Parental perspectives on gluten immunogenic peptide urine testing in children with coeliac disease: a qualitative study on barriers, emotions and interest in point-of-care tools - Summary - MDSpire
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Parents’ views on urine testing for gluten immunogenic peptides in children with coeliac disease: a qualitative study of barriers, emotional responses and interest in point-of-care testing
To explore parents’ experiences of children’s urine collection for gluten immunogenic peptide (GIP) testing, including barriers, emotional responses and views on possible home-based point-of-care testing.
Approach:
Design: Single-centre qualitative study using semi-structured group interviews conducted by secure video conference over six months.
Participants: Ten parents whose children had previously participated in research involving GIP urine testing were recruited purposively; the children themselves were not interviewed.
Analysis: Thematic analysis was used to identify recurrent themes concerning sampling barriers, emotional reactions and interest in potential future GIP point-of-care testing.
Key Findings:
Four principal themes were identified: practical and emotional obstacles to urine collection; effects of the clinical environment on children; parental enthusiasm for home-based PoCT; and suggested improvements to interactions with clinical settings.
Secondary themes included confusion about sampling instructions, embarrassment and environmental stress.
Parents expressed interest in periodic GIP PoCT, particularly during dietary training or after suspected gluten exposure.
Interpretation:
The authors report that parents viewed GIP PoCT as a potentially valuable adjunct to childhood coeliac disease management when paired with education and supportive care.
Limitations:
The study was conducted at a single centre and included 10 parents whose children had previously participated in GIP research.
Children’s perspectives were not directly collected.
Conclusion:
The authors call for future work on child-friendly test design, user-centred educational materials and research that includes children’s direct perspectives.