The Coconstruction of Couples' Roles in Parenting Children With a Chronic Health Condition

Qual Health Res. 2014 Aug;24(8):1114-1125. doi: 10.1177/1049732314540339. Epub 2014 Jun 24.

Abstract

In this study we explored the ways that mothers and fathers of children who have a chronic health condition coconstructed their parenting roles. We wanted to move beyond the standard focus on individual parenting behaviors and use a grounded theory approach to better capture the dyadic and interpersonal gestalt of how parents worked out their roles. We explored multiple factors that influenced their decision making and the unique models that each couple developed. We held conjoint qualitative interviews with 20 couples from the Toronto area, as well as follow-up interviews with individual partners in five of these couples. Our findings introduce several concepts (such as role negotiation, complementarity and symmetry of roles, and "good enough" role performance) that form an explanatory model. A key finding is the diversity of ways in which couples adapted to the parenting challenges they faced. Implications in conceptual, clinical, and research areas are presented.

Keywords: children; families; grounded theory; illness and disease, chronic; parenting; social constructionism.