Family perception of unmet support needs following a diagnosis of congenital coronary anomaly in children: Results of a survey

Congenit Heart Dis. 2017 Dec;12(6):721-725. doi: 10.1111/chd.12473. Epub 2017 May 11.

Abstract

Background: Long-term outcome data on patients with anomalous aortic origin of coronary arteries (AAOCA) is sparse and they are often managed in a nonuniform manner. There is subjective perception of anxiety and unmet needs in these patients and families.

Methods: An online survey of 13 questions was sent to 74 families of patients with AAOCA between May and October 2015. Descriptive statistics were performed.

Results: A total of 31 (47%) families responded. Of these, 27 expressed the need to interact with other patients/families with AAOCA. The majority were interested in either face-to-face meetings (77%) or online support groups (71%). Regarding content of the meeting, 74% were interested in brief talks by medical personnel/families, 58% suggested informal interactions with families, 55% proposed a structured discussion with a moderator and 39% mentioned fun activities/games. Regarding participants in these meetings, 90% would like to include healthcare providers, 61% suggested including family friends, 58% wished to include psychologists and 16% mentioned including social workers. The families currently use various social media including Facebook (87%), YouTube (39%), Google+ (36%), and LinkedIn (32%). For future online resources, 77% of families would like a Facebook site, an informative website (58%), a blog (52%), or an open forum (29%). The majority of the families (77%) were interested in attending a dedicated AAOCA meeting.

Conclusion: There appears to be an unmet need for family support in those affected by AAOCA, a substantial life changing diagnosis for patients and families. Further research is needed to assess quality of life in this population.

Keywords: anomalous coronary arteries; congenital heart disease; family needs; sudden death; survey.

MeSH terms

  • Child
  • Coronary Vessel Anomalies / diagnosis
  • Coronary Vessel Anomalies / psychology*
  • Family / psychology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Needs Assessment*
  • Prospective Studies
  • Quality of Life
  • Surveys and Questionnaires*
  • Time Factors