Cardiovascular

Preoperative information burden among parents of children with congenital heart disease: a qualitative study of information access, understanding, and decision-making.

TL;DR

Preoperative information burden among parents of children with congenital heart disease was driven less by information volume than by difficulty translating fragmented clinical, digital, and practical information into a trusted, child-specific course of action.

Key Findings

Parents' preoperative information burden was driven less by the amount of information than by difficulty translating fragmented clinical, digital, and practical information into a trusted, child-specific course of action.

  • Qualitative descriptive study at a single tertiary paediatric cardiac centre in China.
  • Twelve parents completed individual face-to-face semi-structured interviews.
  • Information burden was framed as reflecting whether information is understandable, trustworthy, accessible, and actionable, not just its quantity.

Four interacting themes were developed from the interviews.

  • The themes were: threat before understanding; navigating fragmented information pathways; difficulty translating information into child-specific decisions; and information shaping family adaptation and treatment decisions.
  • Data were analysed using the Framework Method, combining within-case timelines with cross-case comparison.
  • Reporting followed COREQ.

Parents reported specific barriers in the information they received and in accessing care.

  • Barriers described included technical language, conflicting recommendations, and changing findings.
  • Parents also described non-comparable digital stories, referral barriers, and cost uncertainty.
  • These barriers spanned clinical, digital, and practical information domains.

Parents identified several communication and support features they valued.

  • Valued features included staged plain-language explanations and visual and written materials.
  • They also valued explicit monitoring thresholds and a reliable route for clarification.
  • Verified digital information and practical navigation support were also valued.

The study used purposive sampling and an information-power approach to judge sample adequacy.

  • Purposive sampling sought variation in education, residence, and treatment pathway.
  • Recruitment ceased when later interviews no longer altered the main analytic categories or theme boundaries.
  • Sample size was guided by information power.

The authors conclude that communication, health-information access, and navigation should be treated as connected parts of a family-centred pathway.

  • They state these should not be handled as isolated educational tasks.
  • The recommendation is directed at public health and paediatric services.

What This Means

This study interviewed twelve parents of children with congenital heart disease at a large children's heart centre in China, asking about their experiences of getting and understanding information before their child's surgery or treatment. The researchers identified four connected themes: parents felt threatened by the diagnosis before they understood it; they had to navigate scattered sources of information; they struggled to apply general information to their own child's situation; and the information they had shaped how their family coped and how they made treatment decisions. Parents described technical language, conflicting advice, test findings that changed over time, online stories from other families that were hard to compare to their own, difficulty with referrals, and uncertainty about costs. They said it helped to receive explanations in stages and in plain language, to have visual and written materials, to be told clear thresholds for what to watch for, to have a reliable way to ask questions, to have verified online information, and to get practical help navigating the system. This research suggests that the problem for parents is not simply too much information, but information that is fragmented and hard to turn into a trusted plan for their own child. The authors suggest that health services treat communication, access to reliable information, and practical navigation as parts of one family-centred pathway. Because the study was small and based at a single centre, the findings describe these parents' experiences and may not apply to all families.

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Citation

Hu Y, Tian J, Teng M, Li Y, Zheng H. (2026). Preoperative information burden among parents of children with congenital heart disease: a qualitative study of information access, understanding, and decision-making.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1965200