The Great Ormond Street Hospital Top Child and Adolescent Health Study

April 10, 2024 updated by: Institute of Child Health
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.

Study Overview

Status

Completed

Conditions

Detailed Description

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. The investigators conducted literature reviews, and adopted with permission, a survey instrument used by the C.S. Mott Children's Hospital National Poll in Michigan, USA. Some parents were asked to list child and adolescent health problems that they deemed 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.

Study Type

Observational

Enrollment (Actual)

425

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United Kingdom
      • London, United Kingdom, WC1N 1EH
        • Great Ormond Street Institute of Child Health

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Parents/guardians attending GOSH OPD (nA)

  • Target Population = Yearly OPD attendance = 308,457
  • Confidence Level is 95%
  • Margin of error = 5%
  • Target Sample Size = 384, approximately 400
  • Sampling will be matched to attendance proportions in the six OPD areas - Cheetah, Manta ray, Rhino, Zebra, Hare and Hippo.

Paediatricians (nB)

  • Target population = 400 Paediatricians at GOSH
  • Confidence Level is 95%
  • Margin of error = 5%
  • Target Sample Size = 197, approximately 200
  • There will be no power calculation done. No statistical testing will be conducted

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Parents/Guardians

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

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?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Determination of Top 3 information sources for parents and paediatricians
Time Frame: 12 Months
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
Determination of Top 10 Child Health Concerns
Time Frame: 12 Months

Ranking of Top Child Health Concerns by Parents and Paediatricians, which will obtained by asking both groups to state on a 4-point Likert scale on how they rate the significance of each of 30 child health concerns.

4 categorical ordinal responses from better to worse; Not a problem, small problem, moderate problem and large problem. These rankings will be analysed with weighted values assigned (0, 1, 2, 3). There is an option for I don't know.

This will enable determination of top 10 child health concerns
12 Months
Adequacy of NHS perceptions
Time Frame: 12 Months

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 rating agreement with the statement.

5 categorical ordinal responses from better to worse; Strongly agree, agree, neutral, disagree, strongly disagree. These rankings will be recoded in analysis as 'Disagree' (Strongly disagree, disagree) and 'Do not disagree' (Neutral, agree, strongly agree).
12 Months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Institute of Child Health

Investigators

  • Principal Investigator: Vikram Palit, Great Ormond Street Hospital Institute of Child Health

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 31, 2018

Primary Completion (Actual)

June 28, 2019

Study Completion (Actual)

June 28, 2019

Study Registration Dates

First Submitted

June 11, 2018

First Submitted That Met QC Criteria

June 11, 2018

First Posted (Actual)

June 20, 2018

Study Record Updates

Last Update Posted (Actual)

April 12, 2024

Last Update Submitted That Met QC Criteria

April 10, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 18DD02
  • IRAS Project ID: 238932 (Other Identifier: Health Research Authority (HRA), United Kingdom)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

There is currently no plan made to share IPD. This project is part of an educational project for the fulfillment of an MSc. Paediatrics and Child Health at University College London.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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