TY - JOUR
T1 - Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome
AU - Murphy, Nada
AU - Epstein, Amy
AU - Leonard, Helen
AU - Davis, Elise
AU - Reddihough, DInah
AU - Whitehouse, Andrew
AU - Jacoby, Peter
AU - Bourke, Jenny
AU - Williams, Katrina
AU - Downs, Jenny
PY - 2017/1/1
Y1 - 2017/1/1
N2 - 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.
AB - 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.
KW - Index terms: Down Syndrome
KW - intellectual disability
KW - qualitative research
KW - quality of life
UR - http://www.scopus.com/inward/record.url?scp=85009820384&partnerID=8YFLogxK
U2 - 10.1097/DBP.0000000000000385
DO - 10.1097/DBP.0000000000000385
M3 - Article
C2 - 28092296
AN - SCOPUS:85009820384
SN - 0196-206X
VL - 38
SP - 161
EP - 168
JO - Journal of Developmental & Behavioral Pediatrics
JF - Journal of Developmental & Behavioral Pediatrics
IS - 2
ER -