{"id":6030,"date":"2015-10-13T08:58:09","date_gmt":"2015-10-13T08:58:09","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=6030"},"modified":"2015-10-13T09:00:19","modified_gmt":"2015-10-13T09:00:19","slug":"what-matters-to-children-with-cfsme-devising-a-prom","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/what-matters-to-children-with-cfsme-devising-a-prom\/","title":{"rendered":"What matters to children with CFS\/ME? devising a PROM"},"content":{"rendered":"<h3>Research abstract:<\/h3>\n<p>Background:<br \/>\nPaediatric chronic fatigue syndrome (CFS)\/myalgic encephalomyelitis\u00a0(ME) is relatively common and disabling. Research is hampered because\u00a0current <a href=\"http:\/\/www.nhs.uk\/NHSEngland\/thenhs\/records\/proms\/Pages\/aboutproms.aspx\" target=\"_blank\">patient-reported outcome measures<\/a> (PROMs) do not capture\u00a0outcomes that are important to children with CFS\/ME.<\/p>\n<p>Aim<br \/>\nThe aim of this study was to explore the aspects of life and health\u00a0outcomes that matter to children with CFS\/ME.<\/p>\n<p>Methods<br \/>\nTwenty-five children with CFS\/ME were interviewed (11 males, 14\u00a0females; mean age 12.9 years (SD 2.2), range 8-17). Twelve were\u00a0trial participants interviewed during the trial and 13 were recruited\u00a0as part of a follow-up qualitative study.<\/p>\n<p>Parents were present in 19\u00a0interviews with their children. Three mothers participated in a focus\u00a0group. All the interviews and the focus group were audio-recorded and\u00a0transcribed. Data were analysed thematically using techniques of\u00a0constant comparison. NVivo was used to structure and categorise data\u00a0in a systematic way.<\/p>\n<p>Results<br \/>\nChildren identified four key themes (health outcome domains):\u00a0 &#8216;symptoms&#8217; that fluctuated, which caused an unpredictable reduction in\u00a0both &#8216;physical activity&#8217; and &#8216;social participation&#8217; all of which\u00a0impacted on &#8217;emotional well-being&#8217;.<\/p>\n<p>These domains were influenced by\u00a0both &#8216;management&#8217; and &#8216;contextual factors&#8217;, which could be positive\u00a0 and negative. The relationship between healthcare and school was<br \/>\nconsidered pivotal.<\/p>\n<p>Conclusions<br \/>\nChildren&#8217;s descriptions helped to inform a conceptual model that is\u00a0necessary to develop a new paediatric CFS\/ME PROM. Doctors need to be\u00a0aware of how children conceptualise CFS\/ME; the relationship between\u00a0healthcare and school is fundamental to ameliorate the impact of CFS\/ME.<\/p>\n<p><a href=\"http:\/\/adc.bmj.com\/content\/early\/2015\/10\/09\/archdischild-2015-308831.full\" target=\"_blank\">What matters to children with CFS\/ME? A conceptual model as the first stage in developing a PROM<\/a>, by\u00a0Roxanne Parslow, Aarti Patel, Lucy Beasant, Kirstie<br \/>\nHaywood, Debbie Johnson, Esther Crawley\u00a0in\u00a0<em>Archives of Disease in Childhood<\/em>, [Published Online\u00a0 9 October 2015]<\/p>\n<p>Trial registration number ISRCTN81456207<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research abstract: Background: Paediatric chronic fatigue syndrome (CFS)\/myalgic encephalomyelitis\u00a0(ME) is relatively common and disabling. Research is hampered because\u00a0current patient-reported outcome measures (PROMs) do not capture\u00a0outcomes that are important to children with CFS\/ME. Aim The aim of this study was to &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/what-matters-to-children-with-cfsme-devising-a-prom\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[625,257,416,2128,24,25,427],"class_list":["post-6030","post","type-post","status-publish","format-standard","hentry","category-news","tag-adolescents","tag-children","tag-dr-esther-crawley","tag-illness-experience","tag-patient-reported-outcome-measures","tag-proms","tag-teenagers"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-1zg","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/6030","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=6030"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/6030\/revisions"}],"predecessor-version":[{"id":6037,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/6030\/revisions\/6037"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=6030"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=6030"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=6030"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}