Health-related quality of life in pediatric minor injury: Reliability, validity, and responsiveness of the pediatric quality of life inventory in the Emergency Department

Martha Wood Stevens, Keri R. Hainsworth, Steven J. Weisman, Peter M. Layde

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the feasibility, reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL) in the first 2 weeks after pediatric emergency department care of minor injury. Design: Prospective cohort study. Setting: Pediatric hospital emergency department. Participants: Children and adolescents with minor injury (n=334). Main Outcome Measures: Child- and parent-reported clinical outcomes and PedsQL scale scores. Results: The PedsQL had good to excellent internal consistency reliability (α range, 0.73-0.93). For each day that the clinical symptoms persisted, there were consistent decreases in mean health-related quality of life (HRQOL) scores (validity testing). There were significantly greater negative changes in mean HRQOL scores for fractures vs soft-tissue injuries and for lower vs upper extremity injuries. Clinical outcomes categorized as poor had large negative changes in HRQOL not seen in good outcome groups. Distribution-based indicators of change supported good responsiveness (effect sizes for the physical summary score, 0.01-2.44; group differences at follow-up exceeded estimates of the minimal importance difference). Conclusions: The PedsQL is feasible, reliable, and demonstrates good construct and discriminant validity and responsiveness in measuring short-term outcome after minor injury care in the pediatric emergency department. Assessing short-term outcome from the patient perspective with HRQOL measures may greatly enhance our ability to evaluate the effectiveness of emergency department care.

Original languageEnglish (US)
Pages (from-to)74-81
Number of pages8
JournalArchives of Pediatrics and Adolescent Medicine
Volume166
Issue number1
DOIs
StatePublished - Jan 2012
Externally publishedYes

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Reproducibility of Results
Hospital Emergency Service
Quality of Life
Pediatrics
Equipment and Supplies
Wounds and Injuries
Emergency Medical Services
Soft Tissue Injuries
Pediatric Hospitals
Hospital Departments
Upper Extremity
Cohort Studies
Outcome Assessment (Health Care)
Prospective Studies

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Health-related quality of life in pediatric minor injury: Reliability, validity, and responsiveness of the pediatric quality of life inventory in the Emergency Department",
abstract = "Objective: To evaluate the feasibility, reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL) in the first 2 weeks after pediatric emergency department care of minor injury. Design: Prospective cohort study. Setting: Pediatric hospital emergency department. Participants: Children and adolescents with minor injury (n=334). Main Outcome Measures: Child- and parent-reported clinical outcomes and PedsQL scale scores. Results: The PedsQL had good to excellent internal consistency reliability (α range, 0.73-0.93). For each day that the clinical symptoms persisted, there were consistent decreases in mean health-related quality of life (HRQOL) scores (validity testing). There were significantly greater negative changes in mean HRQOL scores for fractures vs soft-tissue injuries and for lower vs upper extremity injuries. Clinical outcomes categorized as poor had large negative changes in HRQOL not seen in good outcome groups. Distribution-based indicators of change supported good responsiveness (effect sizes for the physical summary score, 0.01-2.44; group differences at follow-up exceeded estimates of the minimal importance difference). Conclusions: The PedsQL is feasible, reliable, and demonstrates good construct and discriminant validity and responsiveness in measuring short-term outcome after minor injury care in the pediatric emergency department. Assessing short-term outcome from the patient perspective with HRQOL measures may greatly enhance our ability to evaluate the effectiveness of emergency department care.",
author = "Stevens, {Martha Wood} and Hainsworth, {Keri R.} and Weisman, {Steven J.} and Layde, {Peter M.}",
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