children’s palliative outcome scale; life-limiting conditions; quality of life
Abstract :
[en] Paediatric palliative care (PPC) aims to improve children’s quality of life, but this outcome is rarely measured in clinical care. PPC is provided in Belgium through six transmural paediatric liaison teams (PLTs) ensuring continuity of care for children with life-limiting or life-threatening conditions (LLC/LTC). This study aims to measure the quality of life (QoL) of children with LLC/LTC followed-up by PLTs and the QoL of their parents. Methods: During interviews, an original socio demographic questionnaire, the Children palliative outcome scale—version 2 (CPOS-2), the Fragebogen für Kinder und Jugendliche zur Erfassung der gesundheitsbezogenen Lebensqualität (KINDL) and the Quality of life in life-threatening Illness-Family caregiver (QOLLTI-F) were filled in by PLT members. Statistics were used to investigate significant differences between scores. Results were discussed and interpreted with six PLTs. Results: 73 children aged 1–18 were included in the study. Especially for items focusing on emotional items, children reported their QoL as higher than their parents did. The QoL scores were not significantly associated with the child’s condition’s severity. Conclusions: This study provides, for the first time, an overview of the QoL of children and parents followed-up by PLTs in Belgium.
Disciplines :
Pediatrics
Author, co-author :
FRIEDEL, Marie ; University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Life Sciences and Medicine (DLSM)
Aujoulat, Isabelle; Faculty of Public Health, Université Catholique de Louvain, 1200 Brussels, Belgium
Brichard, Bénédicte; Interface Pédiatrique, Department of Paediatric Oncology and Haematology, Cliniques Universitaires St Luc, 1200 Brussels, Belgium
Craig F. Abu-Saad Huijer H. Benini F. Kuttner L. Wood C. Feraris P.C. Zernikow B. IMPaCCT: Standards of paediatric palliative care Schmerz 2008 22 401 408 10.1007/s00482-008-0690-4 18516628
World Health Organization (WHO) Definition of Palliative Care 1998 Available online: https://www.who.int/cancer/palliative/definition/en/ (accessed on 15 June 2022)
World Health Organization Definition of Quality of Life WHO Geneva, Switzerland 1998 Available online: https://www.who.int/healthinfo/survey/whoqolqualityoflife/en/ (accessed on 15 June 2022)
Witt J. Murtagh F.E.M. de Wolf-Linder S. Higginson I.J. Daveson B.A. Introducing the Outcome Assessment and Complexity Collaborative (OACC) Suite of Measures 2015 Available online: https://www.semanticscholar.org/paper/Introducing-the-Outcome-Assessment-and-Complexity-A/31741cef800aed424f1b9421997441de35453aa7 (accessed on 13 July 2020)
Coombes L.H. Wiseman T. Lucas G. Sangha A. Murtagh F.E. Health-related quality-of-life outcome measures in paediatric palliative care: A systematic review of psychometric properties and feasibility of use Palliat. Med. 2016 30 935 949 10.1177/0269216316649155 27247087
Friedel M. Aujoulat I. Dubois A.C. Degryse J.M. Instruments to Measure Outcomes in Paediatric Palliative Care: A Systematic Review Pediatrics 2019 143 e20182379 10.1542/peds.2018-2379 30530504
Huang I.C. Shenkman E.A. Madden V.L. Vadaparampil S. Quinn G. Knapp C.A. Measuring quality of life in paediatric palliative care: Challenges and potential solutions Palliat. Med. 2010 24 175 182 10.1177/0269216309352418
Downing J. Namisango E. Harding R. Outcome measurement in paediatric palliative care: Lessons from the past and future developments Ann. Palliat. Med. 2018 7 (Suppl. 3) S151 S163 10.21037/apm.2018.04.02
Harding R. Chambers L. Bluebond-Langner M. Advancing the science of outcome measurement in paediatric palliative care Int. J. Palliat. Nurs. 2019 25 72 79 10.12968/ijpn.2019.25.2.72
Baker J.N. Levine D.R. Hinds P.S. Weaver M.S. Cunningham M.J. Johnson L. Anghelescu D. Mandrell B. Gibson D.V. Jones B. et al. Research Priorities in Paediatric Palliative Care J. Pediatr. 2015 167 467 470.e3 10.1016/j.jpeds.2015.05.002
Donabedian A. Explorations in Quality Assessment and Monitoring: The Definition of Quality and Approaches to Its Assessment Health Administration Press Ann Arbor, MI, USA 1980 Volume I
Ghirotto L. Busani E. Salvati M. Di Marco V. Caldarelli V. Artioli G. Researching children’s perspectives in paediatric palliative care: A systematic review and meta-summary of qualitative research Palliat. Support. Care 2019 17 107 118 10.1017/S1478951518000172
Namisango E. Bristowe K. Allsop M.J. Murtagh F.E.M. Abas M. Higginson I.J. Downing J. Harding R. Symptoms and Concerns Among Children and Young People with Life-Limiting and Life-Threatening Conditions: A Systematic Review Highlighting Meaningful Health Outcomes Patient 2019 12 15 55 10.1007/s40271-018-0333-5
African Palliative Care Association Children’s Palliative Outcome Scale (APCA C-POS). Manual 2012 Available online: https://www.africanpalliativecare.org/articles/palliative-care-outcome-measures-for-person-centred-care/#:~:text=The%20Children%E2%80%99s%20Palliative%20Care%20Outcome%20Scale%20-%20APCA,child%20and%205%20are%20directed%20to%20the%20family (accessed on 3 March 2023)
Powell R.A. Downing J. Harding R. Mwangi-Powell F. Connor S. on behalf of the APCA M&E Group Development of the APCA African Palliative Outcome Scale J. Pain. Sympt. Manag. 2007 33 229 232 10.1016/j.jpainsymman.2006.10.008
Friedel M. Brichard B. Fonteyne C. Renard M. Misson J.P. Vandecruys E. Tonon C. Verfaillie F. Hendrijckx G. Andersson N. et al. Building Bridges, Paediatric Palliative Care in Belgium: A secondary data analysis of annual paediatric liaison team reports from 2010 to 2014 BMC Palliat. Care 2018 17 77 10.1186/s12904-018-0324-2 29788956
Friedel M. Gilson A. Bouckenaere D. Brichard B. Fonteyne C. Wojcik T. De Clercq E. Guillet A. Mahboub A. Lahaye M. et al. Access to paediatric palliative care in children and adolescents with complex chronic conditions: A retrospective hospital-based study in Brussels, Belgium BMJ Paediatr. Open 2019 3 e000547 10.1136/bmjpo-2019-000547 31646199
Friedel M. Brichard B. Boonen S. Tonon C. De Terwangne B. Bellis D. Mevisse M. Fonteyne C. Jaspard M. Schruse M. et al. Face and Content Validity, Acceptability, and Feasibility of the Adapted Version of the Children’s Palliative Outcome Scale: A Qualitative Pilot Study J. Palliat. Med. 2020 24 181 188 10.1089/jpm.2019.0646
Hickey A.M. Bury G. O’Boyle C.A. Bradley F. O’Kelly F.D. Shannon W. A new short form individual quality of life measure (SEIQoL-DW): Application in a cohort of individuals with HIV/AIDS BMJ 1996 313 29 33 10.1136/bmj.313.7048.29 8664768
Bergstraesser E. Hain R.D. Pereira J. The development of an instrument that can identify children with palliative care needs: The Paediatric Palliative Screening Scale (PaPaS Scale): A qualitative study approach BMC Palliat. Care 2013 12 20 10.1186/1472-684X-12-20 23657092
Bergstraesser E. Paul M. Rufibach K. Hain R.D. Held L. The Paediatric Palliative Screening Scale: Further validity testing Palliat. Med. 2014 28 530 533 10.1177/0269216313512886 24280277
Antunes B. Daveson B. Ramsenthaler C. Benalia H. Ferreira P. Bausewein C. Higginson I. The Palliative care Outcome Scale (POS). Manual for Cross-Cultural Adaptation and Psychometric Validation On behalf of the POS Development Team King’s College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Kings College London London, UK 2012
De Vet H.C. Terwee C.B. Mokkink L.B. Knol D.L. Measurement in Medicine. A Practical Guide Cambridge University Press Cambridge, UK 2011
Erhart M. Ellert U. Kurth B. Ravens-Sieberer U. Measuring adolescents’ HRQoL via self and parent proxy reports: An evaluation of the psychometric properties of both versions of the KINDL-R instrument Health Qual. Life Outcomes 2009 7 77 10.1186/1477-7525-7-77
Cohen R. Leis A.M. Kuhl D. Charbonneau C. Ritvo P. Ashbury F.D. QOLLTI-F: Measuring family carer quality of life Palliat. Med. 2006 20 755 767 10.1177/0269216306072764
Khair K. Littley A. Will A. von Mackensen S. The impact of sport on children with haemophilia Haemophilia 2012 18 898 905 10.1111/j.1365-2516.2012.02857.x
Müller-Godeffroy E. Michael T. Poster M. Seidel U. Schwarke D. Thyen U. Self-reported health-related quality of life in children and adolescents with myelomeningocele Dev. Med. Child. Neurol. 2008 50 456 461 10.1111/j.1469-8749.2008.02054.x
Wee H.L. Lee W.W. Ravens-Sieberer U. Erhart M. Li S.C. Validation of the English version of the KINDL generic children’s health-related quality of life instrument for an Asian population—Results from a pilot test Qual. Life Res. 2005 14 1193 1200 10.1007/s11136-004-2957-2 16041914
Hövels-Gürich H.H. Konrad K. Skorzenski D. Minkenberg R. Herpertz-Dahlmann B. Messmer B.J. Seghaye M.C. Long-term behavior and quality of life after corrective cardiac surgery in infancy for tetralogy of Fallot or ventricular septal defect Pediatr. Cardiol. 2007 28 346 354 10.1007/s00246-006-0123-z
Groh G. Borasio G.D. Nickolay C. Bender H.U. Von Lüttichau I. Führer M. Specialized paediatric palliative home care: A prospective evaluation J. Palliat. Med. 2013 16 1588 1594 10.1089/jpm.2013.0129 24168349
Bradford N. Young J. Armfield N.R. Bensink M.E. Pedersen L.A. Herbert A. Smith A.C. A pilot study of the effectiveness of home teleconsultations in paediatric palliative care J. Telemed. Telecare 2012 18 438 442 10.1258/jtt.2012.gth103 23155114
Colver A. Rapp M. Eisemann N. Ehlinger V. Thyen U. Dickinson H.O. Parkes J. Parkinson K. Nystrand M. Fauconnier J. et al. Self-reported quality of life of adolescents with cerebral palsy: A cross-sectional and longitudinal analysis Lancet 2015 385 705 716 10.1016/S0140-6736(14)61229-0
Desmedt M. Identification du Patient Palliatif & Attribution d’un Statut lié à la Sévérité des Besoins: De l’usage d’un Nouvel Outil, le PICT, Cliniques universitaires Saint-Luc 2016 Available online: https://www.fbsp-bfpz.org/post/use-of-pict-palliative-care-indicators-tool-for-patient-identification-palliative-assigning-stat (accessed on 3 March 2023)
Burke K. Coombes L.H. Menezes A. Anderson A.K. The ‘surprise’ question in paediatric palliative care: A prospective cohort study Palliat. Med. 2018 32 535 542 10.1177/0269216317716061
Matraka N. Critères d’Identification des Enfants Nécessitant l’Intervention de l’Équipe de Liaison en Soins Palliatifs Pédiatriques Selon les Médecins des Cliniques Universitaires Saint-Luc: Analyse Qualitative et Test d’un Outil d’aide à la Décision: La Paediatric Palliative Screening Scale. Faculté de Santé Publique, Université Catholique de Louvain, 2018. Prom.: Aujoulat, Isabelle; Friedel, Marie Available online: https://europe.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjRnKqZvPX_AhWEEFkFHRzvDhwQFnoECBMQAQ&url=https%3A%2F%2Fdial.uclouvain.be%2Fdownloader%2Fdownloader.php%3Fpid%3Dthesis%253A15086%26datastream%3DPDF_05%26cover%3Dcover-mem&usg=AOvVaw2OVT_JEYmg7hstwLhAjybs&opi=89978449 (accessed on 3 March 2023)
Ljungman L. Boger M. Ander M. Ljótsson B. Cernvall M. von Essen L. Hovén E. Impressions That Last: Particularly Negative and Positive Experiences Reported by Parents Five Years after the End of a Child’s Successful Cancer Treatment or Death PLoS ONE 2016 11 e0157076 10.1371/journal.pone.0157076
Ljungman L. Hovén E. Ljungman G. Cernvall M. von Essen L. Does time heal all wounds? A longitudinal study of the development of posttraumatic stress symptoms in parents of survivors of childhood cancer and bereaved parents Psychooncology 2015 24 1792 1798 10.1002/pon.3856
Lau N. Yi-Frazier J.P. Bona K. Baker K.S. McCauley E. Rosenberg A.R. Distress and resilience among adolescents and young adults with cancer and their mothers: An exploratory analysis J. Psychosoc. Oncol. 2020 38 118 124 10.1080/07347332.2019.1656317
Khadka J. Kwon J. Petrou S. Lancsar E. Ratcliffe J. Mind the (inter-rater) gap. An investigation of self-reported versus proxy-reported assessments in the derivation of childhood utility values for economic evaluation: A systematic review Soc. Sci. Med. 2019 240 112543 10.1016/j.socscimed.2019.112543
Silva N. Crespo C. Carona C. Bullinger M. Canavarro M.C. Why the (dis)agreement? Family context and childparent perspectives on health-related quality of life and psychological problems in paediatric asthma Child. Care Health Dev. 2015 41 112 121 10.1111/cch.12147
Lim Y. Velozo C. Bendixen R. The level of agreement between child self-reports and parent proxy-reports of health-related quality of life in boys with Duchenne muscular dystrophy Qual. Life Res. 2014 23 1945 1952 10.1007/s11136-014-0642-7 24566887
Sattoe J. van Staa A. Moll H. The proxy problem anatomized: Child-parent disagreement in health related quality of life reports of chronically ill adolescents Health Qual. Life Outcomes 2012 10 10 10.1186/1477-7525-10-10 22276974
Vetter T.R. Bridgewater C.L. McGwin G. An observational study of patient versus parental perceptions of healthrelated quality of life in children and adolescents with a chronic pain condition: Who should the clinician believe? Health Qual. Life Outcomes 2012 10 85 10.1186/1477-7525-10-85 22824550
Jardine J. Glinianaia S.V. McConachie H. Embleton N.D. Rankin J. Self-reported quality of life of young children with conditions from early infancy: A systematic review Paediatrics 2014 134 e1129 e1148 10.1542/peds.2014-0352
Lee Y.C. Yang H.J. Lee W.T. Teng M.J. Do parents and children agree on rating a child’s HRQOL? A systematic review and Meta-analysis of comparisons between children with attention deficit hyperactivity disorder and children with typical development using the PedsQLTM Disabil. Rehabil. 2019 41 265 275 10.1080/09638288.2017.1391338
Fayed N. Avery L. Davis A.M. Streiner D.L. Ferro M. Rosenbaum P. Cunningham C. Lach L. Boyle M. Ronen G.M. et al. Parent Proxy Discrepancy Groups of Quality of Life in Childhood Epilepsy Value Health 2019 22 822 828 10.1016/j.jval.2019.01.019
Weaver M.S. Darnall C. Bace S. Vail C. MacFadyen A. Wichman C. Trending Longitudinal Agreement between Parent and Child Perceptions of Quality of Life for Paediatric Palliative Care Patients Children 2018 4 8
Nelson K.E. Feinstein J.A. Gerhardt C.A. Rosenberg A.R. Widger K. Faerber J.A. Feudtner C. Emerging Methodologies in Paediatric Palliative Care Research: Six Case Studies Children 2018 5 32 10.3390/children5030032
Carnavale F.A. A thick conception of children’s voices: A hermeneutical Framework for childhood research Int. J. Qual. Res. 2020 19 1609406920933767 10.1177/1609406920933767
Carnavale F.A. A conceptual and moral analysis of suffering Nurs. Ethics 2009 16 174 183 10.1177/0969733008100076 19237471
Ribbers S. Wager J. Hartenstein-Pinter A. Zernikow B. Reuther M. Core outcome domains of paediatric palliative care for children with severe neurological impairment and their families: A qualitative interview study Palliat. Med. 2020 34 309 318 10.1177/0269216319885818 31680627
Sourkes B.M. Children’s Experience of Symptoms: Narratives through Words and Images Children 2018 5 53 10.3390/children5040053 29671836