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

BMJ Open. 2014 Apr 19;4(4):e004611. doi: 10.1136/bmjopen-2013-004611.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Communication
  • Disabled Children
  • Disabled Persons / psychology*
  • Emotions
  • Focus Groups
  • Health Status Indicators*
  • Humans
  • Independent Living
  • Interpersonal Relations
  • Interviews as Topic
  • Nervous System Diseases / psychology*
  • Parents / psychology*
  • Qualitative Research
  • Self Care
  • Social Participation
  • United Kingdom
  • Young Adult