Parental views on otitis media: systematic review of qualitative studies.
This study aims to describe parental experiences and perspectives of caring for a child with otitis media. We conducted a systematic review of qualitative studies on parental perspectives on caring for a child with otitis media. We searched electronic databases to July 2015. Seventeen studies involving 284 participants from six countries were included. We identified seven themes: diminishing competency (guilt over failure to identify symptoms, helpless and despairing, fear of complications, disempowered and dismissed); disrupting life schedules (disturbing sleep, interfering with work, burden on family); social isolation (stigma and judgement, sick consciousness); threatening normal development (delaying growth milestones, impairing interpersonal skills, impeding education); taking ownership (recognising symptoms, diagnostic closure, working the system, protecting against physical trauma, contingency planning); valuing support (needing respite, depending on community, clinician validation); and cherishing health (relief with treatment success, inspiring resilience).


CONCLUSIONS
The additional medical responsibilities and anxieties of parents caring for a child with otitis media, often discounted by clinicians, can be disempowering and disruptive. Chronicity can raise doubt about treatment efficacy and parental competency, and fears regarding their child's development. Care that fosters parental confidence and addresses their concerns about the child's development may improve treatment outcomes for children with otitis media.


BACKGROUND
• Otitis media is a leading cause of conductive hearing loss in children. • Parental perception of the treatment burden of otitis media can potentially affect their confidence and ability to care for their child. What is New: • We identified five themes to reflect parental perspectives: diminishing competency, disrupting life schedules, social isolation, threatening normal development, taking ownership, valuing support, and cherishing health. • Parents may perceive caring for a child with otitis media as disempowering and disruptive and with reoccurrence doubt treatment efficacy and their parental competency and develop fears regarding their child's development.
Kids Research Institute, The Children's Hospital at Westmead, Westmead, Sydney, NSW, 2145, Australia. shingisai.chando@sydney.edu.au.|Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia. shingisai.chando@sydney.edu.au.
Shingisai
S
Chando
Kids Research Institute, The Children's Hospital at Westmead, Westmead, Sydney, NSW, 2145, Australia.|Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Christian
C
Young
Kids Research Institute, The Children's Hospital at Westmead, Westmead, Sydney, NSW, 2145, Australia.|Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Jonathan C
JC
Craig
Discipline of Paediatrics and Child Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Hasantha
H
Gunasekera
Kids Research Institute, The Children's Hospital at Westmead, Westmead, Sydney, NSW, 2145, Australia.|Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Allison
A
Tong
D000328:Adult; D001007:Anxiety / Q000523:psychology*; D001294:Attitude to Health; D002657:Child Development; D002675:Child, Preschool; D006314:Hearing Loss, Conductive / Q000523:psychology; D006801:Humans; D010033:Otitis Media / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life
Health service; Paediatric practice; Patient perspective; Qualitative research