Quality of life after brain injury in children and adolescents questionnaire - validation of the proxy version (QOLIBRI-KID/ADO-Proxy).

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-03-21 DOI:10.1080/02699052.2025.2481435

Nicole von Steinbuechel, Marina Zeldovich, Ivana Holloway, Anna C Mayer, Philine Rojczyk, Ugne Krenz, Inga K Koerte, Michaela Veronika Bonfert, Steffen Berweck, Matthias Kieslich, Knut Brockmann, Maike Roediger, Michael Lendt, Michael Staebler, Christian Auer, Axel Neu, Alexander Kaiser, Joenna Driemeyer, Ulrike Wartemann, Daniel Pinggera, Claudius Thomé, Victoria Schoen, Philipp Geiger, Joachim Suss, Anna Buchheim, Holger Muehlan, Katrin Cunitz

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引用次数: 0

Abstract

Background: The QOLIBRI-KID/ADO-Proxy is the first disease-specific health-related quality of life (HRQoL) proxy questionnaire developed for use in the field of pediatric traumatic brain injury (TBI), when children are unable to report their HRQoL themselves.

Methods: Its psychometric properties in a German-speaking context are examined in two samples (development and validation). Dyads of 600 parents and their children (aged 8-17 years) were included.

Results: The 35-item questionnaire covers six dimensions (Cognition, Self, Daily Life and Autonomy, Social Relationships, Emotions, and Physical Problems). Results showed good to excellent internal consistencies, acceptable test-retest reliability, and low to fair parent-child agreement. Confirmatory factor analyses supported the one-level six-factor structure. In terms of construct validity, there was an overlap between the disease-specific and the generic HRQoL. Lower parent-reported HRQoL in children was associated with lower parental education, lower functional recovery (Study I), more recent TBI, and more severe depressive, anxiety, and post-concussion symptoms. Findings differed between the two studies in terms of age, gender, and TBI severity. Study I found more severe TBI linked to lower HRQoL in adolescents, while Study II indicated lower HRQoL ratings in girls.

Conclusion: The QOLIBRI-KID/ADO-Proxy is recommended when individuals are unable to self-report their HRQoL.

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儿童和青少年脑损伤后生活质量问卷-代理版本（qolibrii - kid /ADO-Proxy）的验证

背景：qolibrii - kid /ADO-Proxy是第一个疾病特异性健康相关生活质量（HRQoL）代理问卷，用于儿童创伤性脑损伤（TBI）领域，当儿童无法自己报告他们的HRQoL时。方法：在两个样本（开发和验证）中检查其在德语环境中的心理测量特性。包括600对父母及其子女（8-17岁）。结果：问卷共35题，涵盖认知、自我、日常生活与自主、社会关系、情绪、身体问题6个维度。结果显示，内部一致性良好至优异，重测信度尚可，亲子协议低至公平。验证性因子分析支持一级六因子结构。在结构效度方面，疾病特异性HRQoL和一般HRQoL之间存在重叠。较低的父母报告的儿童HRQoL与较低的父母教育程度、较低的功能恢复（研究I）、更近期的TBI以及更严重的抑郁、焦虑和脑震荡后症状相关。两项研究的结果在年龄、性别和TBI严重程度方面存在差异。研究1发现青少年较严重的创伤性脑损伤与较低的HRQoL相关，而研究2表明女孩的HRQoL评分较低。结论：当个体无法自我报告其HRQoL时，建议使用qolibrii - kid /ADO-Proxy。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.