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Quality of Life of Children Born with Anomalies and Their Families

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (30 April 2024) | Viewed by 7941

Special Issue Editors


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Guest Editor
1. Associate Professor, Department of Pediatric Surgery, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, 416 85 Gothenburg, Sweden
2. Department of Pediatrics, Institute of Clinical Sciences, The Queen Silvia Children’s Hospital, Gothenburg University, 416 86 Gothenburg, Sweden
Interests: patient reported outcomes; health psychology; quality of life; mental health; congenital abnormalities; pediatric surgery and urology; coping; psychological adaptation; psychometrics; children and youth; child development; family studies; psychology of adolescence; nursing

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Guest Editor
Associate Professor, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, D-20246 Hamburg, Germany
Interests: health psychology; child development; pedagogy and education; early childhood education; quality of life research; adolescent development; developmental psychopathology; young adults; youth development; psychology of adolescence; psychological assessment; health-related quality of life; patient reported outcomes; family studies; social development

Special Issue Information

Dear Colleagues,

The World Health Organization has defined congenital anomalies as one of the main causes of the global burden of disease, and low- and middle-income countries are disproportionately affected. Congenital anomalies, which refers to structural or functional anomalies which take place during intrauterine life, affect an estimated 5-6% of babies. They can range from very mild to severe. Congenital anomalies can be isolated or present in a characteristic combination or pattern that may affect one or more organ systems. Major anomalies are associated with an increased risk of death, medical and/or surgical healthcare needs and impacts on physical appearance. Generally, in the last few decades, the survival rates of children with serious congenital anomalies have improved. A surviving child’s condition may affect the way they develop, function and look—in some cases, for the rest of their lives. Becoming a parent to a sick newborn with possible long-term healthcare needs is associated with elevated stress levels. The caregiver’s response to their child’s needs is an essential factor contributing to the child’s psychological development and health. This creates the need for a good healthcare system, school and society which can respond to their needs and promote a good quality of life.

Quality of life (QOL) refers to an individual’s perception of their position in life in the context of the culture and value system where they live. The concept is multidimensional and covers physical, social, and psychological functioning and well-being. In the field of healthcare, it is referred to as health-related quality of life (HRQOL), and improving quality of life is a major goal of therapy in children today. Whereas generic QOL/HRQOL instruments enable comparisons between an affected child and healthy references or other clinical populations, a condition-specific QOL instrument captures issues that are more relevant to a specific condition/disease. QOL can be affected by clinical factors, psychological adaptation, socioeconomic standards, family functioning and more. Although self-report is regarded as primary source of information, parents generally act as proxies for children, complementary to child-reports or solely due to the young age or health state of those who are not able to respond themselves.

This Special Issue warmly welcomes all articles aiming to increase our understanding of QOL/HRQOL in children and adolescents with congenital malformations and their families. The children may have structural or functional anomalies which are rare and more frequent. The study may have a methodological, clinical, prognostic, observational, comparative, or qualitative design, or any other focus. We would be glad to receive research from different parts of the world, with lower–middle- and high-income countries being represented.

Dr. Michaela Dellenmark-Blom
Dr. Julia H. Quitmann
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • quality of life
  • health-related quality of life
  • patient-reported outcome
  • coping
  • adaptation
  • psychometry
  • health psychology
  • congenital anomaly
  • malformation
  • rare disease

Published Papers (4 papers)

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Research

12 pages, 610 KiB  
Article
Psychometric Performance of the Stony Brook Scar Evaluation Scale and SCAR-Q Questionnaire in Dutch Children after Pediatric Surgery
by Chantal A. Ten Kate, Hilde J. H. Koese, M. Jenda Hop, André B. Rietman, René M. H. Wijnen, Marijn J. Vermeulen and Claudia M. G. Keyzer-Dekker
Int. J. Environ. Res. Public Health 2024, 21(1), 57; https://doi.org/10.3390/ijerph21010057 - 30 Dec 2023
Viewed by 1618
Abstract
Introduction: The growing population of survivors following pediatric surgery emphasizes the importance of long-term follow-up. The impact of surgical scars on daily life can be evaluated through patient-reported outcome measurements. The Stony Brook Scar Evaluation Scale (SBSES) and SCAR-Q questionnaire are two interesting [...] Read more.
Introduction: The growing population of survivors following pediatric surgery emphasizes the importance of long-term follow-up. The impact of surgical scars on daily life can be evaluated through patient-reported outcome measurements. The Stony Brook Scar Evaluation Scale (SBSES) and SCAR-Q questionnaire are two interesting instruments for this purpose. We evaluated their psychometric performance in Dutch children after pediatric surgery. Methods: After English–Dutch translation, we evaluated—following the COSMIN guidelines—the feasibility, reliability (internal and external), and validity (construct, criterion, and convergent) of the SBSES and SCAR-Q in Dutch patients < 18 years old with surgical scars. Results: Three independent observers completed the SB for 100 children (58% boys, median age 7.3 (IQR 2.5–12.1) years) in whom surgery had been performed a median of 2.8 (0.5–7.9) years ago. Forty-six of these children (61% boys, median age 12.1 (9.3–16.2) years) completed the SCAR-Q. Feasibility and internal reliability (Cronbach’s alpha > 0.7) was good for both instruments. For the SB, external reliability was poor to moderate (interobserver variability: ICC 0.46–0.56; intraobserver variability: ICC 0.74). For the SCAR-Q, external reliability was good (test–retest agreement: ICC 0.79–0.93). Validity tests (construct, criterion, and convergent) showed poor to moderate results for both instruments. Conclusions: The Dutch-translated SBSES and SCAR-Q showed good feasibility and internal reliability. External reliability and validity were likely affected by differences in conceptual content between the questionnaires. Combining them would provide insight in the impact of scars on patients. Implementation of these instruments in longitudinal follow-up programs could provide new insights into the long-term psychological outcome after pediatric surgery. Full article
(This article belongs to the Special Issue Quality of Life of Children Born with Anomalies and Their Families)
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13 pages, 1153 KiB  
Article
The Impact of Podiatric Intervention on the Quality of Life and Pain in Children and Adolescents with Hypermobility
by Muhammad Maarj, Verity Pacey, Louise Tofts, Matthew Clapham and Andrea Coda
Int. J. Environ. Res. Public Health 2023, 20(17), 6623; https://doi.org/10.3390/ijerph20176623 - 22 Aug 2023
Viewed by 3083
Abstract
The purpose of this study was to evaluate the effect of custom-made orthotics on pain, health-related quality of life (HRQoL), function and fatigue in children and adolescents with generalised joint hypermobility (GJH) and lower limb pain. Fifty-three children aged 5–18 years were fitted [...] Read more.
The purpose of this study was to evaluate the effect of custom-made orthotics on pain, health-related quality of life (HRQoL), function and fatigue in children and adolescents with generalised joint hypermobility (GJH) and lower limb pain. Fifty-three children aged 5–18 years were fitted with custom-made polypropylene orthotics. Visual analogue scale (VAS) assessed lower limb pain severity, Paediatric Quality of Life Inventory assessed HRQoL and fatigue and six-minute walk test (6 MWT) measured functional endurance at baseline, at 1 month and 3 months post-intervention. A mixed model including a random intercept for participant and a fixed effect for time was used to assess differences in outcomes over time. Fifty-two children completed the study (mean age 10.6-years). Children reported significantly reduced pain (mean VAS reduction −27/100, 95%CI: −33, −21), improved HRQoL (mean total improvement 11/100, 95%CI: 7, −15), functional capacity (mean 6MWT improvement 27 m, 95%CI: 18, −36) and fatigue (mean total improvement 13/100, 95%CI: 9, −17) after 1 month of wearing the custom-made orthotics. From 1 month to 3 months there was further statistically but not clinically significant reduction in pain while benefit on other outcomes was maintained. In this study, children with GJH reported reduced lower limb pain, improved HRQoL, functional endurance and fatigue after a month post-fitting of custom-made orthotics which was maintained over a 3 month period. Orthotics were well-tolerated with no serious adverse events reported. Full article
(This article belongs to the Special Issue Quality of Life of Children Born with Anomalies and Their Families)
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15 pages, 549 KiB  
Article
Caring for a Child with Congenital Adrenal Hyperplasia Diagnosed by Newborn Screening: Parental Health-Related Quality of Life, Coping Patterns, and Needs
by Laura Rautmann, Stefanie Witt, Christoph Theiding, Birgit Odenwald, Uta Nennstiel-Ratzel, Helmuth-Günther Dörr and Julia Hannah Quitmann
Int. J. Environ. Res. Public Health 2023, 20(5), 4493; https://doi.org/10.3390/ijerph20054493 - 03 Mar 2023
Cited by 2 | Viewed by 1539
Abstract
Diagnosing a child by newborn screening with classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency (CAH) causes multiple challenges for the affected parents and the whole family. We aimed to examine the health-related Quality of Life (HrQoL), coping, and needs of parents caring [...] Read more.
Diagnosing a child by newborn screening with classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency (CAH) causes multiple challenges for the affected parents and the whole family. We aimed to examine the health-related Quality of Life (HrQoL), coping, and needs of parents caring for a child with CAH to develop demand-responsive interventions for improving the psychosocial situation of affected families. In a retrospective cross-sectional design, we assessed HrQoL, coping patterns, and the needs of parents caring for a CAH-diagnosed child using specific questionnaires. Data of 59 families with at least one child diagnosed with CAH were analyzed. The results show that mothers and fathers in this study reached significantly higher HrQoL scores compared to reference cohorts. Decisive for the above-average parental HrQoL were effective coping behaviors and the parental needs being met. These findings verify the importance of helpful coping patterns and rapid fulfillment of parental needs for maintaining a good and stable HrQoL of parents with a child diagnosed with CAH. It is crucial to strengthen the parental HrQoL to build a reasonable basis for a healthy upbringing and improve the medical care of CAH-diagnosed children. Full article
(This article belongs to the Special Issue Quality of Life of Children Born with Anomalies and Their Families)
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13 pages, 1525 KiB  
Article
The Chinese Mandarin Version of the Esophageal-Atresia-Quality-of-Life Questionnaires for Children and Adolescents: Evaluation of Linguistic and Content Validity
by Siqi Li, Michaela Dellenmark-Blom, Yong Zhao, Yichao Gu, Shuangshuang Li, Shen Yang, Julia H. Quitmann and Jinshi Huang
Int. J. Environ. Res. Public Health 2022, 19(22), 14923; https://doi.org/10.3390/ijerph192214923 - 13 Nov 2022
Cited by 6 | Viewed by 1038
Abstract
Background: After repair of esophageal atresia (EA), children risk digestive and respiratory morbidity, but knowledge of their health-related quality of life (HRQOL) in China is lacking. The EA-QOL questionnaires were developed in Sweden and Germany to evaluate condition-specific HRQOL in children with EA [...] Read more.
Background: After repair of esophageal atresia (EA), children risk digestive and respiratory morbidity, but knowledge of their health-related quality of life (HRQOL) in China is lacking. The EA-QOL questionnaires were developed in Sweden and Germany to evaluate condition-specific HRQOL in children with EA aged 2–7 and 8–17. This study aimed to evaluate the linguistic and content validity of the Chinese Mandarin version of the EA-QOL questionnaires. Methods: The procedure was conducted in compliance with international standards, including a forward-backward translation procedure, expert reviews, and cognitive debriefing interviews with 14 Chinese families of children with EA (parents of 8 children aged 2–7/6 children aged 8–17 and their parents). Results: Following forward-backward translation, minor issues were identified and solved. In interviews, all participants rated all EA-QOL items easy to understand, none expressed negative emotions about them and most described them comprehensive and relevant for EA. Leading from cognitive debriefing, three EA-QOL items in the questionnaire version for children aged 2–7 and three EA-QOL items in the questionnaire version for children aged 8–17 were modified in the Chinese language to improve cultural appropriateness and/or clarity. Conclusion: The Chinese Mandarin version of the EA-QOL questionnaires achieved satisfactory linguistic and content validity. This can help increase focus of HRQOL in research and clinical practice of children with EA in China. Full article
(This article belongs to the Special Issue Quality of Life of Children Born with Anomalies and Their Families)
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