Changes Over Time in Good-Parent Beliefs Among Parents of Children With Serious Illness: A Two-Year Cohort Study.

Abstract

CONTEXT\nParents of seriously ill children hold personal beliefs about what they should do to be good parents. How these beliefs change over time is unknown.\n\n\nOBJECTIVES\nThe objectives of this study were to describe the pattern of Good-Parent Beliefs over time, and determine whether parents hopeful patterns of thinking, affect, and perceived child s health are associated with changes in beliefs at 12 and 24\xa0months.\n\n\nMETHODS\nOur longitudinal sample included 124 parents of 100 children hospitalized with serious illness. We used latent transition models to classify parents into groups with similar Good-Parent Beliefs during the baseline and follow-up periods and modeled the change in good-parent beliefs over time as a function of covariates using generalized linear mixed models.\n\n\nRESULTS\nTwo parent belief profiles emerged from the latent transition model: Loved ( Making sure my child feels loved, n\xa0=\xa061 at baseline) and Informed ( Making informed decisions, n\xa0=\xa063 at baseline). At 12\xa0months, 21 parents (20.4%) had moved into the Loved group and no parents transitioned to the Informed group. By 24\xa0months, eight parents transitioned to the Loved group and four to the Informed group (13.04%). Transition into the Loved group was associated with parents baseline degree of hopeful thinking and positive perceptions of child s health at baseline.\n\n\nCONCLUSION\nSome parents change their parenting priorities over time. Hopeful patterns of thinking and perception of child health appear to predict change. Clinicians should regularly reevaluate Good-Parent Beliefs over time to promote priority-congruent dialogue.