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Children 2017, 4(8), 65; https://doi.org/10.3390/children4080065

Trending Longitudinal Agreement between Parent and Child Perceptions of Quality of Life for Pediatric Palliative Care Patients

1
Children’s Hospital and Medical Center Omaha, Division of Palliative Care, 8200 Dodge Street, Omaha, NE 68114, USA
2
University of Nebraska Medical Center, Department of Biostatistics, Omaha, NE 68198, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Stefan J. Friedrichsdorf
Received: 27 April 2017 / Revised: 1 July 2017 / Accepted: 28 July 2017 / Published: 1 August 2017
(This article belongs to the Special Issue Pediatric Palliative Care)
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Abstract

Pediatric palliative care studies often rely on proxy-reported instead of direct child-reported quality of life metrics. The purpose of this study was to longitudinally evaluate quality of life for pediatric patients receiving palliative care consultations and to compare patient-reported quality of life with parent perception of the child’s quality of life across wellness domains. The 23-item PedsQL™ V4.0 Measurement Model was utilized for ten child and parent dyads at time of initial palliative care consultation, Month 6, and Month 12 to assess for physical, emotional, social, and cognitive dimensions of quality of life as reported independently by the child and by the parent for the child. Findings were analyzed using Bland–Altman plots to compare observed differences to limits of agreement. This study revealed overall consistency between parent- and child-reported quality of life across domains. Physical health was noted to be in closest agreement. At the time of initial palliative care consult, children collectively scored their social quality of life higher than parental perception of the child’s social quality of life; whereas, emotional and cognitive quality of life domains were scored lower by children than by the parental report. At the one year survey time point, the physical, emotional, and social domains trended toward more positive patient perception than proxy perception with congruence between quality of life scores for the cognitive domain. Findings reveal the importance of eliciting a child report in addition to a parent report when measuring and longitudinally trending perceptions on quality of life. View Full-Text
Keywords: quality of life; pediatric palliative care; patient reported outcomes quality of life; pediatric palliative care; patient reported outcomes
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Weaver, M.S.; Darnall, C.; Bace, S.; Vail, C.; MacFadyen, A.; Wichman, C. Trending Longitudinal Agreement between Parent and Child Perceptions of Quality of Life for Pediatric Palliative Care Patients. Children 2017, 4, 65.

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