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Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?

The COVID-19 pandemic impacts health care providers in multiple ways, even specialties that do not seem to be affected primarily, such as fetal cardiac services. We aimed to assess the effects on parental counseling for fetal congenital heart disease (CHD). In this multicenter study, we used a valid...

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Autores principales: Kovacevic, Alexander, Bär, Stefan, Starystach, Sebastian, Elsässer, Michael, van der Locht, Thomas, Mohammadi Motlagh, Aida, Ostermayer, Eva, Oberhoffer-Fritz, Renate, Ewert, Peter, Gorenflo, Matthias, Wacker-Gussmann, Annette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347932/
https://www.ncbi.nlm.nih.gov/pubmed/34362206
http://dx.doi.org/10.3390/jcm10153423
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author Kovacevic, Alexander
Bär, Stefan
Starystach, Sebastian
Elsässer, Michael
van der Locht, Thomas
Mohammadi Motlagh, Aida
Ostermayer, Eva
Oberhoffer-Fritz, Renate
Ewert, Peter
Gorenflo, Matthias
Wacker-Gussmann, Annette
author_facet Kovacevic, Alexander
Bär, Stefan
Starystach, Sebastian
Elsässer, Michael
van der Locht, Thomas
Mohammadi Motlagh, Aida
Ostermayer, Eva
Oberhoffer-Fritz, Renate
Ewert, Peter
Gorenflo, Matthias
Wacker-Gussmann, Annette
author_sort Kovacevic, Alexander
collection PubMed
description The COVID-19 pandemic impacts health care providers in multiple ways, even specialties that do not seem to be affected primarily, such as fetal cardiac services. We aimed to assess the effects on parental counseling for fetal congenital heart disease (CHD). In this multicenter study, we used a validated questionnaire. Parents were recruited from four national tertiary medical care centers (n = 226); n = 169 had been counseled before and n = 57 during the pandemic. Overall counseling success including its dimensions did not differ between the two groups (p = n.s.). However, by applying the sorrow scale, we could demonstrate that parents counseled during the pandemic were significantly more concerned (p = 0.025) and unsure (p = 0.044) about their child’s diagnosis, therapy and outcome. Furthermore, parents expressed a significantly increased need for written and/or online information on fetal heart disease (p = 0.034). Other modifiers did not affect counseling success (p = n.s.). We demonstrate that the COVID-19 pandemic impacts effectiveness of parental counseling for fetal CHD, possibly by altering parental perceptions. This needs to be taken into consideration when counseling. Implementing alternative and innovative approaches (e.g., online conference or virtual reality tools) may aid in facilitating high-quality services in critical times such as in the present pandemic.
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spelling pubmed-83479322021-08-08 Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling? Kovacevic, Alexander Bär, Stefan Starystach, Sebastian Elsässer, Michael van der Locht, Thomas Mohammadi Motlagh, Aida Ostermayer, Eva Oberhoffer-Fritz, Renate Ewert, Peter Gorenflo, Matthias Wacker-Gussmann, Annette J Clin Med Article The COVID-19 pandemic impacts health care providers in multiple ways, even specialties that do not seem to be affected primarily, such as fetal cardiac services. We aimed to assess the effects on parental counseling for fetal congenital heart disease (CHD). In this multicenter study, we used a validated questionnaire. Parents were recruited from four national tertiary medical care centers (n = 226); n = 169 had been counseled before and n = 57 during the pandemic. Overall counseling success including its dimensions did not differ between the two groups (p = n.s.). However, by applying the sorrow scale, we could demonstrate that parents counseled during the pandemic were significantly more concerned (p = 0.025) and unsure (p = 0.044) about their child’s diagnosis, therapy and outcome. Furthermore, parents expressed a significantly increased need for written and/or online information on fetal heart disease (p = 0.034). Other modifiers did not affect counseling success (p = n.s.). We demonstrate that the COVID-19 pandemic impacts effectiveness of parental counseling for fetal CHD, possibly by altering parental perceptions. This needs to be taken into consideration when counseling. Implementing alternative and innovative approaches (e.g., online conference or virtual reality tools) may aid in facilitating high-quality services in critical times such as in the present pandemic. MDPI 2021-07-31 /pmc/articles/PMC8347932/ /pubmed/34362206 http://dx.doi.org/10.3390/jcm10153423 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kovacevic, Alexander
Bär, Stefan
Starystach, Sebastian
Elsässer, Michael
van der Locht, Thomas
Mohammadi Motlagh, Aida
Ostermayer, Eva
Oberhoffer-Fritz, Renate
Ewert, Peter
Gorenflo, Matthias
Wacker-Gussmann, Annette
Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?
title Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?
title_full Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?
title_fullStr Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?
title_full_unstemmed Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?
title_short Fetal Cardiac Services during the COVID-19 Pandemic: How Does It Affect Parental Counseling?
title_sort fetal cardiac services during the covid-19 pandemic: how does it affect parental counseling?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347932/
https://www.ncbi.nlm.nih.gov/pubmed/34362206
http://dx.doi.org/10.3390/jcm10153423
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