‘Absent voices': exploring whole family experiences living with parental refractory epilepsy to inform service development and delivery

Karen Hutchinson, Frances Rapport, Geoffrey Herkes, Andrew Bleasel, Armin Nikpour, Chong Wong, Carol Ireland, Lukas Hofstätter, Sanjyot Vagholkar, Stephanie Kain, Tayhla Ryder, Jeffrey Braithwaite

Research output: Contribution to conferenceAbstractpeer-review

Abstract

Objectives:
The unpredictable presentation of epilepsy can have a ripple effect on all aspects of life, impacting not only the person with epilepsy but, to varying degrees, family members and friends. This research aims to:
1. Address evidence-gaps in understanding and knowledge of whole family experience of living with parental refractory epilepsy.
2. Clarify relationships and roles of the potentially influential, but currently ‘absent voices’ of families in Australia affected by refractory epilepsy.
3. Guide stronger collaboration in the co-design of health care and support services, according to whole family need.
Methods:
A Stakeholder Panel meeting was set up to co-design and inform study planning. It included: 2 parents living with epilepsy, 1 adult carer, 1 young carer under 25 years, representatives from Carers NSW and Epilepsy Action Australia, an epilepsy specialist clinician, a General Practitioner and 4 epilepsy researchers. The in-depth qualitative study includes data collected from 2 Stakeholder Panel meetings and approximately 20 semi-structured interviews with parents living with epilepsy and family members (including children and young people between 10 to 25 years). Interviews will explore inter-familial relationships, social and disease-impact and views on healthcare practices and support services. Demographic data will be collected from all participants. A thematic analysis will be conducted with qualitative data.
Results:
The first Stakeholder Panel meeting highlighted family issues around changing roles and responsibilities within the family, the emotional toll on all family members, challenges accessing healthcare and social support services, financial repercussions, impact of changes to the expected life course and the overall ‘domino’ effect of parental epilepsy on the family. Greater stress placed on families during COVID-19 pandemic was emphasised.
Conclusion:
The preliminary study findings will provide much needed social, emotional and contextual understanding of whole family need and increase the evidence-base on the impact of parental epilepsy, to guide future service developments and more family-oriented healthcare design and delivery.

Original languageEnglish
Pages66
Number of pages1
Publication statusPublished - 2020
EventEpilepsy Society of Australia Virtual Annual Scientific Meeting - Online
Duration: 5 Nov 20206 Nov 2020

Conference

ConferenceEpilepsy Society of Australia Virtual Annual Scientific Meeting
Period5/11/206/11/20

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