Service Delivery

The centrality of healthcare and education interactions - An Interpretive Phenomenological Analysis of experiences of parents of children with Ehlers-Danlos Syndrome.

Somers et al. (2024) · Research in developmental disabilities 2024
★ The Verdict

Parents of kids with Ehlers-Danlos spend huge energy teaching professionals—give them ready-made facts and a voice at the table.

✓ Read this if BCBAs who consult with schools or medical teams for children with rare or invisible conditions.
✗ Skip if Clinicians who only run 1:1 DTT sessions with no parent or school contact.

01Research in Context

01

What this study did

Carol and her team talked to parents of children with Ehlers-Danlos Syndrome. They used long, open interviews to learn how these parents work with doctors and teachers.

The researchers read every word and grouped ideas into themes. They wanted to know what helps and what hurts when parents ask for services.

02

What they found

Parents said three things matter most. First, they need staff who know what Ehlers-Danlos is. Second, they must fight for every service. Third, they feel alone and want someone to guide them.

One mom said, "I have to become the expert, or no one listens." These stories show the fight is daily and exhausting.

03

How this fits with other research

Higgins et al. (2021) asked parents of kids with hidden language disorder the same kinds of questions. Both groups say, "People don’t see the disability, so they don’t help." The same parent-led advocacy fixes both problems.

Smith et al. (2023) found Somali mothers of autistic children hit racism and low expectations at school. Carol’s families hit a knowledge gap about Ehlers-Danlos. Different wall, same bruise: parents must teach the staff before the child gets help.

Fäldt et al. (2024) looked at parents whose kids have no clear label yet. Those parents feel just as crashed as the Ehlers-Danlos group. The message is clear: don’t wait for a rare diagnosis to start support.

04

Why it matters

You may only have one Ehlers-Danlos family on your caseload, but the story still applies. Any parent who says "the team doesn’t get it" is waving the same red flag. Offer a cheat-sheet about the condition, schedule a 15-minute call with the teacher, and praise the parent for the advocacy work they already do. Small moves like these cut the parent’s load in half and speed the child’s progress.

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Email your Ehlers-Danlos (or any rare-syndrome) family a one-page summary of how the condition affects learning and behavior, then forward it to their teacher with the parent cc’d.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
4
Population
other
Finding
not reported

03Original abstract

BACKGROUND: Ehlers-Danlos Syndrome (EDS) is a rare group of connective tissue disorders and, as such, the diagnosis can often be delayed. While emerging research indicates that there may be adverse psychosocial consequences for the child, little is known about the processes behind such outcomes, including the psychosocial impact of this rare disease on family life. AIMS: To extend our understanding, we examined the lived experiences of parenting a child with EDS. METHODS: Four parents recruited from a specialist child development clinic participated in semi-structured interviews. Data were analysed using Interpretative Phenomenological Analysis RESULTS: Three superordinate themes were identified: (1) Challenges Associated with hEDS, (2) Interactions with Professionals and (3) "Pulling and Pacing": Life with EDS. DISCUSSION: This is one of the first qualitative studies to gain an insight into the lived experiences of parenting a child with EDS. Findings had systemic implications. Specifically, we demonstrate the need for raising awareness in health and educational professionals about how to better support families to support the child, as well as the importance of promoting effective advocacy skills in parents.

Research in developmental disabilities, 2024 · doi:10.1016/j.ridd.2024.104789