood, A
McDonald, A
Boyle, F
Logan, S
Morris, C
What aspects of health and wellbeing are most important to parent carers of children with disabilities?
title What aspects of health and wellbeing are most important to parent carers of children with disabilities?
title_full What aspects of health and wellbeing are most important to parent carers of children with disabilities?
title_fullStr What aspects of health and wellbeing are most important to parent carers of children with disabilities?
title_full_unstemmed What aspects of health and wellbeing are most important to parent carers of children with disabilities?
title_short What aspects of health and wellbeing are most important to parent carers of children with disabilities?
title_sort what aspects of health and wellbeing are most important to parent carers of children with disabilities
work_keys_str_mv AT mcglincheyc whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT harniessp whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT borekaj whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT garrooda whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT mcdonalda whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT boylef whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT logans whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities
AT morrisc whataspectsofhealthandwellbeingaremostimportanttoparentcarersofchildrenwithdisabilities