title: Divorce and Childhood Chronic Illness: A Grounded Theory of Trust, Gender, and Third-Party Care Providers.
abstract: Divorced parents face distinct challenges in providing care for chronically ill children. Children's residence in two households necessitates the development of family-specific strategies to ensure coparents' supervision of regimen adherence and the management of children's health care. Utilizing a risk and resilience perspective, a grounded theory study was conducted with 14 divorced parents of children with chronic illnesses. The importance of trust, gender, and relationships with third-party care providers emerged as key themes related to the development of effective coparenting relationships for maintaining children's health. Divorced parents were best able to support the management of their children's chronic conditions when care providers operated as neutral third parties and intermediaries. Collaborative family care may require health care practitioners to avoid being drawn into contentious inter-parental conflicts.
authors.affiliation: University of Missouri, Columbia, USA ltrbqb@mail.missouri.edu.
authors.forename: Luke T
authors.initials: LT
authors.lastname: Russell
authors.affiliation: University of Missouri, Columbia, USA.
authors.forename: Marilyn
authors.initials: M
authors.lastname: Coleman
authors.affiliation: University of Missouri, Columbia, USA.
authors.forename: Lawrence H
authors.initials: LH
authors.lastname: Ganong
authors.affiliation: University of Missouri, Columbia, USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Gayer
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000451:nursing* / Q000523:psychology*; D019988:Children with Disabilities / Q000523:psychology*; D004243:Divorce / Q000523:psychology*; D005260:Female; D066296:Grounded Theory; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology*
keywords: childhood chronic illness; family caregivers; post-divorce families; qualitative