Optimizing Surgical Treatment of Internationally Adopted Children With Cleft Lip and/or Palate: Understanding the Family Experience
| Autor: | Ashley Peter, Dawn Leavitt, Todd C. Edwards, Kelly N. Evans, Maren E. Shipe, Babette S. Saltzman, Carolyn C. Schook, Raymond Tse, Julian K Davies |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Parents medicine.medical_specialty Cleft Lip Multidisciplinary study Cleft surgery Audiology 03 medical and health sciences 0302 clinical medicine Medicine Humans 0501 psychology and cognitive sciences Parent-Child Relations Surgical treatment business.industry Qualitative interviews 05 social sciences 030206 dentistry Cleft Palate Otorhinolaryngology Family medicine Child Preschool Female Oral Surgery Basic needs business Child Adopted 050104 developmental & child psychology Qualitative research |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 53(4) |
| ISSN: | 1545-1569 |
| Popis: | Objective To understand the experience of families with children undergoing cleft surgery following adoption from a country outside the United States. To identify factors, including the timing of surgery, that influence family function throughout the surgical experience. Design Semistructured qualitative interviews were conducted with parents of internationally adopted children postrepair of cleft lip and/or cleft palate and coded by a multidisciplinary study team. Mixed methods were used to contextualize themes derived from the parent interviews. Results Twenty parent interviews were conducted, and four core themes were identified: (1) parental anxieties prior to surgery, (2) considerations for the timing of surgery, (3) impact of the surgical experience on the child and family, and (4) modifiable sociocontextual factors. Parents considered a strong child bond with at least one parent and the ability of the child to communicate basic needs to be important before undergoing surgery. In retrospect, parents generally felt that the surgical experience did not have a negative impact on their child or their families and that the surgical experience may have even facilitated bonding and attachment with their child. Acceleration of family bonding was expressed more often by parents of children who were adopted at older than 2 years. Conclusions In our study, parents reported that cleft surgery soon after international adoption did not appear to impair child bonding or adjustment. Specific family and provider factors that could optimize the experience for families were identified. |
| Databáze: | OpenAIRE |
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