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dc.contributor.authorHeath, G
dc.contributor.authorAbdin, S
dc.contributor.authorBegum, R
dc.contributor.authorKearney, S
dc.date.accessioned2020-09-09T11:30:08Z
dc.date.available2020-09-09T11:30:08Z
dc.date.issued2016-06-29
dc.identifier.citationHeath, G., Abdin, S., Begum, R. and Kearney, S. (2016) Putting children forward for epilepsy surgery: A qualitative study of UK parents' and health professionals' decision-making experiences, Epilepsy and Behavior, 61, pp. 185-191.en
dc.identifier.issn1525-5050en
dc.identifier.pmid27371883 (pubmed)
dc.identifier.doi10.1016/j.yebeh.2016.05.037en
dc.identifier.urihttp://hdl.handle.net/2436/623623
dc.descriptionThis is an accepted manuscript of an article published by Elsevier in Epilepsy and Behavior on 29/06/2016, available online: https://doi.org/10.1016/j.yebeh.2016.05.037 The accepted version of the publication may differ from the final published version.en
dc.description.abstract© 2016 Elsevier Inc. Background Against a backdrop of recommendations for increasing access to and uptake of early surgical intervention for children with medically intractable epilepsy, it is important to understand how parents and professionals decide to put children forward for epilepsy surgery and what their decisional support needs are. Aim The aim of this study was to explore how parents and health professionals make decisions regarding putting children forward for pediatric epilepsy surgery. Methods Individual interviews were conducted with nine parents of children who had undergone pediatric epilepsy surgery at a specialist children's hospital and ten healthcare professionals who made up the children's epilepsy surgery service multidisciplinary healthcare team (MDT). Three MDT meetings were also observed. Data were analyzed thematically. Findings Four themes were generated from analysis of interviews with parents: presentation of surgery as a treatment option, decision-making, looking back, and interventions. Three themes were generated from analysis of interviews/observations with health professionals: triangulating information, team working, and patient and family perspectives. Discussion Parents wanted more information and support in deciding to put their child forward for epilepsy surgery. They attempted to balance the potential benefits of surgery against any risks of harm. For health professionals, a multidisciplinary approach was seen as crucial to the decision-making process. Advocating for the family was perceived to be the responsibility of nonmedical professionals. Conclusion Decision-making can be supported by incorporating families into discussions regarding epilepsy surgery as a potential treatment option earlier in the process and by providing families with additional information and access to other parents with similar experiences.en
dc.formatapplication/pdfen
dc.languageeng
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttps://www.epilepsybehavior.com/article/S1525-5050(16)30138-X/fulltexten
dc.subjectepilepsyen
dc.subjecthealthcare professionalsen
dc.subjectqualitative researchen
dc.subjectdecision-makingen
dc.subjectparentsen
dc.titlePutting children forward for epilepsy surgery: A qualitative study of UK parents' and health professionals' decision-making experiencesen
dc.typeJournal articleen
dc.identifier.eissn1525-5069
dc.identifier.journalEpilepsy and Behavioren
dc.date.updated2020-09-04T10:16:14Z
dc.contributor.institutionDepartment of Psychology, Aston University, Birmingham, UK; Department of Psychology, Birmingham Children's Hospital, Birmingham, UK. Electronic address: g.heath1@aston.ac.uk.
pubs.place-of-publicationUnited States
dc.date.accepted2016-05-28
rioxxterms.funderAston Universityen
rioxxterms.identifier.projectUOW09092020GHen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2020-09-09en
dc.source.volume61
dc.source.beginpage185
dc.source.endpage191
dc.description.versionPublished version
refterms.dateFCD2020-09-09T11:29:34Z
refterms.versionFCDAM
refterms.dateFOA2020-09-09T11:30:08Z


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