期刊论文详细信息
Health and Quality of Life Outcomes
Health-related quality of life from the perspective of children with severe specific language impairment
Pauline Watter1  Kristy Nicola1 
[1] The University of Queensland, Brisbane 4072, QLD, Australia
关键词: Quality of life;    Pediatric Quality of Life InventoryTM 4.0 Generic Core;    Communication disorders;    Health-related quality of life;    Specific language impairment;   
Others  :  1224721
DOI  :  10.1186/s12955-015-0326-1
 received in 2015-04-19, accepted in 2015-08-07,  发布年份 2015
PDF
【 摘 要 】

Background

This study aimed to evaluate the feasibility and reliability of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales (PedsQL™) for use by children with severe specific language impairment (SLI) and their parent, and to explore the health-related quality of life of children with severe SLI. We hypothesized that the PedsQL™ would be a suitable measure, and identify lower health-related quality of life compared to the healthy population sample, particularly in school and social functioning.

Methods

Forty-three out of 61 children with severe SLI enrolled at a dedicated school from February 2010 until September 2011 agreed to participate. Children and parents completed the PedsQL™ separately with support as required.

Results

The PedsQL™ proved to be suitable for this cohort. Children perceived themselves to be at risk of impaired social and physical functioning, rendering the total score below the population mean. Parents rated social and emotional functioning at risk of impairment, with the psychosocial and total summary score consequently below the population mean. Physical functioning had the largest child/parent difference, with children rating themselves below the cut-off score, and parents rating their children above the cut-off score.

Conclusions

This measure can be used with this group. Our group of children with severe SLI reported lower health-related quality of life than the healthy population mean as perceived by both the child and the parent. Health professionals working with children who have SLI need to consider not only a child’s impairment, but also their wellbeing and participation by incorporating self- and proxy-reports into assessment in order to promote meaningful therapeutic outcomes that impact positively on a child’s life.

【 授权许可】

   
2015 Nicola and Watter.

【 预 览 】
附件列表
Files Size Format View
20150912111450400.pdf 438KB PDF download
【 参考文献 】
  • [1]Leonard LB. Children with specific language impairment. Cambridge MA, MIT Press; 2000.
  • [2]Tomblin JB, Records NL, Buckwalter P, Zhang X, Smith E, O’Brien M. Prevalence of Specific Language Impairment in Kindergarten Children. J Speech Lang Hear Res. 1997; 40(6):1245-1260.
  • [3]Conti-Ramsden G, Mok PLH, Pickles A, Durkin K. Adolescents with a history of specific language impairment (SLI): Strengths and difficulties in social, emotional and behavioral functioning. Res Dev Disabil. 2013; 34:4161-4169.
  • [4]Hill EL. Non-specific nature of specific language impairment: a review of the literature with regard to concomitant motor impairments. Int J Lang Commun Disord. 2001; 36(2):149-171.
  • [5]Johnson CJ, Beitchman JH, Brownlie EB. Twenty-Year Follow-Up of Children With and Without Speech-Language Impairments: Family, Education, Occupational, and Quality of Life Outcomes. Am J Speech Lang Pathol. 2010; 19:51-65.
  • [6]Durkin K, Conti-Ramsden G. Language, Social Behavior, and the Quality of Friendships in Adolescents with and without a History of Specific Language Impairment. Child Dev. 2007; 78(5):1441-1457.
  • [7]Speith LE, Harris CV. Assessment of Health-Related Quality of Life in Children and Adolescents: An Integrative Review. J Pediatr Psychol. 1996; 21(2):175-193.
  • [8]Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL™ 4.0 as a Pediatric Population Health Measure: Feasibility, Reliability, and Validity. Ambul Pediatr. 2003;3:329–41.
  • [9]Varni JW, Seid M, Kurtin PS. PedsQL™ 4.0: Reliability and Validity of the Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales in Healthy and Patient Populations. Med Care. 2001;39(8):800–12.
  • [10]Arkkila E, Rasanen P, Roine RP, Sintonen H, Saar V, Vilkman E. Health-Related Quality of Life of Children with Specific Language Impairment Aged 8–11. Folia Phoniatr Logop. 2011; 63:27-35.
  • [11]Markham C, van Laar D, Gibbard D, Dean T. Children with speech, language and communication needs: their perceptions of their quality of life. Int J Lang Commun Disord. 2008; 99999:1.
  • [12]Markham C, Dean T. Parents’ and professionals’ perceptions of Quality of Life in children with speech and language difficulty. Int J Lang Commun Disord. 2006; 41(2):189-212.
  • [13]van Agt HME, Essink-Bot ML, van der Stege HA, de Ridder-Sluiter JG, de Koning HJ. Quality of Life of Children with Language Delays. Qual Life Res. 2005; 14(5):1345-1355.
  • [14]van Agt H, Verhoeven L, van Den Brink G, de Koning H. The impact on socio-emotional development and quality of life of language impairment in 8-year-old children. Dev Med Child Neurol. 2010; 53(1):81-88.
  • [15]Gomersall T, Spencer S, Basarir H, Tsuchiya A, Clegg J, Sutton A, Dickinson K. Measuring quality of life in children with speech and language difficulties: a systematic review of existing approaches. Int J Lang Commun Disord. 2015; 50:416-35.
  • [16]Varni JW, Limbers CA, Burwinkle TM. How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 Generic Core Scales. Health Qual Life Outcomes. 2007;5:1.
  • [17]Varni JW, Limbers CA, Burwinkle TM. Parent proxy-report of their children’s health-related quality of life: an analysis of 13,878 parents’ reliability and validity across age subgroups using the PedsQL™ 4.0 Generic Core Scales. Health Qual Life Outcomes. 2007;5:2.
  • [18]Varni JW, Seid M, Rode CA. The PedsQLTM: Measurement Model for the Pediatric Quality of Life Inventory. Med Care. 1999;37(2):126-139.
  • [19]Limbers CA, Heffer RW, Varni JW. Health-Related Quality of Life and Cognitive Functioning from the Perspective of Parents of School-Aged Children with Asperger’s Syndrome Utilizing the PedsQL™. J Autism Dev Disord. 2009;39:1529–41.
  • [20]The State of Queensland (Australia), Department of Education, Training and Employment Queensland: Education Adjustment Program [homepage on the Internet]. Queensland Government. Available from: http://education.qld.gov.au/students/disabilities/adjustment/ Accessed September 13, 2014.
  • [21]The State of Queensland (Australia), EAP Verification Processes: Speech-Language Impairment in the Department of Education, Training and Employment Queensland (Australia), Education Adjustment Program (EAP) Handbook (pp. 28–31). http://education.qld.gov.au/students/disabilities/adjustment/pdfs/eap-handbook.pdf Accessed September 13, 2014.
  • [22]Version 22. SPSS Inc, Chicago; 2013.
  • [23]McHorney CA, War JE, Lu JFR, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): III. Tests of Data Quality, Scaling Assumptions, and Reliability across Diverse Patient Groups. Med Care. 1994; 32(1):40-66.
  • [24]Eiser C, Morse R. Can parents rate their child’s health-related quality of life? Results of a systematic review. Qual Life Res. 2001; 10:347-357.
  • [25]Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, Bouter LM, de Vet HCW. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007; 60:34-42.
  • [26]Eiser C, Varni JW. Health-related quality of life and symptom reporting: similarities and differences between children and their parents. Eur J Pediatr. 2013; 172(10):1299-1304.
  • [27]Webster RI, Majnemer A, Platt RW, Shevell MI. Motor Function at School Age in Children with a Preschool Diagnosis of Developmental language Impairment. J Pediatr. 2005; 146(1):80-85.
  • [28]Willinger U, Eisenwort B. Mothers’ Estimates of Their Children With Disorders of Language Development. Behav Med. 2005; 31(3):117-126.
  • [29]Varni JW, Seid M, Knight TS, Uzark K, Szer IS. The PedsQL™ 4.0 Generic Core Scales: Sensitivity, Responsiveness, and Impact on Clinical Decision-Making. J Behav Med. 2002;25(2):175–93.
  • [30]Varni JW, Limbers CA. The Pediatric Quality of Life Inventory: Measuring Pediatric Health-Related Quality of Life from the Perspective of Children and Their Parents. Pediatr Clin North Am. 2009; 56:843-863.
  • [31]Australian Bureau of Statistics, 1220.0-ANZSCO-Australian and New Zealand Standard Classification of Occupations, First Edition,Revision 1. Available from: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/1220.0First%20Edition,%20Revision%201?OpenDocument. Accessed November 12, 2014.
  文献评价指标  
  下载次数:4次 浏览次数:7次