The Transition to Adulthood From the Perspectives of Young People With Cerebral Palsy and Their Caregivers: A Systematic Literature Review

IF 2 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2025-02-02 DOI:10.1111/cch.70036
Gráinne Lawlor, Aoife Ryan, Olivia Battault, Laura Brown, Derbhla Peppard, David Mockler, Michelle Spirtos
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Abstract

Background

The transition to adulthood can be a complex time in the lives of young people with cerebral palsy (CP). There is a lack of research examining this period from the perspectives of young people and their caregivers.

Objective/Aims

The review sought to identify challenging experiences during the transition to adulthood from the perspectives of young people with CP and their caregivers and to examine factors that acted as barriers and enablers to positive transition outcomes.

Methods

A systematic literature review of peer-reviewed, empirical studies was completed. Thirteen articles were extracted and analysed using a narrative synthesis approach.

Results

The findings identified challenges for the young people in the areas of independent living, sexuality and relationships, navigating health and social care systems, feeling different from their peers and increasing autonomy. Barriers contributing to negative experiences included overprotective parents and a lack of resources. Greater motor ability, supportive parents and knowledgeable healthcare practitioners enabled positive transition outcomes.

Conclusions

The transition to adulthood presents multiple challenges as perceived by young people with CP and their caregivers. Both parties require greater support to address these challenges during this time. Further research is required to develop interventions that can support this transition experience.

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从脑瘫青年及其照顾者的角度看向成年的过渡:系统的文献综述。
背景:在脑瘫(CP)年轻人的生活中,向成年的过渡可能是一个复杂的时期。缺乏从年轻人及其照顾者的角度审视这一时期的研究。目的/目的:本综述旨在从患有CP的年轻人及其照顾者的角度确定他们在向成年过渡期间的挑战性经历,并研究阻碍和促进积极过渡结果的因素。方法:对同行评议的实证研究进行系统的文献综述。采用叙事综合方法提取并分析了13篇文章。结果:调查结果确定了年轻人在独立生活、性和人际关系、健康和社会护理系统、感觉与同龄人不同以及增加自主权等方面面临的挑战。造成负面经历的障碍包括父母的过度保护和缺乏资源。更强的运动能力、支持的父母和知识渊博的医疗保健从业者使积极的过渡结果成为可能。结论:对于患有CP的年轻人和他们的照顾者来说,向成年期的过渡呈现出多重挑战。在此期间,两党都需要更多的支持来应对这些挑战。需要进一步的研究来开发能够支持这种过渡经验的干预措施。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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