Factors Influencing Agreement Between Child Self-Report and Parent Proxy-Reports on the Pediatric Quality of Life Inventory
Author Information
Author(s): Joanne Cremeens, Christine Eiser, Mark Blades
Primary Institution: St. Jude Children's Research Hospital
Hypothesis
The study aims to assess the agreement between child and parent proxy-reports on the PedsQL™ and the effects of age and parental well-being on this agreement.
Conclusion
The study found that parent-child agreement on the PedsQL™ was low and influenced by the child's age, the domains measured, and the parents' own quality of life.
Supporting Evidence
- Parent-child agreement on the PedsQL™ was low, with ICC values ranging from 0.02 to 0.23.
- Statistically significant median differences were found between child and parent-reports on all subscales of the PedsQL™.
- Parents reported better child QOL than did their children, particularly in older age groups.
Takeaway
Kids and their parents often see things differently when it comes to how the kids feel about their lives, and this can change based on how old the kids are and how the parents are feeling.
Methodology
The study involved 149 healthy children and their parents, who completed the PedsQL™ and SF-36 measures to assess child quality of life and parental well-being.
Potential Biases
Parents' own well-being may influence their ratings of their child's quality of life.
Limitations
The study focused only on healthy children, which may limit the generalizability of the findings to children with chronic illnesses.
Participant Demographics
149 English-speaking healthy children (67 girls, 82 boys) aged 5.5 to 8.5 years, predominantly Caucasian.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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