Person-centred care is a core health value of modern health care (1). The overarching aim of the Children’s Palliative care Outcome Scale (C-POS) is to develop(2-11) and validate (12-13) a person-centred outcome measure for children and young people and their families affected by life-limiting and life-threatening conditions. A recent systematic review has highlighted that no measures suitable for use in this population currently exist (14). In addition, the development of such a measure has been highlighted as an international research priority (11,15). The C-POS research programme draws together a unique multidisciplinary collaboration to addresses a current gap in both methods and evidence. This research brings together families, researchers, health and social care professionals and champions children’s voices in the research (16), rather than relying on proxy data. The C-POS tools that have been developed in sub-Saharan (9-11,13) Africa and the UK(2-8,12) will be the first fully validated children and family centred outcome measure for use in paediatric palliative care. Once robust testing and evaluation of the C-POS tools has been completed, they can be implemented into routine clinical practice which if used regularly to measure and document change in patient’s status, can inform and improve care for children and young people with life-limiting and life-threatening illnesses. However, in order for C-POS to improve patient outcomes, the implementation must be carefully considered (11-17).
To better understand implementation, a systematic review was conducted to identify barriers and facilitators to implementing outcome measures in paediatric healthcare settings globally (18). This informed a subsequent qualitative interview study to better identify barriers and facilitators that were specific to implementation of outcome measures in paediatric palliative care (19). These findings informed the development of a Theory of Change through workshops (20-21) from which an implementation plan was developed 22). One of the key strategies identified was educating professionals, children and families on the benefit outcome measures have on patient care. Parents in the workshops felt this information would be best communicated through short videos and so we set out to develop short videos in collaboration with parent patient and public involvement members based on the potential benefits identified in the previous research. We developed two videos: one for healthcare professionals and one for family members.
These videos can be found on the King’s College London Cicley Saunders Institute YouTube channel: https://www.youtube.com/user/csikcl
For family members: https://www.youtube.com/watch?v=0UMJdSAzz9U
For healthcare professionals: https://www.youtube.com/watch?v=wNeOWqFkz-Q
You can find more information about the family of Palliative care Outcome Scales (POS) here
References for Further Reading
- Coulter, A. and J. Oldham, Person-centred care: what is it and how do we get there? Future Hospital Journal, 2016. 3(2): p. 114-116
- Bristowe, K., et al., ‘My life is a mess but I cope’: An analysis of the language children and young people use to describe their own life-limiting or life-threatening condition. Palliative Medicine, 2024. 38(3): p. 379-388
- Coombes, L., et al., Design and Administration of Patient-Centred Outcome Measures: The Perspectives of Children and Young People with Life-Limiting or Life-Threatening Conditions and Their Family Members. The Patient – Patient-Centered Outcomes Research, 2023.
- Scott, H.M., et al., Spiritual, religious, and existential concerns of children and young people with life-limiting and life-threatening conditions: A qualitative interview study. Palliative Medicine, 2023. 37(6): p. 856-865
- Coombes, L., et al., Achieving consensus on priority items for paediatric palliative care outcome measurement: Results from a modified Delphi survey, engagement with a children’s research involvement group and expert item generation. Palliative Medicine, 2023.
- Scott, H.M., et al., COVID-19: impact on pediatric palliative care. Journal of Pain and Symptom Management, 2022
- Coombes, L., et al., Achieving child-centred care for children and young people with life-limiting and life-threatening conditions : a qualitative interview study. European journal of pediatrics, 2022
- Coombes, L., et al., Enhancing validity, reliability and participation in self-reported health outcome measurement for children and young people: a systematic review of recall period, response scale format, and administration modality. Quality of Life Research, 2021
- Namisango, E., et al., Towards person-centred quality care for children with life-limiting and life-threatening illness: Self-reported symptoms, concerns and priority outcomes from a multi-country qualitative study. Palliative Medicine, 2020. 34(3): p. 319-335
- Namisango, E., et al., Symptoms and Concerns Among Children and Young People with Life-Limiting and Life-Threatening Conditions: A Systematic Review Highlighting Meaningful Health Outcomes. The Patient – Patient-Centered Outcomes Research, 2019. 12(1): p. 15-55
- Downing, J., E. Namisango, and R. Harding, Outcome measurement in paediatric palliative care: lessons from the past and future developments. Annals of Palliative Medicine, 2018. 7(S3): p. S151-S163.
- Coombes, L., et al., Cognitive testing of the Children’s Palliative Outcome Scale (C-POS) with children, young people and their parents/carers. Palliative Medicine, 2024. 0(0): p. 02692163241248735.
- Namisango, E., et al., Face and content validity, acceptability, feasibility, and implementability of a novel outcome measure for children with life-limiting or life-threatening illness in three sub-Saharan African countries. Palliative Medicine, 2022. 36(7): p. 1140-1153.
- Coombes, L.H., et al., Health-related quality-of-life outcome measures in paediatric palliative care: A systematic review of psychometric properties and feasibility of use. Palliative Medicine, 2016. 30(10): p. 935-949.
- Varni, J.W., T.M. Burwinkle, and M.M. Lane, Health-related quality of life measurement in pediatric clinical practice: An appraisal and precept for future research and application. Health and Quality of Life Outcomes, 2005. 3(1): p. 34.
- Coombes, L., et al., Enabling Children and Young People to Take Patient and Public Involvement Roles in Paediatric Palliative Care Research, in 12th World Research Congress of the European Association for Palliative Care. 2022, Palliative Medicine: Online. p. 55-6.
- Harding, R., L. Chambers, and M. Bluebond-Langner, Advancing the science of outcome measurement in paediatric palliative care. International Journal of Palliative Nursing, 2019. 25(2): p. 72-79.
- Scott, H.M., et al., Implementation of child-centred outcome measures in routine paediatric healthcare practice: a systematic review. Health and Quality of Life Outcomes, 2023. 21(1): p. 63.
- Scott, H.M., et al., What are the anticipated benefits, risks, barriers and facilitators to implementing person-centred outcome measures into routine care for children and young people with life-limiting and life-threatening conditions? A qualitative interview study with key.Palliative Medicine, 2024.
- Scott, H., et al., P62: Developing a theory of change for implementing the novel UK Children’s Palliative care Outcome Scale (C-POS:UK) into routine paediatric palliative care, in 6th UK and Ireland implementation science research conference. 2024, Implementation Science: Limerick. p. 28-29.
- Scott, H., et al., 301: Implementation of Person-centred Outcome Measures forChildren with Life-limiting Conditions, in 13th World Research Congressof the European Association for Palliative Care. 2024, Palliative Medicine: Barcelona. p. 195.
- Scott, H., et al., Developing an implementation plan for a novel person-centred outcome measure for children and young people with life-limiting and life-threatening conditions, in Palliative Outcome Scale (POS + IPOS) Training Days 2024. 2024: London
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