Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Analysis of Concordance Between Parent Proxy and Child Self-report of KIDSCREEN-10 Health-related Quality of Life Questionnaire in an Elementary School-based Wellness Program: A Pilot Focus Group Study

  • Choi, Bongsam (Department of Physical Therapy, College of Health and Welfare, Woosong University)
  • Received : 2021.03.30
  • Accepted : 2021.04.20
  • Published : 2021.05.20
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Abstract

Background: Researchers have previously commenced examining the degree of concordance between parent proxy and child self-reports on health-related quality of life (HRQOL) of many disease and impairment populations. Objects: To explore the differences between parent proxy and child self-reports on the HRQOL using Korean version of KIDSCREEN-10 questionnaires for applying to elementary school children and their parents who participated for a school-based wellness program. Methods: The focus groups were recruited for a school-based wellness program by implementing the following wellness services: 1) referring to a screening session for detecting potential posture-related musculoskeletal problems and 2) recommending home exercise programs. Before a primary field testing for the program, two focus groups were formed with a group of 9 parents and their 9 elementary school children aged 8-10 years of age. The parent proxy and child self-report versions of KIDSCREEN-10 questionnaires were administered to both groups after completion of the wellness program. Item level Rasch rating scale analysis was applied to compute logit scales of KIDSCREEN-10 questionnaire. Intraclass correlation coefficients (ICCs) and scatterplot of item difficulty between two reports were analyzed. Results: For fit statistics of parent proxy report, all items except 4 items (i.e., psychological well-being, mood/emotions, self-perception, parent relation) were found to be acceptable. For fit statistics of child self-report, all items except 3 items (i.e., psychological well-being, autonomy and home life) were acceptable. The relationship between two reports using ICCs were ranging from weak to very strong at p = 0.05 (i.e, ICCs = 0.011 to 0.905). Scatterplot analysis between two reports showed a major disparity on self-perception item at 95% confidence intervals. Conclusion: Both item level analyses and ICC comparisons provided a disparity between parent proxy and child self-reports of the HRQOL on self-perception item after competing a school-based wellness program. Therapist should consider the item as part of the HRQOL assessment.

Keywords

Acknowledgement

This research is based on the support of 2021 Woosong University Academic Research Funding.

References

  1. Tercedor P, Villa-Gonzalez E, Avila-Garcia M, Diaz-Piedra C, Martinez-Baena A, Soriano-Maldonado A, et al. A school-based physical activity promotion intervention in children: rationale and study protocol for the PREVIENE Project. BMC Public Health 2017;17(1):748. https://doi.org/10.1186/s12889-017-4788-4
  2. Kugel J, Hemberger C, Krpalek D, Javaherian-Dysinger H. Occupational therapy wellness program: youth and parent perspectives. Am J Occup Ther 2016;70(5):7005180010p1-8. https://doi.org/10.5014/ajot.2016.021618
  3. Clark GF, Watling R, Parham LD, Schaaf R. Occupational therapy interventions for children and youth with challenges in sensory integration and sensory processing: a school-based practice case example. Am J Occup Ther 2019;73(3):7303390010p1-8.
  4. Solans M, Pane S, Estrada MD, Serra-Sutton V, Berra S, Herdman M, et al. Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value Health 2008;11(4):742-64. https://doi.org/10.1111/j.1524-4733.2007.00293.x
  5. Goldthorpe J, Epton T, Keyworth C, Calam R, Armitage C. Who is responsible for keeping children healthy? A qualitative exploration of the views of children aged 8-10 years old. BMJ Open 2019;9(5):e025245. https://doi.org/10.1136/bmjopen-2018-025245
  6. Ravens-Sieberer U; Kidscreen Group Europe. The Kidscreen questionnaires: quality of life questionnaires for children and adolescents: handbook. Lengerich: Pabst Science; 2006.
  7. Davis E, Nicolas C, Waters E, Cook K, Gibbs L, Gosch A, et al. Parent-proxy and child self-reported health-related quality of life: using qualitative methods to explain the discordance. Qual Life Res 2007;16(5):863-71. https://doi.org/10.1007/s11136-007-9187-3
  8. Theunissen NC, Vogels TG, Koopman HM, Verrips GH, Zwinderman KA, Verloove-Vanhorick SP, et al. The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res 1998;7(5):387-97. https://doi.org/10.1023/A:1008801802877
  9. Bastiaansen D, Koot HM, Ferdinand RF. Determinants of quality of life in children with psychiatric disorders. Qual Life Res 2005;14(6):1599-612. https://doi.org/10.1007/s11136-004-7711-2
  10. Brunner HI, Klein-Gitelman MS, Miller MJ, Trombley M, Baldwin N, Kress A, et al. Health of children with chronic arthritis: relationship of different measures and the quality of parent proxy reporting. Arthritis Rheum 2004;51(5):763-73.
  11. Eiser C, Morse R. Can parents rate their child's health-related quality of life? Results of a systematic review. Qual Life Res 2001;10(4):347-57. https://doi.org/10.1023/A:1012253723272
  12. Liang MH, Lew RA, Stucki G, Fortin PR, Daltroy L. Measuring clinically important changes with patient-oriented questionnaires. Med Care 2002;40(4 Suppl):II45-51.
  13. McHorney CA. Health status assessment methods for adults: past accomplishments and future challenges. Annu Rev Public Health 1999;20:309-35. https://doi.org/10.1146/annurev.publhealth.20.1.309
  14. Gamper EM, Groenvold M, Petersen MA, Young T, Costantini A, Aaronson N, et al.; EORTC Quality of Life Group. The EORTC emotional functioning computerized adaptive test: phases I-III of a cross-cultural item bank development. Psychooncology 2014;23(4):397-403.
  15. Muller M, Haenni Hoti A. Item analysis of the KIDSCREEN-10 using Rasch modelling. Health Qual Life Outcomes 2020;18(1):342.
  16. Hong SD, Yang JW, Jang WS, Byun H, Lee MS, Kim HS, et al. The KIDSCREEN-52 quality of life measure for children and adolescents (KIDSCREEN-52-HRQOL): reliability and validity of the Korean version. J Korean Med Sci 2007;22(3):446-52. https://doi.org/10.3346/jkms.2007.22.3.446
  17. Bond TG, Fox CM. Applying the Rasch model: fundamental measurement in the human sciences. New York: Routledge; 2015;26-7.
  18. Evans JD. Straightforward statistics for the behavioral sciences. Pacific Grove: Brooks/Cole; 1996;43-56.
  19. Ravens-Sieberer U, Erhart M, Rajmil L, Herdman M, Auquier P, Bruil J, et al.; European KIDSCREEN Group. Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents' well-being and health-related quality of life. Qual Life Res 2010;19(10):1487-500. https://doi.org/10.1007/s11136-010-9706-5
  20. Ravens-Sieberer U, Auquier P, Erhart M, Gosch A, Rajmil L, Bruil J, et al.; European KIDSCREEN Group. The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries. Qual Life Res 2007;16(8):1347-56. https://doi.org/10.1007/s11136-007-9240-2
  21. Linacre JM. Teaching Rasch measurement. Rasch Meas Trans 2017;31(2):1630-1.
  22. Stevanovic D, Tadic I, Novakovic T, Kisic-Tepavcevic D, Ravens-Sieberer U. Evaluating the Serbian version of the KIDSCREEN quality-of-life questionnaires: reliability, validity, and agreement between children's and parents' ratings. Qual Life Res 2013;22(7):1729-37. https://doi.org/10.1007/s11136-012-0286-4
  23. Erhart M, Ottova V, Gaspar T, Jericek H, Schnohr C, Alikasifoglu M, et al.; HBSC Positive Health Focus Group. Measuring mental health and well-being of school-children in 15 European countries using the KIDSCREEN-10 Index. Int J Public Health 2009;54 Suppl 2:160-6.
  24. Jokovic A, Locker D, Guyatt G. How well do parents know their children? Implications for proxy reporting of child health-related quality of life. Qual Life Res 2004;13(7):1297-307. https://doi.org/10.1023/B:QURE.0000037480.65972.eb