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.

The Great Ormond Street Hospital Top Child and Adolescent Health Study

Adolescent Behavior

Child Behavior

Parents

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.

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

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).

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.

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 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

The Great Ormond Street Hospital Top Child and Adolescent Health Study

About this trial

Study ID

Status

Type

Placebo

Accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status