The impact of parental health mindset on postoperative recovery in children

• Published in: Pediatric anesthesia 2021-03, Vol.31 (3), p.298-308
• Main Authors: Kain, Alexandra, Mueller, Claudia, Golianu, Brenda J., Jenkins, Brooke N., Fortier, Michelle A., Cravero, Joseph
• Format: Article
• Language: English
• Subjects: Adaptation, Psychological; Analgesics - therapeutic use; Child; Children & youth; Humans; internal‐external control; pain; Pain, Postoperative - drug therapy; Parent-Child Relations; Parents; recovery; surgery
• ISSN: 1155-5645; 1460-9592
• DOI: 10.1111/pan.14071

Background Mindset, or one's beliefs about the ability to change one's outcomes, has been studied in the educational domain but not in surgical settings. The purpose of this study was to examine the role of parental health mindset on children's recovery. Methods Participants were part of a larger National Institutes of Health‐funded trial that included 1470 children undergoing outpatient tonsillectomy and adenoidectomy. We used measures of parental coping style (Monitor Blunter Style Scale; MBSS) and medication attitudes (Medication Attitudes Questionnaire; MAQ) to validate the Health Beliefs Scale (HBS; Criterion validity, Cohen's kappa). HBS categorizes parents as having a growth mindset, or the belief that health can be changed, or a fixed mindset, which reflects the belief that individuals cannot change their health. Next, we identified demographic and personality variables (eg, temperament, anxiety) as predictors for the HBS. Finally, we examined the relationship between the HBS with postoperative outcomes. Results Findings supported criterion validity of the HBS. Parents with a growth mindset reported seeking out more medical information (MBSS, 7.15 ± 3.32 vs 6.22 ± 3.38, P