Cargando…

Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception

BACKGROUND: While data for preterm children health-related quality of life are available, there are little data on the perception of health-related quality of life evaluation by physicians who manage preterm children, or its use in real life and decision making. The aim of this qualitative study is...

Descripción completa

Detalles Bibliográficos
Autores principales: Einaudi, Marie-Ange, Simeoni, Marie-Claude, Gire, Catherine, Le Coz, Pierre, Condopoulos, Sophie, Auquier, Pascal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484073/
https://www.ncbi.nlm.nih.gov/pubmed/23017005
http://dx.doi.org/10.1186/1477-7525-10-122
_version_ 1782248095261655040
author Einaudi, Marie-Ange
Simeoni, Marie-Claude
Gire, Catherine
Le Coz, Pierre
Condopoulos, Sophie
Auquier, Pascal
author_facet Einaudi, Marie-Ange
Simeoni, Marie-Claude
Gire, Catherine
Le Coz, Pierre
Condopoulos, Sophie
Auquier, Pascal
author_sort Einaudi, Marie-Ange
collection PubMed
description BACKGROUND: While data for preterm children health-related quality of life are available, there are little data on the perception of health-related quality of life evaluation by physicians who manage preterm children, or its use in real life and decision making. The aim of this qualitative study is to highlight among physicians, themes of reflection about health-related quality of life in extremely preterm children (less than 28 weeks’ gestation). METHODS: Focus groups at a French University Hospital with physicians who manage extremely preterm children: obstetricians, intensive care physicians, neonatal physicians and paediatric neurologists. The focus groups allowed the participants to discuss (drawing on their personal experience), three principal topics regarding the health-related quality of life of preterm children: representation, expectations in daily practice and evaluation method. RESULTS: We included fourteen participants in the three focus groups. Many themes emerged from the focus groups: approaches for defining health-related quality of life and difficulties of utilization, the role that health-related quality of life should have in the system of care, the problem of standards and evidence-based decision making. Physicians had difficulties with taking positions regarding this concept. There were no differences by gender, age or seniority, but points of view varied by specialty and type of practice. Physicians who had longer specialized care for extremely preterm children were more sensitive to the impact of preterm complications on health-related quality of life. CONCLUSIONS: This study provides preliminary results about physicians’ perspective on the health-related quality of life of extremely preterm children. The themes emerged from the focus groups are classically described in other domains but not all in so clear a way (definition, interests and limits, ethical reflection). This approach was never developed in the field of prematurity with well-knowed consequences on quality of life. These results require to be confirmed on a larger representative sample. The themes and questions of this broad opinion survey will rest on the information issued from our preliminary interviews.
format Online
Article
Text
id pubmed-3484073
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34840732012-10-31 Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception Einaudi, Marie-Ange Simeoni, Marie-Claude Gire, Catherine Le Coz, Pierre Condopoulos, Sophie Auquier, Pascal Health Qual Life Outcomes Research BACKGROUND: While data for preterm children health-related quality of life are available, there are little data on the perception of health-related quality of life evaluation by physicians who manage preterm children, or its use in real life and decision making. The aim of this qualitative study is to highlight among physicians, themes of reflection about health-related quality of life in extremely preterm children (less than 28 weeks’ gestation). METHODS: Focus groups at a French University Hospital with physicians who manage extremely preterm children: obstetricians, intensive care physicians, neonatal physicians and paediatric neurologists. The focus groups allowed the participants to discuss (drawing on their personal experience), three principal topics regarding the health-related quality of life of preterm children: representation, expectations in daily practice and evaluation method. RESULTS: We included fourteen participants in the three focus groups. Many themes emerged from the focus groups: approaches for defining health-related quality of life and difficulties of utilization, the role that health-related quality of life should have in the system of care, the problem of standards and evidence-based decision making. Physicians had difficulties with taking positions regarding this concept. There were no differences by gender, age or seniority, but points of view varied by specialty and type of practice. Physicians who had longer specialized care for extremely preterm children were more sensitive to the impact of preterm complications on health-related quality of life. CONCLUSIONS: This study provides preliminary results about physicians’ perspective on the health-related quality of life of extremely preterm children. The themes emerged from the focus groups are classically described in other domains but not all in so clear a way (definition, interests and limits, ethical reflection). This approach was never developed in the field of prematurity with well-knowed consequences on quality of life. These results require to be confirmed on a larger representative sample. The themes and questions of this broad opinion survey will rest on the information issued from our preliminary interviews. BioMed Central 2012-09-28 /pmc/articles/PMC3484073/ /pubmed/23017005 http://dx.doi.org/10.1186/1477-7525-10-122 Text en Copyright ©2012 Einaudi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Einaudi, Marie-Ange
Simeoni, Marie-Claude
Gire, Catherine
Le Coz, Pierre
Condopoulos, Sophie
Auquier, Pascal
Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
title Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
title_full Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
title_fullStr Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
title_full_unstemmed Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
title_short Preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
title_sort preterm children quality of life evaluation: a qualitative study to approach physicians’ perception
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484073/
https://www.ncbi.nlm.nih.gov/pubmed/23017005
http://dx.doi.org/10.1186/1477-7525-10-122
work_keys_str_mv AT einaudimarieange pretermchildrenqualityoflifeevaluationaqualitativestudytoapproachphysiciansperception
AT simeonimarieclaude pretermchildrenqualityoflifeevaluationaqualitativestudytoapproachphysiciansperception
AT girecatherine pretermchildrenqualityoflifeevaluationaqualitativestudytoapproachphysiciansperception
AT lecozpierre pretermchildrenqualityoflifeevaluationaqualitativestudytoapproachphysiciansperception
AT condopoulossophie pretermchildrenqualityoflifeevaluationaqualitativestudytoapproachphysiciansperception
AT auquierpascal pretermchildrenqualityoflifeevaluationaqualitativestudytoapproachphysiciansperception