The impact of Rett syndrome in the school environment: challenges and needs

Authors

DOI:

https://doi.org/10.29352/mill0224.34345

Keywords:

Rett syndrome; rare disease; intrinsic case study; inclusive education

Abstract

Introduction: Rett syndrome is a genetic disease associated with neurological and developmental disorders typically caused by mutations in the MECP2 gene. It mainly affects females and can lead to severe physical and mental abnormalities.

Objective: To learn about the educational needs of a student with Rett Syndrome attending a mainstream school, from an early age and taking into account her family's perspective.

Methods: An intrinsic case study was conducted on a 9-year-old girl who was diagnosed with Rett syndrome at the age of 5 years and is in stage 3 (pseudo-stationary period). The child's school and medical reports, systematic observations, and the mother's testimony were used as data collection instruments.

Results: The results show the impact of the disease from an educational point of view, the educational, care, and social needs, and the main advantages and difficulties of inclusive education. The findings reveal concerns about the lack of coordination between the health and education systems, as well as the contradiction in the information provided, leading to confusion about the best practices for the holistic development of the affected persons and the differences between early intervention and later care which is scarce.

Conclusion: These findings underline the importance of addressing the education of individuals with Rett syndrome in a holistic manner, recognizing both their specific needs and the opportunities and difficulties associated with educational inclusion. Attention to needs must be interdisciplinary, continuous, and long-term.

Downloads

Download data is not yet available.

References

AESR- Asociación Española de Síndrome de Rett (2024). Síndrome de Rett. https://rett.es/sindrome-de-rett/

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology,3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589-597. https://doi.org/10.1080/2159676X.2019.1628806

Banerjee, A., Miller, M. T., Li, K., Sur, M., & Kaufmann, W. E. (2019). Towards a better diagnosis and treatment of Rett syndrome: a model synaptic disorder. Brain, 142(2), 239-248. doi:10.1093/brain/awy323

Candala, D., Berrocal, A., Jurado, S., Palacín, L.P., & Palacín, V. (2021). Síndrome de Rett. Revista Sanitaria de Investigación, 2(3), 91. https://revistasanitariadeinvestigacion.com/sindrome-de-rett/

Ellaway, J., & Christodoulou, C. E. J. (2001). Rett syndrome: clinical characteristics and recent genetic advances. Disability & Rehabilitation, 23, 98–106. http://doi.org/10.1080/09638280150504171

FDA (2023). La FDA aprueba el primer producto de microbiota fecal administrado por vía oral para la prevención de la recurrencia de la infección por Clostridioides difficile. FDA News Release. https://www.fda.gov/news-events/press-announcements/la-fda-aprueba-el-primer-producto-de-microbiota-fecal-administrado-por-oral-para-la-prevencion-de-la

Fehr, S., Bebbington, A., Nassar, N., Downs, J., Ronen, G., de Klerk, N., & Leonard, H. (2011). Trends in the diagnosis of Rett syndrome in Australia. Pediatric Research, 70, 313–319. http://doi.org/10.1203/PDR.0b013e3182242461

Jara-Ettinger, A. C., Suárez-Hortiales, S., & De la Torre-García, O. (2021). Síndrome de Rett: reporte de una nueva variante patogénica y revisión de la literatura a propósito de dos casos clínicos. Boletín médico del Hospital Infantil de México, 78(4), 356-361. https://www.scielo.org.mx/scielo.php?pid=S1665-11462021000400356yscript=sci_arttext

Ley Orgánica de Modificación de la Ley Orgánica de Educación (LOMLOE) (Ley Orgánica 3/2020, de 29 de diciembre). Boletín Oficial del Estado, núm. 340, 122868 a 122953. Referencia: BOE-A-2020-17264. https://www.boe.es/eli/es/lo/2020/12/29/

Merchán, R. (2010). Actividades para niñas con síndrome de Rett. https://archivos.csif.es/archivos/andalucia/ensenanza/revistas/csicsif/revista/pdf/Numero_36/ROSARIO_MERCHAN_1.pdf

Neul, J. L., Percy, A. K., Benke, T. A., Berry-Kravis, E. M., Glaze, D. G., Marsh, E. D., Lin, T., Stankovic, S., Bishop, K. M., & Youakim, J. M. (2023). Trofinetide for the treatment of Rett syndrome: A randomized phase 3 study. Nature Medicine, 29(6), 1468–1475. https://doi.org/10.1038/s41591-023-02398-1

Real Decreto 193/2023, de 21 de marzo, Agencia Estatal Boletín Oficial del Estado (2023). Por el que se regulan las condiciones básicas de accesibilidad y no discriminación de las personas con discapacidad para el acceso y utilización de los bienes y servicios a disposición del público. Boletín Oficial del Estado, 69, de 22 de marzo de 2023. Referencia: BOE-A-2023-7417. https://www.boe.es/eli/es/rd/2023/03/21/193/con

Rose, S., Djukic, A., Jankowski, J., Feldman, J., Fishman, I., & Valicenti- McDermott, M. (2013). Rett syndrome: An eye-tracking study of attention and recognition memory. Developmental Medicine and Child Neurology, 55, 364–371.

http://doi.org/10.1111/dmcn.12085

Stake, R. E. (1995). The art of case study research. SAGE.

Sillero Sillero, A., Ayuso Margañon, R., Gil Poisa, M., Buil, N., Padrosa, E., Insa Calderón, E., Marques-Sule, E., & Alcover Van de Walle, C. (2023). Moral breakdowns and ethical dilemmas of perioperative nurses during COVID-19: COREQ-compliant study. Healthcare, 11(13). https://doi.org/10.3390/healthcare11131937

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criterio for reportng qualitatve research (COREQ): a 32- item checklist for interviews and focus group. Internatonal Journal of Qualitatve in Health Care, 19(6), 349–357. htp:// doi.org/10.1093/intqhc/mzm042

Townend, G.S., Bartolotta, T.E., Urbanowicz, A., Wandin, H. & Curfs, L.M.G. (2020). Pautas de comunicación del síndrome de Rett: manual para terapeutas, educadores y familias. Rett Expertise Centre Netherlands-GKC. https://rett.es/wp-content/uploads/2021/03/20210315-Guia_Comunicacion_Rett.pdf

Valer, A. C., Mallor, E., Souto, C., Vera, N., Jubero, A. & Maldonado, A. (2021). Introducción al síndrome de Rett, artículo monográfico. Revista Sanitaria de Investigación, 2(10), 283. https://revistasanitariadeinvestigacion.com/introduccion-al-sindrome-de-rett-articulo-monografico/

Yin, R.K. (2014). Case Study Research Design and Methods (5th ed.).Sage.

Published

2024-06-24

How to Cite

Armas Junco, L., Pérez de la Paz, J., & Alonso Martínez, L. . (2024). The impact of Rett syndrome in the school environment: challenges and needs . Millenium - Journal of Education, Technologies, and Health, 2(24), e34345. https://doi.org/10.29352/mill0224.34345

Issue

Section

Education and Social Development Sciences