Challenges and knowledge gaps facing hemophilia carriers today: Perspectives from patients and health care providers.

attitudes delivery of health care genetic carrier screening health knowledge hemophilia practice women's health

Journal

Research and practice in thrombosis and haemostasis
ISSN: 2475-0379
Titre abrégé: Res Pract Thromb Haemost
Pays: United States
ID NLM: 101703775

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 14 02 2022
revised: 07 06 2022
accepted: 22 07 2022
entrez: 3 10 2022
pubmed: 4 10 2022
medline: 4 10 2022
Statut: epublish

Résumé

Hemophilia carriers experience abnormal bleeding symptoms; however, a lack of awareness about this topic coupled with additional knowledge gaps and barriers leads to suboptimal care for this population. The primary objective was to describe the current knowledge gaps and challenges from the perspective of both hemophilia carriers and their health care providers. We carried out a mixed methods descriptive study with two population groups between September and December 2020. The hemophilia carrier perspective was obtained through both focus groups and questionnaires, whereas the health care providers perspective obtained via questionnaire sent to the Association of Hemophilia Care Directors of Canada and the Canadian Association of Nurses in Hemophilia Care. Focus groups were analyzed using descriptive thematic analysis and quantitative survey data was also analyzed. Eleven hemophilia carriers participated along with 19 health care providers (11 physicians, eight nurses). Hemophilia carrier focus group discussions identified four areas representing major challenges or knowledge gaps: (1) negative psychosocial impacts; (2) difficulty determining symptom significance; (3) need for self-advocacy; (4) testing concerns. Survey results from both groups were aligned with the most important topics for ongoing education identified as information on abnormal bleeding symptoms, where to seek treatment, and considerations for heavy menstrual bleeding/menstruation. The majority of both study groups believe obligate or potential carriers should have factor levels checked regardless of age if symptoms of abnormal bleeding occur or before an invasive procedure. However, hemophilia carriers were significantly more in favor of genetic testing under the age of consent than health care providers in all scenarios evaluated.

Sections du résumé

Background UNASSIGNED
Hemophilia carriers experience abnormal bleeding symptoms; however, a lack of awareness about this topic coupled with additional knowledge gaps and barriers leads to suboptimal care for this population.
Objective UNASSIGNED
The primary objective was to describe the current knowledge gaps and challenges from the perspective of both hemophilia carriers and their health care providers.
Methods UNASSIGNED
We carried out a mixed methods descriptive study with two population groups between September and December 2020. The hemophilia carrier perspective was obtained through both focus groups and questionnaires, whereas the health care providers perspective obtained via questionnaire sent to the Association of Hemophilia Care Directors of Canada and the Canadian Association of Nurses in Hemophilia Care. Focus groups were analyzed using descriptive thematic analysis and quantitative survey data was also analyzed.
Results UNASSIGNED
Eleven hemophilia carriers participated along with 19 health care providers (11 physicians, eight nurses). Hemophilia carrier focus group discussions identified four areas representing major challenges or knowledge gaps: (1) negative psychosocial impacts; (2) difficulty determining symptom significance; (3) need for self-advocacy; (4) testing concerns. Survey results from both groups were aligned with the most important topics for ongoing education identified as information on abnormal bleeding symptoms, where to seek treatment, and considerations for heavy menstrual bleeding/menstruation. The majority of both study groups believe obligate or potential carriers should have factor levels checked regardless of age if symptoms of abnormal bleeding occur or before an invasive procedure. However, hemophilia carriers were significantly more in favor of genetic testing under the age of consent than health care providers in all scenarios evaluated.

Identifiants

pubmed: 36186104
doi: 10.1002/rth2.12783
pii: S2475-0379(22)02349-4
pmc: PMC9487445
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12783

Informations de copyright

© 2022 The Authors. Research and Practice in Thrombosis and Haemostasis published by Wiley Periodicals LLC on behalf of International Society on Thrombosis and Haemostasis (ISTH).

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Auteurs

Megan Chaigneau (M)

Queen's University Kingston Ontario Canada.

Monique Botros (M)

Queen's University Kingston Ontario Canada.

Julie Grabell (J)

Deparment of Medicine Queen's University Kingston Ontario Canada.

Wilma Hopman (W)

KGH Research Institute Kingston Ontario Canada.
Department of Public Health Sciences Queen's University Kingston Ontario Canada.

Paula James (P)

Deparment of Medicine Queen's University Kingston Ontario Canada.

Classifications MeSH