Ranking Future Outcomes Most Important to Parents of Children with Bronchopulmonary Dysplasia - 22/08/23
Abstract |
Objective |
To assess which potential future outcomes are most important to parents of children with bronchopulmonary dysplasia, a disease that affects future respiratory, medical, and developmental outcomes for children born preterm.
Study design |
We recruited parents from 2 children's hospitals' neonatal follow-up clinics and elicited their importance rating for 20 different potential future outcomes associated with bronchopulmonary dysplasia. These outcomes were identified and selected through a literature review and discussions with panels of parents and clinician stakeholders, via a discrete choice experiment.
Results |
One hundred and 5 parents participated. Overall, parents ranked “Will my child be more vulnerable to other problems because of having lung disease?” as the most important outcome, with other respiratory health related outcomes also highly ranked. Outcomes related to child development and effects on the family were among the lowest ranked. Individually, parents rated outcomes differently, resulting in a broad distribution of importance scores for many of the outcomes.
Conclusions |
The overall rankings suggest that parents prioritize future outcomes related to physical health and safety. Notably, for guiding research, some top-rated outcomes are not traditionally measured in outcome studies. For guiding individual counseling, the broad distribution of importance scores for many outcomes highlights the extent to which parents differ in their prioritization of outcomes.
Le texte complet de cet article est disponible en PDF.Keywords : ethics/bioethics, neonatology, pulmonology
Abbreviations : BPD, NICU, DCE, CHOP
Plan
This study was supported by T32 Training Grant No. HG009496 from the National Human Genome Research Institute (K.P.C.), a Marshall Klaus Clinical Research Award (K.P.C.), and the Ohio Perinatal Research Network (OPRN) at Nationwide Children's Hospital (M.J.K.). |
Vol 259
Article 113455- août 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?