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Heath G, Screti C, Pattison H, Knibb R. Understanding the impact of 'wish-granting' interventions on the health and well-being of children with life-threatening health conditions and their families: A systematic review. J Child Health Care 2022; 26:479-497. [PMID: 33966480 DOI: 10.1177/13674935211016712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This review aimed to explore how wish-granting interventions impact on the health and well-being of children with life-threatening health conditions and their families, using any study design. Six electronic databases (Medline; PsycINFO; CINAHL; Embase; AMED and HMIC) were systematically searched to identify eligible research articles. Studies were critically appraised using a Mixed Methods Appraisal Tool. Findings were synthesized narratively. 10 papers were included, reporting studies conducted across five countries, published from 2007 to 2019. Study designs were diverse (four quantitative; two qualitative and four mixed method). Results indicated improvements to physical and mental health, quality of life, social well-being, resilience and coping for wish children, parents and siblings. In conclusion, wish-granting interventions can positively impact health and therefore should not be discouraged; however, more research is needed to define and quantify the impact of wish fulfilment and to understand how it can be maximized.
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Affiliation(s)
- Gemma Heath
- School of Psychology, 1722Aston University, Birmingham, UK
| | | | - Helen Pattison
- School of Psychology, 1722Aston University, Birmingham, UK
| | - Rebecca Knibb
- School of Psychology, 1722Aston University, Birmingham, UK
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Patel AD, Glynn P, Falke AM, Reynolds M, Hoyt R, Hoynes A, Moore-Clingenpeel M, Salvator A, Moreland JJ. Impact of a Make-A-Wish experience on healthcare utilization. Pediatr Res 2019; 85:634-638. [PMID: 30385853 DOI: 10.1038/s41390-018-0207-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 08/22/2018] [Accepted: 10/03/2018] [Indexed: 11/09/2022]
Abstract
OBJECTIVES To evaluate the impact of receiving a wish from the Make-A-WishR Foundation on (1) patient healthcare utilization and (2) savings benefit measures. STUDY DESIGN Make-A-WishR arranges experiences, or "wishes," to children with progressive, life-threatening, or life-limiting illness. A retrospective, case-control analysis was performed comparing patients who received or did not receive a wish and associated impact on healthcare utilization and costs across 2 years. Healthcare utilization was defined as visits to primary, urgent, emergent care, and planned/unplanned inpatient hospitalizations. We defined wish savings benefit as a decline in the cost of care from years 1 to 2, which exceeded the average cost of a wish in 2016, $10,130. RESULTS From 2011 to 2016, 496 Nationwide Children's Hospital patients received a wish. We matched these patients to 496 controls based on age, gender, disease category, and disease complexity. Patients who received a wish were 2.5 and 1.9 times more likely to have fewer unplanned hospital admissions and emergency department visits, respectively. These decreases were associated with a higher likelihood (2.3-fold and 2.2-fold greater odds) of the wish achieving a savings benefit compared to hospital charges. CONCLUSIONS Participation in the Make-A-WishR program may provide children quality of life relief while reducing hospital visits and healthcare expenditures.
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Affiliation(s)
- Anup D Patel
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Peter Glynn
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Ashley M Falke
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA.
| | - Megan Reynolds
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Richard Hoyt
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Allison Hoynes
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Melissa Moore-Clingenpeel
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Ann Salvator
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Jennifer J Moreland
- Department of Pediatrics and Neurology, Nationwide Children's Hospital, FOB 41.55, 700 Children's Drive, Columbus, OH, 43205, USA
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