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Quality of Life Outcomes for Adolescents in Youth Care

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Abstract

Internationally, Quality of life (QOL) research among children and adolescents has seen a marked proliferation over the past decades. Despite conceptual and methodological progress in this field, there still is much to learn about the QOL of young people involved in child and youth welfare and protection services. The present study investigates how adolescents between 12 and 18 years old in residential and non-residential youth care services (N = 271) perceive their QOL on the basis of a new specific measure: the Quality of Life in Youth Services Scale (QOLYSS). It further examined associations between demographic and placement-related factors and adolescents’ QOL. Descriptive statistics, correlational analyses, and multiple regression analyses were carried out for the overall and domain-specific QOL outcomes. Results show that adolescents reported the highest QOL scores regarding self-determination, material well-being, and personal development. The highest proportions of low domain scores were found in emotional well-being, social inclusion, rights, and physical well-being. Female gender, residential care, and older age were identified as factors associated with lower QOL in a number of QOL domains. Concerning the placement-related factors, length in care and age at entry in care, no significant association was found. The findings of this study support the importance of upholding a broad and multifaceted approach in research and practice when evaluating adolescents’ QOL. This study shed light on several specific areas that require particular attention when aiming to enhance the QOL of adolescents in everyday practice and draws attention to gender and contextual disparities.

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Acknowledgements

The authors would like to thank all youngsters for their participation in this study and (members of) the organizations for their commitment.

Funding

C.S. is the recipient of a Special PhD Fellowship from the Flemish Fund for Scientific Research (FWO-Vlaanderen), project number: 1900722 N.

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All authors have been personally and substantially involved in the work leading to the paper, and will hold themselves jointly and individually responsible for its content. The first draft of the manuscript was written by C.S. and all authors commented on previous versions of the manuscript. M.D provided statistical support. All authors read and approved the final manuscript.

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Correspondence to Chris Swerts.

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There are no financial arrangements pertinent to the research that might create the appearance of bias. The authors declare that they have no competing interests in relation to the work described.

Ethical Approval

The authors affirm having followed professional ethical guidelines in preparing and carrying out this work. These include providing oral and written information about the study to participants, obtaining written informed consent from participants prior to any data collection, and ensuring privacy of participants and their data. The study received ethical approval from the Ethics Committee of Ghent University, Belgium, in accordance with internationally accepted criteria for research.

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Written informed consent was obtained from all participants included in the study.

Research Involving Human Participants and/or Animals

This study involved human participants and does not contain any work with animals performed by any of the authors.

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Swerts, C., Gómez, L.E., Dewitte, M. et al. Quality of Life Outcomes for Adolescents in Youth Care. Child Ind Res 16, 1987–2011 (2023). https://doi.org/10.1007/s12187-023-10053-x

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