The Great Ormond Street Hospital Top Child and Adolescent Health Study

Study Overview
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Brief Summary
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The Great Ormond Street Hospital (GOSH) Top child and adolescent health problems study aims to identify the top health concerns that parents/guardians and paediatricians in a tertiary hospital have for young people in England. 400 parents or guardians attending GOSH outpatients and 200 Paediatricians working at GOSH will be asked to rank a list of 30 child health concerns and results compared. Analysis will be done by demographics as well.

Detailed Description
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The GOSH Top child and adolescent health problems study aims to identify the top health concerns that parents/guardians and paediatricians in a tertiary hospital have for young people in England. The study will be surveying parents/guardians and paediatricians at Great Ormond Street Hospital (GOSH), asking them to review and give their impressions from a list of thirty common child and adolescent health issues. Analysis of responses will provide a list of problems that are most important and determine if respondents feel that the NHS England is adequately addressing these problems. The project was designed with public partnership. We conducted literature reviews, and adopted with permission, a survey instrument used by the C.S. Mott Children's Hospital National Poll in Michigan, USA. We asked some parents to list child and adolescent health problems that they deem most important. A consensus meeting with experts was held, to select the thirty most common and important public health issues for young people in England, from which the study will identify problems with the highest concern. This project and its intended outcomes will span medical, nursing, research and voluntary services that will improve child and adolescent healthcare provision the UK. The State of Child Health (SoCH) Report 2017 highlights indicators of child health problems across the four nations of the United Kingdom. There are some polls that were conducted in Australia and USA, investigating the top concerns for child health problems and thus providing a framework onto which to find solutions. The Royal Children's Hospital Melbourne through its National Child Health Poll established that that excessive screen time was the greatest parental concern, and that the top ten concerns related to modern lifestyle, mental health and child safety. Similarly, the C.S. Mott Children's Hospital National Poll on children's health selected a national sample of adults to identify health topics that are a big problem for children and teenagers. The 2017 report identified bullying/cyberbullying as the greatest concern. However there is no available evidence about studies being conducted in the United Kingdom to find out what parents/guardians and paediatricians report as the top child and adolescent health problems. The information would be valuable to the health professionals at the point of care, as well as the national healthcare system. This study analyses information from groups on both the supply and demand side of child and adolescent healthcare. Understanding the different perceptions of child and adolescent health problems between healthcare professionals and parents/guardians can lead to improved follow-up care and compliance with advice. Information from this study can be used as a basis for the establishment of a UK national poll that would further investigate public concerns for child health.

Official Title
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The Great Ormond Street Hospital Top Child and Adolescent Health Study

Conditions
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Adolescent Behavior, Child Behavior, Parents

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parents/Guardians attending GOSH NHS Foundation Trust Outpatients Paediatricians practicing at GOSH Exclusion Criteria: Parents/Guardians and Paediatricians outside the GOSH or NHS England Children aged under 18 years old Inpatients Parents/Guardians who cannot communicate in English and do not have an interpreter Participants who have previously responded to the questionnaire Outpatient coordinator or Nurse in Charge feels that the potential participant may be vulnerable, or have complex issues.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Parents/Guardians<br>Parents/Guardians aged over 18, attending Great Ormond Street Hospital Outpatients. Intervention: Administer questionnaire to review and decide on significance of each of 30 child health concerns | |
| Paediatricians<br>Paediatricians working at Great Ormond Street Hospital NHS Foundation Trust. Intervention: Administer questionnaire to review and decide on significance of each of 30 child health concerns | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Determination of Top 10 Child Health Concerns | Ranking of Top Child Health Concerns by Parents and Paediatricians, which will obtained by asking both groups to state on a 5-point Likert scale whether they strongly agree to strongly disagree on the significance of each of 30 child health concerns. This will enable determination of top 10 child health concerns | 12 Months | 
| Adequacy of NHS perceptions | Parents and Paediatricians are asked to decide if they think the NHS is adequately addressing adolescent and child health issues, on a 5-point Likert scale, from 'strongly agree' to 'strongly disagree' | 12 Months | 
| Determination of Top 3 information sources for parents and paediatricians | Parents and Paediatricians are asked to list their top three information sources, and these will be analysed to determine the three most common sources of information for each group. | 12 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent, Parental concerns, Child Health, Paediatrician Concerns