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Int. J. Environ. Res. Public Health 2016, 13(7), 652; doi:10.3390/ijerph13070652

Caregiver Reports of Children’s Activity Participation Following Serious Injury

1
School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia
2
Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland 1072, New Zealand
3
Trauma Service, The Royal Children’s Hospital, Melbourne 3004, Australia
4
Department of Paediatrics, University of Melbourne, Melbourne 3004, Australia
5
Surgical Research Group, Murdoch Childrens Research Institute, Melbourne 3004, Australia
6
The Farr Institute @ CIPHER, Swansea University Medical School, Swansea University, Singleton Park, Swansea SA2 8PP, UK
*
Author to whom correspondence should be addressed.
Academic Editors: Ian Pike and Alison Macpherson
Received: 10 February 2016 / Revised: 7 March 2016 / Accepted: 10 March 2016 / Published: 7 July 2016
(This article belongs to the Special Issue Child Injury Prevention 2015)
View Full-Text   |   Download PDF [284 KB, uploaded 7 July 2016]

Abstract

Paediatric trauma can result in significant levels of on-going disability. The aim of this study was to explore the restrictions on activity participation that children experience following serious injury from the perspective of their caregivers. We performed a thematic analysis of transcripts of semi-structured in-depth interviews with the caregivers of 44 seriously injured children, conducted three-years after the injury, and purposively sampled from a population-based cohort study. Both temporary and on-going restrictions on school, sport, leisure and social activities were identified, some of which were imposed by caregivers, schools, or recommended by health providers. The perceived risk of further injury, physical restrictions, emotional state and fatigue levels were important influences on degrees of activity restriction. Children who were socially less engaged, especially those who were more severely injured, had difficulty making and retaining friends, and exhibited signs of depression or social withdrawal. The activities of pre-school children were strongly regulated by their caregivers, while school age children faced obstacles with participation in aspects such as study, sport, and peer and teacher relationships, affecting learning, school attendance and enjoyment. The findings highlight the need for primary prevention and reducing the impacts of serious injury throughout the continuum of care. View Full-Text
Keywords: trauma; paediatrics; activity restriction; disability; injury; caregivers; qualitative interviews trauma; paediatrics; activity restriction; disability; injury; caregivers; qualitative interviews
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Braaf, S.; Ameratunga, S.; Teague, W.; Jowett, H.; Gabbe, B. Caregiver Reports of Children’s Activity Participation Following Serious Injury. Int. J. Environ. Res. Public Health 2016, 13, 652.

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