Development and psychometric validation of the family-centered multidimensional outcome measure for pediatric palliative care targeted to children with severe neurological impairmentis—A multicenter prospective study
| Autor: | Benedikt B. Claus, Mandira Reuther, Julia Wager, Sophie Pelke, Boris Zernikow |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Palliative care Psychometrics factor analysis patient-centered outcome research Outcome (game theory) 03 medical and health sciences 0302 clinical medicine 030502 gerontology Germany Surveys and Questionnaires Outcome Assessment Health Care questionnaire design medicine Humans Prospective Studies Child Intensive care medicine Prospective cohort study outcome measure business.industry Palliative Care Outcome measures Reproducibility of Results General Medicine Pediatric palliative care pediatric multicenter study Anesthesiology and Pain Medicine Multicenter study 030220 oncology & carcinogenesis Original Article 0305 other medical science business prospective study |
| Zdroj: | Palliative Medicine |
| ISSN: | 1477-030X 0269-2163 |
| Popis: | Background: Comprehensive outcome measurement in pediatric palliative care focusing on the entire unit of care, that is, the affected child and its family, is crucial to depict treatment effects. Despite its increasing relevance, no appropriate multidimensional outcome measures exist for the largest patient group in this field, namely children with severe neurological impairments. Aim: The aim of this study was to develop and validate a family-centered multidimensional outcome measure for pediatric palliative care patients with severe neurological impairment that encompasses the entire unit of care. Design: Based on results of a qualitative study, the questionnaire was developed by consensus-based generation of questions. It was validated in a multicenter prospective study employing exploratory and confirmatory factor analyses as well as reliability and item analyses. Setting: A total of 11 pediatric palliative care teams across Germany aided in the recruitment of study participants. Questionnaires were answered by 149 parents of children with severe neurological impairment and 157 professional caregivers. Results: The exploratory factor analysis of parent data revealed a 6-factor structure of the questionnaire representing: symptoms, the child’s social participation, normalcy, social support, coping with the disease and caregiver’s competencies. This structure was verified by a confirmatory factor analysis of professional caregiver data. Five separate items regarding siblings, partners, and further symptoms not applicable for all patients were added to ensure full multidimensionality. Conclusion: A validated outcome tool for severely neurologically impaired pediatric palliative care patients, the FACETS-OF-PPC, now exists. Due to its concise length and appropriate psychometric properties, it is well suited for clinical application. |
| Databáze: | OpenAIRE |
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