Mental health challenges and digital platform opportunities in patients and families affected by pediatric neuromuscular diseases - experiences from Switzerland

Author:

Gruebner Oliver12ORCID,van Haasteren Afua3,Hug Anna1ORCID,Elayan Suzanne4,Sykora Martin4ORCID,Albanese Emiliano3,Stettner Georg M.5,Waldboth Veronika6,Messmer-Khosla Sandra7,Enzmann Cornelia8,Baumann Dominique9,von Wyl Viktor2,Fadda Marta3ORCID,Wolf Markus10ORCID,von Rhein Michael11

Affiliation:

1. Department of Geography, University of Zurich, Zurich, Switzerland

2. Department of Epidemiology, Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, Zurich, Switzerland

3. Institute of Public Health, Università della Svizzera italiana, Lugano, Switzerland

4. Centre for Information Management, School of Business and Economics, Loughborough University, Loughborough, UK

5. Neuromuscular Center Zurich and Department of Pediatric Neurology, University of Zurich, University Children’s Hospital Zurich, Zurich, Switzerland

6. Institute of Nursing, School of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland

7. Schweizerische Muskelgesellschaft, Zurich, Switzerland

8. Department of Neuropediatrics, Neuromuscular Center, University Children's Hospital Basel, Basel, Switzerland

9. Swiss Registry for Neuromuscular Disorders (Swiss-Reg-NMD), Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland

10. Department of Psychology, University of Zurich, Zurich, Switzerland

11. Child Development Center, University Children’s Hospital Zurich, University of Zurich, Zurich, Switzerland

Abstract

Receiving the diagnosis of a severe disease may present a traumatic event for patients and their families. To cope with the related challenges, digital interventions can be combined with traditional psychological support to help meet respective needs. We aimed to 1) discuss the most common consequences and challenges for resilience in Neuro Muscular Disease patients and family members and 2) elicit practical needs, concerns, and opportunities for digital platform use. We draw from findings of a transdisciplinary workshop and conference with participants ranging from the fields of clinical practice to patient representatives. Reported consequences of the severe diseases were related to psychosocial challenges, living in the nexus between physical development and disease progression, social exclusion, care-related challenges, structural and financial challenges, and non-inclusive urban design. Practical needs and concerns regarding digital platform use included social and professional support through these platforms, credibility and trust in online information, and concerns about privacy and informed consent. Furthermore, the need for safe, reliable, and expert-guided information on digital platforms and psychosocial and relationship-based digital interventions was expressed. There is a need to focus on a family-centered approach in digital health and social care and a further need in researching the suitability of digital platforms to promote resilience in the affected population. Our results can also inform city councils regarding investments in inclusive urban design allowing for disability affected groups to enjoy a better quality of life.

Funder

Foundation Swiss School of Public Health

Publisher

SAGE Publications

Subject

Health Information Management,Computer Science Applications,Health Informatics,Health Policy

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