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 language | English (US) |
|---|---|
| Pages (from-to) | 74-81 |
| Number of pages | 8 |
| Journal | Archives of Pediatrics and Adolescent Medicine |
| Volume | 166 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2012 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Health-related quality of life in pediatric minor injury : Reliability, validity, and responsiveness of the pediatric quality of life inventory in the Emergency Department. / Stevens, Martha Wood; Hainsworth, Keri R.; Weisman, Steven J.; Layde, Peter M.
In: Archives of Pediatrics and Adolescent Medicine, Vol. 166, No. 1, 01.2012, p. 74-81.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Health-related quality of life in pediatric minor injury
T2 - Reliability, validity, and responsiveness of the pediatric quality of life inventory in the Emergency Department
AU - Stevens, Martha Wood
AU - Hainsworth, Keri R.
AU - Weisman, Steven J.
AU - Layde, Peter M.
PY - 2012/1
Y1 - 2012/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84855317864&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84855317864&partnerID=8YFLogxK
U2 - 10.1001/archpediatrics.2011.694
DO - 10.1001/archpediatrics.2011.694
M3 - Article
C2 - 22213754
AN - SCOPUS:84855317864
VL - 166
SP - 74
EP - 81
JO - JAMA Pediatrics
JF - JAMA Pediatrics
SN - 2168-6203
IS - 1
ER -