Reference : Instruments to Measure Outcomes in Pediatric Palliative Care: A Systematic Review
Scientific journals : Article
Human health sciences : Pediatrics
Sustainable Development
http://hdl.handle.net/10993/54570
Instruments to Measure Outcomes in Pediatric Palliative Care: A Systematic Review
English
Friedel, Marie mailto [University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Life Sciences and Medicine (DLSM) >]
Aujoulat, Isabelle mailto [Université Catholique de Louvain - UCL]
Dubois, Anne-Catherine mailto [Université Catholique de Louvain - UCL]
Degryse, Jean-Marie mailto [Katholieke Universiteit Leuven - KUL]
Jan-2019
Pediatrics
American Academy of Pediatrics
143
1
1-22
Yes
International
0031-4005
1098-4275
Elk Grove Village
United States - Illinois
[en] Children's Palliative Outcome Scale ; Pediatrics ; Quality of life ; Systematic review ; PRISMA
[en] CONTEXT:
Pediatric palliative care (PPC) is intended to promote children’s quality of life by using a family-centered approach. However, the measurement of this multidimensional outcome remains challenging.

OBJECTIVE:
To review the instruments used to assess the impact of PPC interventions.

DATA SOURCES:
Five databases (Embase, Scopus, The Cochrane Library, PsychInfo, Medline) were searched.

STUDY SELECTION:
Inclusion criteria were as follows: definition of PPC used; patients aged 0 to 18 years; diseases listed in the directory of life-limiting diseases; results based on empirical data; and combined descriptions of a PPC intervention, its outcomes, and a measurement instrument.

DATA EXTRACTION:
Full-text articles were assessed and data were extracted by 2 independent researchers, and each discrepancy was resolved through consensus. The quality of the studies was assessed by using the Standard Quality Assessment Criteria for Evaluating Primary Research Papers From a Variety of Fields checklist.

RESULTS:
Nineteen of 2150 articles met the eligibility criteria. Researchers in 15 used quantitative methods, and 9 were of moderate quality. Multidimensional outcomes included health-related quality of life, spiritual well-being, satisfaction with care and/or communication, perceived social support, and family involvement in treatment or place-of-care preferences. PPC interventions ranged from home-based to hospital and respite care. Only 15 instruments (of 23 reported) revealed some psychometric properties, and only 5 included patient-reported (child) outcome measures.

LIMITATIONS:
We had no access to the developmental process of the instruments used to present the underlying concepts that were underpinning the constructs.

CONCLUSIONS:
Data on the psychometric properties of instruments used to assess the impact of PPC interventions were scarce. Children are not systematically involved in reporting outcomes.
Researchers ; Professionals ; Students
http://hdl.handle.net/10993/54570
10.1542/peds.2018-2379

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