The Quality of Life of Children Facing Life-Limiting Conditions and That of Their Parents in Belgium: A Cross-Sectional Study

Author:

Friedel Marie12ORCID,Aujoulat Isabelle3ORCID,Brichard Bénédicte4ORCID,Fonteyne Christine5ORCID,Renard Marleen6ORCID,Degryse Jean-Marie7ORCID

Affiliation:

1. Department of Life Sciences and Medicine (DLSM), Faculty of Sciences, Technology and Medicine (FSTM), University of Luxembourg, 4365 Esch-sur-Alzette, Luxembourg

2. Institute of Health and Society (IRSS), Université Catholique de Louvain, 1200 Brussels, Belgium

3. Faculty of Public Health, Université Catholique de Louvain, 1200 Brussels, Belgium

4. Interface Pédiatrique, Department of Paediatric Oncology and Haematology, Cliniques Universitaires St Luc, 1200 Brussels, Belgium

5. Globul’home, Hôpital Universitaire des Enfants Reine Fabiola, 1020 Brussels, Belgium

6. Kites, Department of Paediatric Oncology and Haematology, Universitair Ziekenhuis Leuven, 3000 Leuven, Belgium

7. Department of Public Health and Primary Care, Katholieke Universiteit Leuven, 3000 Leuven, Belgium

Abstract

Background: 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.

Funder

Fonds Marguerite-Marie Delacroix

Haute Ecole Léonard de Vinci

Fondation Louvain

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Reference52 articles.

1. IMPaCCT: Standards of paediatric palliative care;Craig;Schmerz,2008

2. World Health Organization (WHO) (2022, June 15). Definition of Palliative Care. Available online: https://www.who.int/cancer/palliative/definition/en/.

3. World Health Organization (1998). Definition of Quality of Life, WHO. Available online: https://www.who.int/healthinfo/survey/whoqolqualityoflife/en/.

4. Witt, J., Murtagh, F.E.M., de Wolf-Linder, S., Higginson, I.J., and Daveson, B.A. (2020, July 13). Introducing the Outcome Assessment and Complexity Collaborative (OACC) Suite of Measures. Available online: https://www.semanticscholar.org/paper/Introducing-the-Outcome-Assessment-and-Complexity-A/31741cef800aed424f1b9421997441de35453aa7.

5. Health-related quality-of-life outcome measures in paediatric palliative care: A systematic review of psychometric properties and feasibility of use;Coombes;Palliat. Med.,2016

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