Communication between Parents and Preschool Aged Children about Tuberculosis Preventive Treatment: A Qualitative Study

Windy Rakhmawati, Siti Yuyun Rahayu Fitri, Aat Sriati, Sri Hendrawati

Abstract


Background: Communication with preschool‑aged children about Tuberculosis Preventive Treatment (TPT) is a challenge for parents. Good communication can encourage children to be involved in their treatment and enhance their adherence to the treatment. This study aimed to explore the experience of parents in communicating with their preschool‑aged children about TPT.

Materials and Methods: This study used a qualitative approach. Participants were 10 parents who were selected using the purposive sampling technique from three community health centers in Bandung City, Indonesia. The inclusion criteria for the study were parents who have a child aged 3–5 years who received or was receiving TPT. Semi‑structured interviews were conducted to obtain the data, and when saturation was reached, no further interviews were conducted. Subsequently, the interviews were transcribed and analyzed using thematic analysis.

Results: The findings revealed three themes with eight categories. The themes were persuading children, lack of understanding, and supporting communication.

Conclusions: The findings are relevant for nurses and other health professionals who need to provide adequate information related to TPT and to develop media for parents and children during their communication. Nurses can collaborate with other physicians and software engineers to develop interesting media such as game applications to educate children about Tuberculosis (TB) prevention.



Keywords


Communication, child, preschool, tuberculosis

Full Text:

PDF

References


Ministry of Health of Republic of Indonesia. Technical manual of childhood TB management [Petunjuk teknis manajemen TB anak]. Jakarta, Indonesia: Ministry of Health of Republic of Indonesia; 2016.

World Health Organization. Guidance for National Tuberculosis Programmes on the Manajement of Tuberculosis in Children. 2nd ed. Geneva, Switzerland: World Health Organization; 2014. Available from: http://apps.who.int/iris/ bitstream/10665/112360/1/9789241548748_eng.pdf [Last accessed on 2020 Jul 02].

Ayieko J, Abuogi L, Simchowitz B, Bukusi EA, Smith AH, Reingold A. Efficacy of isoniazid prophylactic therapy in prevention of tuberculosis in children: A meta analysis. BMC Infect Dis 2014;14:91.

Kusnanto K, Arifin H, Kurniawati Y. Determinant of BCG vaccine coverage among Indonesian children aged 0–2 months. Child Youth Serv Rev 2020;116:105238.

World Health Organization. Global tuberculosis report 2019 [Internet]. Switzerland, Geneva: World Health Organization; 2019. Available from: http://www.who.int/tb/publications/global_ report/en/index.html [Last accessed on 2020 Jan 05].

Rutherford ME, Ruslami R, Maharani W, Yulita I, Lovell S, Van Crevel R, et al. Adherence to isoniazid preventive therapy in Indonesian children: A quantitative and qualitative investigation. BMC Res Notes 2012;5:7.

Anselmo MK. The Management of TB Case Contacts at a Lung Clinic in Indonesia. New Zealand: University of Otago; 2011.

Rakhmawati W, Nilmanat K, Hatthakit U. Sustaining togetherness; family engagement in tuberculosis prevention in children living in tuberculosis households in Indonesia. Open Access Maced J Med Sci 2021;9:7 11.

Trivedi A. Communicating with parents and involving children in medicines optimisation. Pharm J 2017;14:1-9.

El Rachidi S, LaRochele JM, Morgan JA. Pharmacists and pediatric medication adherence: Bridging the gap. Hosp Pharm 2017;52:124 31.

Pate T. Families of children with chronic illness and the relational family model. Pers. Chall. 2016;6:57-65 .

Damm L, Leiss U, Habeler U, Ehrich J. Improving care through better communication: Continuing the debate. J Pediatr 2015;167:501 2.E5.

Bell J, Condren M. Communication strategies for empowering and protecting children. J Pediatr Pharmacol Ther 2018;21:176 84.

Kolucki B, Lemish D. Communicating with children: Principles and practices to nurture, inspire, excite, educate and heal. United Nations Chidren Fund (UNICEF). New York: UNICEF; 2011.

Son H, Haase J, Docherty SL. Parent child communication in a childhood cancer context: A literature review. Pediatr Nurs 2019;45:129 41.

Hockenberry MJ, Wilson D. Wong’s Nursing Care of Infants and Children. 10th ed. St. Louis, MO, Missouri: Elsevier; 2015.

Middleton J, Calam R, Ulph F. Communication with children about sickle cell disease: A qualitative study of parent experience. Br J Health Psychol 2018;23:685 700.

Huang X, Lee S, Hu Y, Gao H, O’Connor M. Talking about maternal breast cancer with young children: A content analysis of text in children’s books. J Pediatr Psychol 2014;40:609 21.

Lambert VA, Lambert CE. Qualitative descriptive research: An acceptable design. Pacific Rim Int J Nurs Res 2012;16:255 6.

Creswell JW. Qualitative Inquiry and Research Design. 4th ed. Thousand Oaks, CA: Sage; 2014.

Jamshed S. Qualitative research method interviewing and observation. J Basic Clin Pharm 2014;5:87.

Drabble L, Trocki KF, Salcedo B, Walker PC, Korcha R. Conducting qualitative interviews by telephone: Lessons learned from a study of alcohol use among sexual minority and heterosexual women. Qual Soc Work 2016;15:118 33.

Braun V, Clarke V. What can “thematic analysis” offer health and wellbeing researchers? Int J Qual Stud Health Well being 2014;9:26152.

Vaismoradi M, Jones J, Turunen H, Snelgrove S. Theme development in qualitative content analysis and thematic analysis. J Nurs Educ Pract 2016;6:100 10.

Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods 2017;16:1-13.

Houghton C, Casey D, Shaw D, Murphy K. Rigour in qualitative case study research. Nurse Res 2013;20:12 7.

Kajubi P, Whyte SR, Kyaddondo D, Katahoire AR. Tensions in communication between children on antiretroviral therapy and their caregivers: A qualitative study in Jinja District, Uganda. PLoS One 2016;11:e0147119.

Alberti TL, Benes S, Miles D. Experiences of health communication within the family: Parent and adolescent perspectives. J Adolesc Fam Heal 2018;9:1-31.

Boztepe H, Özdemir H, Karababa Ç, Yıldız Ö. Administration of oral medication by parents at home. J Clin Nurs 2016;25:3345 53.

Sinclair M, Schofield P, Turner J, Rauch P, Wakefield C, Mann GB, et al. Maternal breast cancer and communicating with children: A qualitative exploration of what resources mothers want and what health professionals provide. Eur J Cancer Care (Engl) 2019;28:e13153.

World Health Organization. mHealth: New horizons for health through mobile technologies [Internet]. Vol. 3. Geneva, Switzerland: World Health Organization; 2011. Available from: http://www.webcitation.org/63mBxLED9 [Last accessd on 2021 Oct 10].


Refbacks

  • There are currently no refbacks.