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Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs.

Thurston S, Paul L, Ye C, Loney P, Browne G, Thabane L, Rosenbaum P - Int J Pediatr (2010)

Bottom Line: Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations.Conclusions.A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.

View Article: PubMed Central - PubMed

Affiliation: Children's Treatment Network, Simcoe/York, ON, Canada L4M 2Y1.

ABSTRACT
Purpose. To explore the associations and interactions among ecological factors and explain the psychosocial quality of life of children with complex needs. Methods. In this cross-sectional survey consenting parents were identified by the Children's Treatment Network. Families were eligible if the child from 0 to 19 years, resided in Simcoe/York, and there were multiple family needs. Regression analysis was used to explore associations and interactions. n = 429. Results. Younger children, without conduct disorder, without hostile and punitive parenting and with low adverse family impact demonstrated the highest levels of psychosocial quality of life. Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations. Conclusions. It is not possible to fully understand the child's psychosocial quality of life in complex needs families by considering only simple associations between ecological factors. A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.

No MeSH data available.


Related in: MedlinePlus

Interaction between Respectful and Supportive Care and PMK Physical Health.
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fig4: Interaction between Respectful and Supportive Care and PMK Physical Health.

Mentions: A number of statistically significant interactions are also presented in Table 4. Although statistically significant, many were deemed less clinically important due to low Beta co-efficients. Clinically important interactions expressed in the difference in the psychosocial quality of life scores for junior children were plotted in Figure 2 through 4. The difference in psychosocial function for younger children will show the same pattern, except that the younger children on average will have scores 4.4 points higher. The extent of CCC received was positively associated with the child's PsychQL score when the parent's physical health was moderate or good (Figure 2). In the case of parents with moderate physical health, each unit increase in the CCC score was on average associated with a 2.33% higher child PsychQL score. In the case of good physical health, each unit increase in the CCC score was on average associated with a 6.57% higher child PsychQL score. CCC, however, was negatively associated with the child's PsychQL score when the parent's physical health was poor. In these situations, each unit increase in the CCC score was associated with 1.9% lower child PsychQL score. The extent of CCC received was also positively associated with the child's PsychQL under any condition of parental mental health (Figure 3). In the case of poor PMK mental health, each unit increase in the CCC score was on average associated with a 3.57% higher child PsychQL score. In the case of moderate mental health and good mental health, each unit increase in the CCC score was on average associated with 2.33% and 1.09% higher child PsychQL scores, respectively.


Interactions among Ecological Factors That Explain the Psychosocial Quality of Life of Children with Complex Needs.

Thurston S, Paul L, Ye C, Loney P, Browne G, Thabane L, Rosenbaum P - Int J Pediatr (2010)

Interaction between Respectful and Supportive Care and PMK Physical Health.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2902019&req=5

fig4: Interaction between Respectful and Supportive Care and PMK Physical Health.
Mentions: A number of statistically significant interactions are also presented in Table 4. Although statistically significant, many were deemed less clinically important due to low Beta co-efficients. Clinically important interactions expressed in the difference in the psychosocial quality of life scores for junior children were plotted in Figure 2 through 4. The difference in psychosocial function for younger children will show the same pattern, except that the younger children on average will have scores 4.4 points higher. The extent of CCC received was positively associated with the child's PsychQL score when the parent's physical health was moderate or good (Figure 2). In the case of parents with moderate physical health, each unit increase in the CCC score was on average associated with a 2.33% higher child PsychQL score. In the case of good physical health, each unit increase in the CCC score was on average associated with a 6.57% higher child PsychQL score. CCC, however, was negatively associated with the child's PsychQL score when the parent's physical health was poor. In these situations, each unit increase in the CCC score was associated with 1.9% lower child PsychQL score. The extent of CCC received was also positively associated with the child's PsychQL under any condition of parental mental health (Figure 3). In the case of poor PMK mental health, each unit increase in the CCC score was on average associated with a 3.57% higher child PsychQL score. In the case of moderate mental health and good mental health, each unit increase in the CCC score was on average associated with 2.33% and 1.09% higher child PsychQL scores, respectively.

Bottom Line: Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations.Conclusions.A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.

View Article: PubMed Central - PubMed

Affiliation: Children's Treatment Network, Simcoe/York, ON, Canada L4M 2Y1.

ABSTRACT
Purpose. To explore the associations and interactions among ecological factors and explain the psychosocial quality of life of children with complex needs. Methods. In this cross-sectional survey consenting parents were identified by the Children's Treatment Network. Families were eligible if the child from 0 to 19 years, resided in Simcoe/York, and there were multiple family needs. Regression analysis was used to explore associations and interactions. n = 429. Results. Younger children, without conduct disorder, without hostile and punitive parenting and with low adverse family impact demonstrated the highest levels of psychosocial quality of life. Statistically significant interactions between processes of care and parent variables highlight the complexity of real life situations. Conclusions. It is not possible to fully understand the child's psychosocial quality of life in complex needs families by considering only simple associations between ecological factors. A multitude of factors and interactions between these factors are simultaneously present and the care of these families requires a holistic approach.

No MeSH data available.


Related in: MedlinePlus