Sangam: A Confluence of Knowledge Streams

Key health outcomes for children and young people with neurodisability: qualitative research with young people and parents.

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dc.creator Allard, A
dc.creator Fellowes, A
dc.creator Shilling, V
dc.creator Janssens, A
dc.creator Beresford, B
dc.creator Morris, C
dc.date 2016-05-06T08:29:51Z
dc.date 2014-04-19
dc.date 2016-05-06T08:29:51Z
dc.identifier Vol. 4, No. 4, Article e004611
dc.identifier 10.1136/bmjopen-2013-004611
dc.identifier bmjopen-2013-004611
dc.identifier http://hdl.handle.net/10871/21406
dc.identifier 2044-6055
dc.identifier 2044-6055
dc.identifier BMJ Open
dc.description Published online
dc.description Journal Article
dc.description Research Support, Non-U.S. Gov't
dc.description OBJECTIVES: To identify key health outcomes, beyond morbidity and mortality, regarded as important in children and young people with neurodisability, and their parents. DESIGN: Qualitative research incorporating a thematic analysis of the data supported by the Framework Approach; the International Classification of Functioning, Disability and Health (ICF) provided a theoretical foundation. SETTING: The study was conducted in community settings. PARTICIPANTS: Participants were 54 children and young people with neurodisability: 50 participated in focus groups, and 4 in interviews; 53 parents participated: 47 in focus groups and 6 in interviews. Children/young people and parents were recruited through different networks, and were not related. RESULTS: Children/young people and parents viewed health outcomes as inter-related. Achievement in some outcomes appeared valued to the extent that it enabled or supported more valued domains of health. Health outcomes prioritised by both young people and parents were: communication, mobility, pain, self-care, temperament, interpersonal relationships and interactions, community and social life, emotional well-being and gaining independence/future aspirations. Parents also highlighted their child's sleep, behaviour and/or safety. CONCLUSIONS: Those responsible for health services for children/young people with neurodisability should take account of the aspects of health identified by families. The aspects of health identified in this study provide a basis for selecting appropriate health indicators and outcome measures.
dc.description This study was part of research funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme (Project 10/2002/16 http://www.nets.nihr.ac.uk/projects/hsdr/10200216). The work also benefited support from NIHR Collaboration for Leadership in Applied Health Research and Care of the South West Peninsula (PenCLAHRC), and the charity Cerebra. The views and opinions expressed in this paper are those of the authors and not necessarily those of the NHS, the NIHR, the Department of Health, or Cerebra.
dc.language en
dc.publisher BMJ Publishing Group
dc.relation http://www.ncbi.nlm.nih.gov/pubmed/24747792
dc.relation http://bmjopen.bmj.com/content/4/4/e004611
dc.rights This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/3. The final version of the article is available from BMJ via the DOI in this record.
dc.subject Adolescent
dc.subject Child
dc.subject Communication
dc.subject Disabled Children
dc.subject Disabled Persons
dc.subject Emotions
dc.subject Focus Groups
dc.subject Great Britain
dc.subject Health Status Indicators
dc.subject Humans
dc.subject Independent Living
dc.subject Interpersonal Relations
dc.subject Interviews as Topic
dc.subject Nervous System Diseases
dc.subject Parents
dc.subject Qualitative Research
dc.subject Self Care
dc.subject Social Participation
dc.subject Young Adult
dc.title Key health outcomes for children and young people with neurodisability: qualitative research with young people and parents.
dc.type Article


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