Adoption is changing in England. There is a focus on openness. Openness can mean having more information about your birth family, or having more opportunities to have a relationship with them, or being able to talk more about adoption at home. There are also new kinds of support available, including access to therapy.
The problem is, we do not know how these changes affect adoptees’ quality of life.
Researchers and social workers could use existing outcome measures to look at whether young people have difficulties with their behaviour, emotions or relationships. However, the meaning of these emotions, behaviours and relationships are not the same from one child to another. To understand them, we need to be able to put them in context.
We need to create a new tool to measure adoptee quality of life, based on what adoptees themselves think is important.
To do this, we'll talk to young people who were adopted. We'll ask them what makes a good life for them. We'll then create a survey based on their answers and ask a larger group of adopted young people to fill it in online. We’ll work with the regional adoption agencies in England to make sure that adopted young people can find out about the survey and fill it in.
This new tool will help social workers and researchers understand how different changes can impact the lives of adopted young people. It will also help us improve the support we offer them.
This doctoral project will be completed in August 2026.
• Conduct two literature reviews:
◦ Preventable social harms experienced by adopted people
◦ Measurement of quality of life in adopted young people
• Generate a conceptual framework based on the findings
• Discuss the framework with the Involvement Group and project advisory group
• Recruit 18 adopted young people for focus groups
• Conduct up to three focus groups to identify themes related to quality of life
• Use creative methods to facilitate discussion (e.g., collage, zine making, photo elicitation)
• Conduct a mixed focus group with birth family members and adopters
• Combine results from focus groups and literature reviews to establish themes
• Generate items based on interview transcripts and literature review
• Shortlist items using established criteria
• Conduct cognitive debriefing interviews with up to 10 adopted young people to assess content validity
• Refine items based on interview feedback
• Administer a quantitative survey to 300 adopted young people
• Assess psychometric performance of the draft measure
• Conduct preliminary psychometric analysis
• Use qualitative and quantitative data to inform final item selection
• Develop a concise measure of quality of life
• Involve the Involvement Group and project advisory group in key decision-making
• Ensure ethical considerations are addressed throughout the research