Suzanne Skevington and Fiona Gillison
The measurement of children's quality of life has an important role to play in improving their experience of health and social services, and in promoting a child‐centred approach…
Abstract
The measurement of children's quality of life has an important role to play in improving their experience of health and social services, and in promoting a child‐centred approach to service provision. This article provides a rationale for both the development of robust quality of life measures specifically for children and also the use of these measures in assessing the effectiveness of treatments and policy changes. It highlights recent advances in the development of quality of life measures and provides examples of two instruments that have incorporated these steps to produce reliable and valid measures that are not only comprehensible to children of different age groups, but also meaningful to parents and health professionals. The challenge of matching statistically significant change in quality of life to changes of perceived importance to the individual is also discussed in the light of the advantages to be gained from the increased uptake within health and social care of quality of life measures for children.
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Michael Little and Nick Axford
This article reviews the first volume of the Journal of Children's Services. In doing so, it discusses broader directions and challenges in research, policy and practice. The…
Abstract
This article reviews the first volume of the Journal of Children's Services. In doing so, it discusses broader directions and challenges in research, policy and practice. The article focuses on discussion about outcomes, the ‘idea’ of children's services and the impact of interventions on children's health and development. It welcomes reflections on different approaches to outcome measurement, analyses of the practicalities of implementing policy reforms and rigorous evaluations of the impact of Early Years, parenting and other programmes. At the same time, it suggests specific areas in which more work would be valuable, including: socio‐political commentary on policy developments; methods of and results from need analyses; empirical research on inter‐agency initiatives; how to improve the processes and structures that underpin good outcomes; transitions; and understanding ‘what works’ in research dissemination and utilisation. The value of international perspectives (including intra‐UK comparisons) is stressed. Forthcoming special editions on randomised controlled trials (RCTs) (2007) and anti‐social behaviour by young people (2008) will help to address other points raised.