eprintid: 1416643
rev_number: 45
eprint_status: archive
userid: 608
dir: disk0/01/41/66/43
datestamp: 2013-12-19 05:01:23
lastmod: 2021-12-13 01:44:07
status_changed: 2017-05-02 15:32:53
type: article
metadata_visibility: show
item_issues_count: 0
creators_name: Arai, L
creators_name: Stapley, S
creators_name: Roberts, H
title: 'Did not attends' in children 0-10: a scoping review
ispublished: pub
divisions: UCL
divisions: B02
divisions: D13
divisions: G25
keywords: 0–10;
appointment;
'Did not attend';
DNAs;
scoping;
UK
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: Patients who do not attend (‘DNA’) health appointments have been identified as a service problem incurring significant costs to the NHS. In order to explore the causes, effects and costs of child DNAs, we carried out a scoping study to map the literature and identify gaps in the research. Given the breadth of issues underpinning DNAs, a scoping study, including research studies, audits, policy documents and conference abstracts, was the most useful way to map the field. To foster public and patient participation, we sought advice from parents participating in the National Children's Bureau's Family Research Advisory Group. From a pool of 1997 items, we found few UK studies with non-attendance of 0–10 year olds as a primary focus, though many more incidentally reported DNA rates. Overall, four topics predominated: the conceptualization of DNAs; the correlates of non-attendance; initiatives to reduce non-attendance; and the relationship between non-attendance and safeguarding. The Family Research Advisory Group identified broadly similar issues, but with a stronger emphasis on communication and practical matters. While there may be circumstances where failing to attend appointments makes little or no difference to a child (or even benefits them) it is likely that there are children whose health or well-being are compromised as a result of failing to attend appointments. Both ‘over’ and ‘under'-attendance can be a source of anxiety to health professionals. Areas where further work is needed include robust evaluation of the effectiveness, cost-effectiveness and maintenance of measures to reduce DNAs and a better understanding of the relationship of safeguarding to non-attendance.
date: 2014-11
date_type: published
publisher: WILEY-BLACKWELL
official_url: http://dx.doi.org/10.1111/cch.12111
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
article_type_text: Review
verified: verified_manual
elements_source: PubMed
elements_id: 914929
doi: 10.1111/cch.12111
lyricists_name: Roberts, Helen
lyricists_id: HROBE33
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: Child: Care, Health and Development
volume: 40
number: 6
pagerange: 797-805
pages: 9
issn: 1365-2214
citation:        Arai, L;    Stapley, S;    Roberts, H;      (2014)    'Did not attends' in children 0-10: a scoping review.                   Child: Care, Health and Development , 40  (6)   pp. 797-805.    10.1111/cch.12111 <https://doi.org/10.1111/cch.12111>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1416643/1/Arai_Did_not_attends.pdf