Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome

Objective: There are many challenges to health, functioning, and participation for children with Down syndrome; yet, the quality-of-life (QOL) domains important for this group have never been clearly articulated. This study investigated parental observations to identify QOL domains in children with...

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Main Authors: Murphy, N., Epstein, A., Leonard, H., Davis, E., Reddihough, D., Whitehouse, A., Jacoby, P., Bourke, J., Williams, K., Downs, Jennepher
Format: Journal Article
Published: Lippincott Williams & Wilkins 2017
Online Access:http://hdl.handle.net/20.500.11937/51374
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author Murphy, N.
Epstein, A.
Leonard, H.
Davis, E.
Reddihough, D.
Whitehouse, A.
Jacoby, P.
Bourke, J.
Williams, K.
Downs, Jennepher
author_facet Murphy, N.
Epstein, A.
Leonard, H.
Davis, E.
Reddihough, D.
Whitehouse, A.
Jacoby, P.
Bourke, J.
Williams, K.
Downs, Jennepher
author_sort Murphy, N.
building Curtin Institutional Repository
collection Online Access
description Objective: There are many challenges to health, functioning, and participation for children with Down syndrome; yet, the quality-of-life (QOL) domains important for this group have never been clearly articulated. This study investigated parental observations to identify QOL domains in children with Down syndrome and determined whether domains differed between children and adolescents. Methods: The sample comprised 17 families whose child with Down syndrome was aged 6 to 18 years. Primary caregivers took part in semistructured telephone interviews to explore aspects of their child's life that were satisfying or challenging. Qualitative thematic analysis was implemented using a grounded theory framework to identify domains. The coded data set was divided into 2 groups (childhood and adolescence) at 3 age cut points to observe whether differences existed between the coded domains and domain elements: (1) 6 to 11 years with 12 to 18 years; (2) 6 to 13 years with 14 to 18 years; and (3) 6 to 15 years with 16 to 18 years. Results: Eleven domains were identified: physical health, behavior and emotion, personal value, communication, movement and physical activity, routines and predictability, independence and autonomy, social connectedness and relationships, variety of activities, nature and outdoors, and access to services. No differences in domains and domain elements were identified across childhood and adolescence. Conclusion: Our data form a preliminary framework from which to design investigations of the child's perspectives on life quality and suggest a range of necessary supports and services.
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spelling curtin-20.500.11937-513742018-04-12T01:14:45Z Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome Murphy, N. Epstein, A. Leonard, H. Davis, E. Reddihough, D. Whitehouse, A. Jacoby, P. Bourke, J. Williams, K. Downs, Jennepher Objective: There are many challenges to health, functioning, and participation for children with Down syndrome; yet, the quality-of-life (QOL) domains important for this group have never been clearly articulated. This study investigated parental observations to identify QOL domains in children with Down syndrome and determined whether domains differed between children and adolescents. Methods: The sample comprised 17 families whose child with Down syndrome was aged 6 to 18 years. Primary caregivers took part in semistructured telephone interviews to explore aspects of their child's life that were satisfying or challenging. Qualitative thematic analysis was implemented using a grounded theory framework to identify domains. The coded data set was divided into 2 groups (childhood and adolescence) at 3 age cut points to observe whether differences existed between the coded domains and domain elements: (1) 6 to 11 years with 12 to 18 years; (2) 6 to 13 years with 14 to 18 years; and (3) 6 to 15 years with 16 to 18 years. Results: Eleven domains were identified: physical health, behavior and emotion, personal value, communication, movement and physical activity, routines and predictability, independence and autonomy, social connectedness and relationships, variety of activities, nature and outdoors, and access to services. No differences in domains and domain elements were identified across childhood and adolescence. Conclusion: Our data form a preliminary framework from which to design investigations of the child's perspectives on life quality and suggest a range of necessary supports and services. 2017 Journal Article http://hdl.handle.net/20.500.11937/51374 10.1097/DBP.0000000000000385 Lippincott Williams & Wilkins fulltext
spellingShingle Murphy, N.
Epstein, A.
Leonard, H.
Davis, E.
Reddihough, D.
Whitehouse, A.
Jacoby, P.
Bourke, J.
Williams, K.
Downs, Jennepher
Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
title Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
title_full Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
title_fullStr Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
title_full_unstemmed Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
title_short Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
title_sort qualitative analysis of parental observations on quality of life in australian children with down syndrome
url http://hdl.handle.net/20.500.11937/51374