Comparison of Caregiver- and Child-Reported Quality of Life in Children With Sleep-Disordered Breathing
Document Type
Article
Publication Date
1-1-2023
Publication Title
Otolaryngology - Head and Neck Surgery (United States)
Publication Title
Otolaryngology - Head and Neck Surgery (United States)
Volume
168
Issue
1
Abstract
Objective: Caregivers frequently report poor quality of life (QOL) in children with sleep-disordered breathing (SDB). Our objective is to assess the correlation between caregiver- and child-reported QOL in children with mild SDB and identify factors associated with differences between caregiver and child report. Study Design: Analysis of baseline data from a multi-institutional randomized trial. Setting: Pediatric Adenotonsillectomy Trial for Snoring, where children with mild SDB (obstructive apnea-hypopnea index <3) were randomized to observation or adenotonsillectomy. Methods: The Pediatric Quality of Life Inventory (PedsQL) assessed baseline global QOL in participating children 5 to 12 years old and their caregivers. Caregiver and child scores were compared. Multivariable regression assessed whether clinical factors were associated with differences between caregiver and child report. Results: PedsQL scores were available for 309 families (mean child age, 7.0 years). The mean caregiver-reported PedsQL score was higher at 75.2 (indicating better QOL) than the mean child-reported score of 67.9 (P <.001). The agreement between caregiver and child total PedsQL scores was poor, with intraclass correlation coefficients of 0.03 (95% CI, –0.09 to 0.15) for children 5 to 7 years old and 0.21 (95% CI, 0.03-0.38) for children 8 to 12 years old. Higher child age and health literacy were associated with closer agreement between caregiver and child report. Conclusion: Caregiver- and child-reported global QOL in children with SDB was weakly correlated, more so for young children. In pediatric SDB, child-perceived QOL may be poorer than that reported by caregivers. Further research is needed to assess whether similar trends exist for disease-specific QOL metrics.
First Page
74
Last Page
81
Recommended Citation
Yu, Phoebe Kuo; Cook, Kaitlyn; Liu, Jiayan; Amin, Raouf S.; Derkay, Craig; Elden, Lisa M.; Garetz, Susan L.; George, Alisha S.; Ibrahim, Sally; Ishman, Stacey L.; Kirkham, Erin M.; Naqvi, S. Kamal; Radcliffe, Jerilynn; Ross, Kristie R.; Shah, Gopi B.; Tapia, Ignacio E.; Taylor, H. Gerry; Zopf, David A.; Redline, Susan; and Baldassari, Cristina M., "Comparison of Caregiver- and Child-Reported Quality of Life in Children With Sleep-Disordered Breathing" (2023). Statistical and Data Sciences: Faculty Publications, Smith College, Northampton, MA.
https://scholarworks.smith.edu/sds_facpubs/75
Digital Object Identifier (DOI)
10.1177/01945998221083288
Rights
© 2022 American Academy ofOtolaryngology–Head andNeck Surgery Foundation
Comments
Archived as published.