Feeding and swallowing in cerebral palsy: Caregiver burden, quality of life and support needs

South African Journal of Communication Disorders

 
 
Field Value
 
Title Feeding and swallowing in cerebral palsy: Caregiver burden, quality of life and support needs
 
Creator Lewis, Raquel Harty, Michal Norman, Vivienne
 
Subject speech-language pathology; dysphagia; maternal and child health cerebral palsy; caregiver burden; feeding difficulties; swallowing difficulties; quality of life; support needs; South Africa; low- and middle-income countries
Description Background: Children with cerebral palsy (CP) often experience feeding and/or swallowing difficulties (FSD), which are lifelong, necessitating long-term care by caregivers, particularly in resource-constrained contexts like South Africa. This ongoing responsibility can lead to burden and reduced quality of life (QoL) for the caregiver and child. Exploring caregivers’ experiences is required for planning and implementation of effective support services.Objectives: The study aimed to explore the experiences of caregivers of children with CP who have FSD, regarding the burden, QoL and support needs.Method: A qualitative case study design was used, involving eight mothers of children aged 2–8 years, recruited from a hospital-based CP clinic. Participants (aged 25–42 years) engaged in semi-structured telephonic interviews conducted in English and isiXhosa. Thematic analysis was conducted to generate themes and sub-themes.Results: Thematic analysis yielded seven main themes: Worry; Feeding is everything; Identified support needs; What helps me cope?; Cost of caregiving; Hopeful caregiving and Shortfalls of healthcare system and society, reflecting emotional strain, the centrality of feeding, specific support requirements, caregiver resilience, multifaceted burden and hope.Conclusion: Caregiver burden and QoL are closely linked and shaped by the emotional, physical, social and financial demands of caregiving. While caregivers described their unmet support needs, they also identified positive aspects of caregiving, including a sense of purpose and connection with their child.Contribution: The findings offer insight into caregiver experiences in South Africa and underscore the need for tailored, contextually relevant interventions to improve caregiver well-being and child outcomes.
 
Publisher AOSIS
 
Contributor
Date 2025-11-21
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v72i2.1124
 
Source South African Journal of Communication Disorders; Vol 72, No 2 (2025); 9 pages 2225-4765 0379-8046
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajcd.org.za/index.php/sajcd/article/view/1124/2578 https://sajcd.org.za/index.php/sajcd/article/view/1124/2579 https://sajcd.org.za/index.php/sajcd/article/view/1124/2580 https://sajcd.org.za/index.php/sajcd/article/view/1124/2581
 
Coverage South Africa, Western Cape, Cape Town — —
Rights Copyright (c) 2025 Raquel Lewis, Michal Harty, Vivienne Norman https://creativecommons.org/licenses/by/4.0
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