Factors Associated With Agreement Between Parent and Childhood Cancer Survivor Reports on Child's Health Related Quality of Life.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Evaluation & the Health Professions Pub Date : 2024-09-01 Epub Date: 2023-06-28 DOI:10.1177/01632787231185856
Carol Y Ochoa-Dominguez, Ann S Hamilton, Xueyan Zhuang, Wendy J Mack, Joel E Milam
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引用次数: 0

Abstract

Pediatric Health Related Quality of Life (HRQoL) among childhood cancer survivors (CCS) measures the impact of illness and treatment from the patient's perspective. However, parents often serve as proxies when the child cannot provide information directly. Studies of agreement between parents' proxy assessment and child's self-report have shown discrepancies. Understanding the reasons for discrepancies is under studied. Thus, this study examined the agreement of 160 parent-CCS dyads on the child's domains of HRQoL by mean difference, intra-class correlation coefficients, and Bland-Altman plots. Differences in agreement were assessed by patients' age, ethnicity, and whether or not they lived with their parents. Overall, the Physical Function Score showed good agreement between parents and CCS (ICC = 0.62), while the Social Function Score had fair agreement (ICC = 0.39). CCS were more likely to rate their Social Function Score higher than their parent. The lowest agreement for the Social Function Score was found for 18-20 years old's (ICC = .254) versus younger or older CCS, and among non-Hispanic whites (ICC = 0.301) versus Hispanics. Differences in agreement varied by patient age and ethnicity, suggesting that other factors, including emotional, familial, and cultural factors, may influence parental awareness of CCS HRQoL.

父母与儿童癌症幸存者关于儿童健康相关生活质量报告一致的相关因素。
儿童癌症幸存者(CCS)的儿科健康相关生活质量(HRQoL)从患者的角度衡量疾病和治疗的影响。然而,当儿童无法直接提供信息时,父母往往会充当代理人。有关父母代理评估与儿童自我报告之间一致性的研究表明两者之间存在差异。对产生差异的原因还没有进行深入研究。因此,本研究通过均值差异、类内相关系数和布兰德-阿尔特曼图,检验了 160 个父母-CCS 对儿童 HRQoL 领域的一致性。根据患者的年龄、种族以及是否与父母同住来评估一致性差异。总体而言,父母和社区保健服务人员对身体功能评分的一致性较好(ICC = 0.62),而对社会功能评分的一致性一般(ICC = 0.39)。社區輔導員對其社交功能分數的評分較其家長為高。18-20 岁的儿童(ICC = 0.254)与年轻或年长的儿童及青少年(ICC = 0.254)以及非西班牙裔白人(ICC = 0.301)与西班牙裔儿童(ICC = 0.301)在社会功能评分方面的一致性最低。患者年龄和种族不同,同意度也不同,这表明其他因素(包括情感、家庭和文化因素)可能会影响父母对儿童疾病患者 HRQoL 的认识。
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
CiteScore
5.30
自引率
0.00%
发文量
31
审稿时长
>12 weeks
期刊介绍: Evaluation & the Health Professions is a peer-reviewed, quarterly journal that provides health-related professionals with state-of-the-art methodological, measurement, and statistical tools for conceptualizing the etiology of health promotion and problems, and developing, implementing, and evaluating health programs, teaching and training services, and products that pertain to a myriad of health dimensions. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 31 days
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