期刊
CHILD CARE HEALTH AND DEVELOPMENT
卷 43, 期 5, 页码 645-662出版社
WILEY
DOI: 10.1111/cch.12475
关键词
child development; chronic illness; school; systematic review
资金
- Australian Government Research Training Program Scholarship
- Kids Cancer Alliance
- Kids Cancer Centre
- Ronald McDonald House Charities
- Career Development Fellowship from the National Health and Medical Research Council of Australia [APP1067501]
- Kids with Cancer Foundation
- National Health and Medical Research Council of Australia
- Cancer Institute New South Wales
- Cancer Council New South Wales
BackgroundSerious chronic illness can have a detrimental effect on school attendance, participation and engagement, leaving affected students at risk of failing to meet their developmental potential. An improved understanding of factors that help to explain or mitigate this risk can help educators and health professionals deliver the most effective support. This meta-review critiqued the available evidence examining the link between six chronic illnesses (asthma, cancer, chronic kidney diseases, heart diseases, cystic fibrosis and gastrointestinal diseases) and children's and adolescents' school experiences and outcomes, as well as investigating the medical, school, psychosocial and sociodemographic factors that are linked to poorer or better school outcomes. MethodsWe searched CINAHL, Cochrane Database, EMBASE, ERIC, MEDLINE, ProQuest Theses and Dissertations, and PsycINFO (2000-2015). Systematic and narrative reviews, and meta-analyses, of original studies examining students' subjective school experiences and objective school outcomes were eligible. We used the Preferred Reporting Items for Systematic Reviews and Meta-analyses criteria to critically appraise all systematic reviews. The Grading of Recommendations Assessment, Development, and Evaluation system guided our recommendations for practice and research. ResultsEighteen reviews of 172 studies including more than 40000 students were eligible. Therefore, we chose to conduct a meta-review to provide an overview of the literature on the relationship between chronic illness and school experiences and outcomes. We also explored the associated medical, school, psychosocial and sociodemographic factors affecting the relationship between illness and school experiences and outcomes. ConclusionStudents with chronic illness demonstrate mixed school experiences and outcomes that are often worse than students without chronic illness. Modifiable factors, such as students' engagement with school, may be novel yet appropriate targets of educational support to ensure that these students reach their full schooling potential.
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