Nokoff Natalie, Ariefdjohan Merlin, Travers Sharon, Buchanan Cindy
University of Colorado Anschutz Medical Campus, Department of Pediatrics.
University of Colorado Anschutz Medical Campus, Department of Psychiatry.
Clin Pract Pediatr Psychol. 2020 Dec;8(4):348-358. doi: 10.1037/cpp0000302. Epub 2019 Sep 23.
Despite recommendations that clinics for children with a difference of sex development (DSD) should include peer support, information on how to provide this support is lacking. We utilized a mixed-methods program evaluation to evaluate family satisfaction with our clinic-based volunteers (who either have DSD themselves or are a parent of a child with DSD) and to understand the experience of these volunteers.
Parents (n=29) of a child with DSD completed an electronic survey. Interviews were conducted with three clinic volunteers.
Most participants (72%) met with a clinic volunteer and majority (81%) rated their interaction as helpful. Most common topics discussed between parents and volunteers included: connecting to support groups (81%), their child's future (62%), and learning about their child's diagnosis (48%). Half of parents (48%) attended an after-clinic support group lunch, and 43% of these attendees rated the lunch session as helpful. Parents who attended a lunch liked the experience because they met other families with a child with a similar medical condition (100%), met volunteers with a similar medical condition (64%), and it helped them think more positively about their child's future (64%). Those who did not attend a lunch cited logistical reasons for not attending.
Incorporating clinic volunteers into a multidisciplinary DSD clinic is associated with high reported rates of satisfaction by families and volunteers.
尽管有建议指出,性发育差异(DSD)患儿诊所应提供同伴支持,但目前缺乏关于如何提供这种支持的信息。我们采用了混合方法项目评估,以评估家庭对我们诊所志愿者(他们自身患有DSD或其子女患有DSD)的满意度,并了解这些志愿者的经历。
DSD患儿的家长(n = 29)完成了一项电子调查。对三名诊所志愿者进行了访谈。
大多数参与者(72%)与诊所志愿者进行了会面,且大多数(81%)认为他们的互动是有帮助的。家长与志愿者讨论的最常见话题包括:加入支持小组(81%)、孩子的未来(62%)以及了解孩子的诊断情况(48%)。一半的家长(48%)参加了诊所后的支持小组午餐会,其中43%的与会者认为午餐会有帮助。参加午餐会的家长喜欢这次经历,因为他们结识了其他孩子患有类似疾病的家庭(100%)、结识了患有类似疾病的志愿者(64%),并且这有助于他们对孩子的未来更积极地思考(64%)。那些没有参加午餐会的家长表示是因为后勤原因未能参加。
将诊所志愿者纳入多学科DSD诊所,家庭和志愿者报告的满意度较高。