PONE-D-21-08488

Adjusting the family’s life: A grounded theory of caring for children with special healthcare needs in rural areas, Thailand.

PLOS ONE

Dear Dr. katemanee moonpanane,

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Reviewers' comments:

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Comments to the Author

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Reviewer #1: Yes

Reviewer #2: Partly

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: N/A

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3. Have the authors made all data underlying the findings in their manuscript fully available?

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Reviewer #1: Yes

Reviewer #2: No

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

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Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Recommendations:

In Background part

Infectious disease instead of infection disease

In Methods

Forty-three family members of CHSCN participated in in-depth interviews. How many families the proposal studied, meaning those 43 members representing how many families??? Kindly add to methods.

The main source of the data that support this research are the interviews carried out from almost all different family members. However, reviewer recommend to highlight and analyze separately care giving mothers, who experience the work of caring for their children on a daily basis , in order to ensure the trustworthiness of the results.

Factors affecting the implementation of digital health programs should be discussed in relation to technological, human, and systems factors connecting patients and their families to the needed care from expert health care providers in particular to families in rural areas.

Reviewer highly recommend authors to highlights home (in persons appointments) or Telehealth Interventions to Teach and Support Parents and Family members especially for children with Autism Spectrum Disorders to reduce their problem behavior.

Reviewer #2: Overall this is a good study and needed for a developing country like Thailand. The English language used is OK. However, I have several issues which are unclear to me:

1. Interviews were conducted with these 43 families. How many family members were being interviewed in each family? Or the 43 participants were representatives from 43 families (i.e. 1 participant per family)?

2. I am also not clear whether you conducted the interview for one family at a time or you conducted several focus group discussions to extract the information?

3. Participants were from a rural area - does this mean, all participants were from one village or area? I don't think so because it can't be 43 families in one village area had children with special needs. Maybe you need to explain the demographic of this 'a rural area' where you collected your data so that it would be easier to understand the situation.

4. Strategies used to strengthen the study rigor should be explained in the methodology of how you processed the interview data.

5. Line 181 mentioned about 'most of the participants'... - please specify how many?

6. Line 182 - 'They talked about...' - It was not clear 'they' refers to who?

7. Line 213 - The primary acre unit..' - what is this? Typo error? I figured out that could be 'care'. What does SDHPH stands for? Write in full when you mentioned this for the first time in the text.

8. Line 287 - The statement 'previous theoretical frameworks...' - please indicate the references here.

9. Line 318 - Again, no references given to the statement '...in prior studies'. Please insert the references here - which studies were referred to.

10. This emergent theory 'Adjusting the family's life' can also be discussed within the framework of the International Classification of Functioning (ICF) third party in which disability of a family member affect the others in the family. You may want to discuss about this third party ICF in your discussion and conclusion.

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Reviewer #1: Yes: Prof. Nagwa A Meguid

Reviewer #2: No

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Attachments

Attachment

Submitted filename: Comments and Recommendation.docx

Adjusting the family’s life: A grounded theory of caring for children with special healthcare needs in rural areas, Thailand.

PONE-D-21-08488R1

Dear Dr. katemanee moonpanane,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Sharon Mary Brownie

Academic Editor

PLOS ONE

 Editor Comments 

Reviewer recommendations have been satisfactorily addressed.

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Authors have adequately addressed your comments and manuscript technically sound. Manuscript is presented in an intelligible fashion and written in standard English

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Dr Nagwa Abdel Meguid, Prof. of Human Genetics at National Research Centre, Egypt