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Influence of overweight on the health-related quality of life in adolescents. ANALES DE PEDIATRÍA (ENGLISH EDITION) 2015. [DOI: 10.1016/j.anpede.2014.06.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
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Herranz Barbero A, López de Mesa M, Azcona San Julián C. Influencia del exceso de peso en la calidad de vida relacionada con la salud de los adolescentes. An Pediatr (Barc) 2015; 82:131-8. [DOI: 10.1016/j.anpedi.2014.06.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2014] [Revised: 06/18/2014] [Accepted: 06/20/2014] [Indexed: 10/25/2022] Open
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Rajmil L, Roizen M, Psy AU, Hidalgo-Rasmussen C, Fernández G, Dapueto JJ. Health-related quality of life measurement in children and adolescents in Ibero-American countries, 2000 to 2010. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2012; 15:312-322. [PMID: 22433763 DOI: 10.1016/j.jval.2011.11.028] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2011] [Revised: 10/19/2011] [Accepted: 11/11/2011] [Indexed: 05/31/2023]
Abstract
OBJECTIVES To analyze the characteristics of instruments designed to assess the health-related quality of life (HRQOL) in children, developed or adapted from 2000 to 2010 in Argentina, Chile, Mexico, Spain, and Uruguay. METHODS The protocol-led literature review included database searching (e.g., Medline, ISI Science Citation Index) and manual searching to retrieve studies focused on measures of HRQOL, health status, or well-being addressed to children and adolescents. Country-specific filters were applied to identify studies carried out in the participating countries. The characteristics of the instruments and type of studies were analyzed. Descriptive characteristics and psychometric properties were analyzed following the guidelines of the Scientific Advisory Committee of the Medical Outcomes Trust. RESULTS Ninety-nine documents were included. Thirty-one questionnaires were identified, 24 instruments were adapted, and the psychometric properties of 20 HRQOL instruments were reported in the study period. There was substantial variability in the number and characteristics of the dimensions included. Reliability was generally acceptable, and the majority of instruments provided data on internal consistency (n = 18) and, to a lesser extent, on test-retest reliability (n = 12). Nearly all studies reported construct validity, but only four analyzed sensitivity to change. CONCLUSIONS There is a scarcity of instruments to measure HRQOL of children and adolescents in the countries analyzed. Certain psychometric characteristics have been reasonably well tested, but others, most notably sensitivity to change, have not been tested in most instruments. Extension of this study to other Latin American countries would help to further identify gaps in this area and promote the use of HRQOL measurement in children and adolescents in Spanish-speaking cultures.
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Affiliation(s)
- Luis Rajmil
- URSS, IMIM-Institut de Recerca Hospital del Mar, Barcelona, Spain.
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Horner P, Grogan-Kaylor A, Delva J, Bares CB, Andrade F, Castillo M. The Association of Family and Peer Factors with Tobacco, Alcohol, and Marijuana Use Among Chilean adolescents in Neighborhood Context. Subst Abuse Rehabil 2011; 2:163-172. [PMID: 22224067 PMCID: PMC3249750 DOI: 10.2147/sar.s20507] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Research on adolescent use of substances has long sought to understand the family factors that may be associated with use of different substances such as alcohol, tobacco, and marijuana. However, scant attention has been focused on these questions in Latin American contexts, despite growing concerns about substance use among Latin American youth. Using data from a sample of 866 Chilean youth, we examined the relationship of family and neighborhood factors with youth substance abuse. We found that in a Latin American context, access to substances is an important predictor of use, but that neighborhood effects differ for marijuana use as opposed to cigarettes or alcohol. Age of youth, family and peer relationships, and gender all play significant roles in substance use. The study findings provide additional evidence that the use of substances is complex, whereby individual, family, and community influences must be considered jointly to prevent or reduce substance use among adolescents.
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Affiliation(s)
- Pilar Horner
- School of Social Work, Michigan State University
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Estrada MD, Rajmil L, Herdman M, Serra-Sutton V, Tebé C, Alonso J, Riley AW, Forrest CB, Starfield B. Reliability and validity of the Spanish version of the Child Health and Illness Profile Child-Edition/Child Report Form (CHIP-CE/CRF). Qual Life Res 2011; 21:909-14. [PMID: 21842434 DOI: 10.1007/s11136-011-9992-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/04/2011] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To assess the reliability and validity of the Spanish version of the CHIP-CE/CRF. METHODS Cross-sectional study was conducted in a representative sample of primary school children in Spain. Children were administered the Spanish version of the CHIP-CE/CRF. The Achenbach Child Behavioral Checklist was given to parents. RESULTS The overall response rate was 75% (n = 979). Internal consistency was >0.70 for 3 out of 5 domains, and the intraclass correlation coefficient for test-retest stability ranged from 0.69 to 0.80. Confirmatory factor analysis replicated the original model. Younger children scored higher in Satisfaction than older children. Girls scored lower in Comfort but higher in Risk Avoidance than boys. CONCLUSIONS The Spanish version of the CHIP-CE/CRF has shown acceptable reliability and validity, similar to the properties of the original US version. Future studies should analyze the instrument's sensitivity to change.
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Affiliation(s)
- Maria-Dolors Estrada
- Agència d'Informació, Avaluació i Qualitat en Salut, Roc Boronat 81-95 2nd Floor, 08005 Barcelona, Spain
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Bares CB, Delva J, Grogan-Kaylor A, Andrade F. Family and parenting characteristics associated with marijuana use by Chilean adolescents. Subst Abuse Rehabil 2011; 2011:1-11. [PMID: 21660209 PMCID: PMC3109755 DOI: 10.2147/sar.s16432] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE: Family involvement and several characteristics of parenting have been suggested to be protective factors for adolescent substance use. Some parenting behaviors may have stronger relationships with adolescent behavior while others may have associations with undesirable behavior among youth. Although it is generally acknowledged that families play an important role in the lives of Chilean adolescents, scant research exists on how different family and parenting factors may be associated with marijuana use and related problems in this population which has one of the highest rates of drug use in Latin America. METHODS: Using logistic regression and negative binomial regression, we examined whether a large number of family and parenting variables were associated with the possibility of Chilean adolescents ever using marijuana, and with marijuana-related problems. Analyses controlled for a number of demographic and peer-related variables. RESULTS: Controlling for other parenting and family variables, adolescent reports of parental marijuana use showed a significant and positive association with adolescent marijuana use. The multivariate models also revealed that harsh parenting by fathers was the only family variable associated with the number of marijuana-related problems youth experienced. CONCLUSION: Of all the family and parenting variables studied, perceptions of parental use of marijuana and harsh parenting by fathers were predictors for marijuana use, and the experience of marijuana-related problems. Prevention interventions need to continue emphasizing the critical socializing role that parental behavior plays in their children's development and potential use of marijuana.
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Affiliation(s)
- Cristina B Bares
- Curtis Research and Training Center, School of Social Work, University of Michigan, Ann Arbor, MI, USA
| | - Jorge Delva
- School of Social Work, University of Michigan, Ann Arbor, MI, USA
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Estrada MD, Rajmil L, Serra-Sutton V, Tebé C, Alonso J, Herdman M, Riley AW, Forrest CB, Starfield B. Reliability and validity of the Spanish version of the Child Health and Illness Profile (CHIP) Child-Edition, Parent Report Form (CHIP-CE/PRF). Health Qual Life Outcomes 2010; 8:78. [PMID: 20678198 PMCID: PMC2922102 DOI: 10.1186/1477-7525-8-78] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2010] [Accepted: 08/02/2010] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND The objectives of the study were to assess the reliability, and the content, construct, and convergent validity of the Spanish version of the CHIP-CE/PRF, to analyze parent-child agreement, and compare the results with those of the original U.S. version. METHODS Parents from a representative sample of children aged 6-12 years were selected from 9 primary schools in Barcelona. Test-retest reliability was assessed in a convenience subsample of parents from 2 schools. Parents completed the Spanish version of the CHIP-CE/PRF. The Achenbach Child Behavioural Checklist (CBCL) was administered to a convenience subsample. RESULTS The overall response rate was 67% (n = 871). There was no floor effect. A ceiling effect was found in 4 subdomains. Reliability was acceptable at the domain level (internal consistency = 0.68-0.86; test-retest intraclass correlation coefficients = 0.69-0.85). Younger girls had better scores on Satisfaction and Achievement than older girls. Comfort domain score was lower (worse) in children with a probable mental health problem, with high effect size (ES = 1.45). The level of parent-child agreement was low (0.22-0.37). CONCLUSIONS The results of this study suggest that the parent version of the Spanish CHIP-CE has acceptable psychometric properties although further research is needed to check reliability at sub-domain level. The CHIP-CE parent report form provides a comprehensive, psychometrically sound measure of health for Spanish children 6 to 12 years old. It can be a complementary perspective to the self-reported measure or an alternative when the child is unable to complete the questionnaire. In general, the results are similar to the original U.S. version.
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Affiliation(s)
- Maria-Dolors Estrada
- Agència d'Avaluació de Tecnologia i Recerca Mèdiques, Roc Boronat 81-95 2nd Floor Barcelona 08005, Spain
- CIBER de Epidemiología y Salud Pública CIBERESP, Dr Aiguader 88, Barcelona 08003, Spain
| | - Luis Rajmil
- Agència d'Avaluació de Tecnologia i Recerca Mèdiques, Roc Boronat 81-95 2nd Floor Barcelona 08005, Spain
- CIBER de Epidemiología y Salud Pública CIBERESP, Dr Aiguader 88, Barcelona 08003, Spain
- Institut Municipal d'Investigació Mèdica (IMIM-Hospital del Mar), Dr Aiguader 88, Barcelona 08003, Spain
| | - Vicky Serra-Sutton
- Agència d'Avaluació de Tecnologia i Recerca Mèdiques, Roc Boronat 81-95 2nd Floor Barcelona 08005, Spain
- CIBER de Epidemiología y Salud Pública CIBERESP, Dr Aiguader 88, Barcelona 08003, Spain
| | - Cristian Tebé
- Agència d'Avaluació de Tecnologia i Recerca Mèdiques, Roc Boronat 81-95 2nd Floor Barcelona 08005, Spain
- CIBER de Epidemiología y Salud Pública CIBERESP, Dr Aiguader 88, Barcelona 08003, Spain
| | - Jordi Alonso
- CIBER de Epidemiología y Salud Pública CIBERESP, Dr Aiguader 88, Barcelona 08003, Spain
- Institut Municipal d'Investigació Mèdica (IMIM-Hospital del Mar), Dr Aiguader 88, Barcelona 08003, Spain
| | - Michael Herdman
- CIBER de Epidemiología y Salud Pública CIBERESP, Dr Aiguader 88, Barcelona 08003, Spain
- Institut Municipal d'Investigació Mèdica (IMIM-Hospital del Mar), Dr Aiguader 88, Barcelona 08003, Spain
| | - Anne W Riley
- Johns Hopkins School of Public Health, 2008 South Road Baltimore, Maryland, USA
| | - Christopher B Forrest
- Children's Hospital of Philadelphia, Adolescent Medicine Department, 3535 Market Street - Suite 1371, Philadelphia, PA 19104, USA
| | - Barbara Starfield
- Johns Hopkins School of Public Health, 2008 South Road Baltimore, Maryland, USA
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Vélez Galárraga R, López Aguilà S, Rajmil L. Género y salud percibida en la infancia y la adolescencia en España. GACETA SANITARIA 2009; 23:433-9. [DOI: 10.1016/j.gaceta.2009.01.014] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2008] [Revised: 12/22/2008] [Accepted: 05/11/2009] [Indexed: 01/29/2023]
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Escobar R, Montoya A, Polavieja P, Cardo E, Artigas J, Hervas A, Fuentes J. Evaluation of patients' and parents' quality of life in a randomized placebo-controlled atomoxetine study in attention-deficit/hyperactivity disorder. J Child Adolesc Psychopharmacol 2009; 19:253-63. [PMID: 19519260 DOI: 10.1089/cap.2008.0109] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this study was to demonstrate the superior efficacy of atomoxetine with respect to placebo and to compare parent and child perceptions of health-related quality of life (HRQoL). METHOD This randomized, placebo-controlled, 12-week parallel clinical trial included 151 untreated children/adolescents with newly diagnosed attention-deficit/hyperactivity disorder (ADHD). Parents' and patients' reports of HRQoL were obtained separately using the Child Health and Illness Profile and compared using analysis of covariance. RESULTS The ADHD Rating Scale baseline mean score was 39.21. Baseline HRQoL was perceived as considerably compromised by parents, especially in the risk avoidance and achievement domains (mean t-scores, 32.47 and 33.16, respectively), but less by children, and restricted to the achievement domain (mean t-score, 41.54). Atomoxetine improved HRQoL with respect to placebo in these two domains as assessed by parents (difference between adjusted mean changes and 95% confidence interval, 8.53, 4.05-13.00 and 3.39, 0.13-6.65) and in the risk avoidance domain by patients (3.56, 1.04-6.07). A modest correlation of clinical severity with HRQoL was found in this clinical population. CONCLUSIONS This study confirms prior reports the impact of ADHD on the HRQoL of patients as assessed by their parents. The patients' perspective is of a lesser impact. Atomoxetine improved HRQoL as assessed by both parents and patients.
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Serra-Sutton V, Ferrer M, Rajmil L, Tebé C, Simeoni MC, Ravens-Sieberer U. Population norms and cut-off-points for suboptimal health related quality of life in two generic measures for adolescents: the Spanish VSP-A and KINDL-R. Health Qual Life Outcomes 2009; 7:35. [PMID: 19383145 PMCID: PMC2678997 DOI: 10.1186/1477-7525-7-35] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2008] [Accepted: 04/21/2009] [Indexed: 11/23/2022] Open
Abstract
Background Health-related quality of life (HRQL) outcome measures are complex and for further application in clinical practice and health service research the meaning of their scorings should be studied in depth. The aim of this study was to increase the interpretability of the Spanish VSP-A and KINDL-R scores. Methods A representative sample of adolescents aged 12 to 18 years old was selected in Spain. The Spanish VSP-A and KINDL-R, two generic HRQL measures (range: 0–100), were self-administered along with other external anchor measures (Strengths and Difficulties Questionnaire, Oslo Social Support Scale and self-declaration of chronic conditions) and sent by post. Percentiles of both HRQL questionnaires were obtained by gender, and age group and effect sizes (ES) were calculated. Receiver Operating Characteristic curves and related sensitivity (SE) and specificity (SP) values were also computed. Results The Spanish VSP-A and KINDL-R were completed by 555 adolescents. A moderate ES was shown in Psychological well-being between younger and older girls (ES: 0.77) in the VSP-A and small ES in the KINDL (ES: 0.41) between these groups. A SE and SP value close to 0.70 was associated to a global HRQL score of 65 in the VSP-A and 70 in the KINDL-R, when compared to anchors measuring mental and psychosocial health. Adolescents with scores bellow these cut-off points showed a moderate probability of presenting more impairment in their HRQL. Conclusion The results of this study will be of help to interpret the VSP-A AND KINDL-R questionnaires by comparing with the general population and also provide cut-off points to define adolescents with health problems.
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Bek N, Simsek IE, Erel S, Yakut Y, Uygur F. Turkish version of impact on family scale: a study of reliability and validity. Health Qual Life Outcomes 2009; 7:4. [PMID: 19175918 PMCID: PMC2647527 DOI: 10.1186/1477-7525-7-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2007] [Accepted: 01/28/2009] [Indexed: 11/13/2022] Open
Abstract
Background Although there is a considerably high prevalence of developmental disorders in Turkey there are not many assessment tools related to evaluating the impact of these children on their family. The aim of this study was to determine the validity and reliability of the Turkish version of the Impact on Family Scale (IPFAM), a health related quality of life measurement to be utilized in clinical trials, health care services, research and evaluation. Methods Caregivers of 85 children with developmental disabilities answered the questionnaire and 65 of them answered it twice with a one week interval. The reliability of the measurement was assessed by Cronbach's alpha coefficient, and with intraclass correlation coefficient (ICC) for test-retest reliability. Construct validity was assessed by calculating the correlation between total impact score of IPFAM, WeeFIM and the physiotherapists' evaluation via Visual Analogue Scale (VAS) to determine the child's disability. Results Test-retest reliability was found to be ICC = 0.953 for total impact, 0.843 for financial support, 0.940 for general impact, 0.871 for disruption of social relations and 0.787 for coping. Internal consistency was tested using Cronbach's alpha and was found to be 0.902 for total impact of IPFAM. For construct validity the correlation between total impact score of IPFAM and WeeFIM was r = -0,532 (p < 0.001) and the correlation between total impact score of IPFAM and the physiotherapist's evaluation was r = 0.519 (p < 0.001). Conclusion The Turkish version of IPFAM was found to be a reliable and valid instrument for assessing the impact of developmental disorders of the child on the family.
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Affiliation(s)
- Nilgun Bek
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
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