A scoping review of the needs of children and other family members after a child's traumatic injury.
Samantha Jones, Naomi Davis, Sarah F Tyson
PMID 29082778WHAT IT FOUND
After traumatic injury in children, families and children often struggled to get information, emotional help, and school or community support.
Four studies identified needs for physiotherapy, occupational therapy, speech therapy and audiology, but evidence on measuring needs was absent.
Key findings
01No papers were found about whether measurement tools work or are useful for assessing the needs of injured children or their families.
02Participants frequently said cognitive, emotional and social needs were unrecognized and unmet, and transitions from hospital to school or community were key points where needs were often unmet.
03Four included studies identified a need for rehabilitation including speech therapy, occupational therapy, physiotherapy and audiology to address physical problems.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The review included only 12 papers, and the authors did not assess their quality, so the strength of the evidence is uncertain. The search was limited to papers from 2005 to September 2017, so relevant older work may have been missed. The search relied on terms such as need, and need can be described using many different words, so some relevant papers may not have been found. Most papers involved traumatic brain injury and long-term needs, so the findings may not apply to children with orthopaedic, chest or abdominal injuries, or to the early stages of rehabilitation. Only adolescents were asked directly about their own needs; younger children's needs were reported by families or professionals, and families may not accurately represent the child's views. No measurement tools were identified, so the review could not tell whether existing assessments are accurate or useful in practice. All included papers were exploratory, and most used a cross-sectional design, so they describe reported needs at one point rather than prove what helps.
Declared interests
The authors declared no potential conflicts of interest. Funding included a part-time Trauma and Orthopaedic Research Secondment supported by Royal Manchester Children's Hospital Charities, and the work was supported by a National Institute for Health Research clinical doctoral research fellowship. The paper states that the views are the authors' own and not necessarily those of the NHS, NIHR or the Department of Health.
The easy way to misread this
Do not read this as evidence that any rehabilitation service improves recovery after child trauma. It is a scoping review of reported needs, and it found no measurement tools; it did not assess study quality or measure treatment outcomes.