Prospective comparison of parent and adolescent report of health-related quality of life in adolescent solid organ transplant recipients

Katie A. Devine, Bonney Reed-Knight, Laura E. Simons, Laura L. Mee, Ronald L. Blount

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

This 18-month prospective investigation sought to examine changes in HRQOL over time for adolescent solid organ transplant recipients. Additionally, this study examined the relationship between adolescent and parent report of HRQOL and compared parent report of HRQOL to published normative data. Forty-eight adolescent-parent dyads completed the CHQ, a measure of HRQOL, at two time periods. Parent and adolescent reports of HRQOL were stable over time. ICCs between parent and adolescent reports were significant and moderate across most domains of HRQOL, with the exception of family cohesion, physical functioning, and bodily pain. However, mean differences indicated that parents perceived significantly worse self-esteem and general health perceptions compared to their adolescents. Compared to normative data, parents reported significantly lower HRQOL across several domains, including adolescents' physical functioning and the emotional impact of their adolescent's condition on themselves. However, parents also reported higher levels of family cohesion. Results indicate that assessment of HRQOL for transplant recipients should include multiple reporters and that HRQOL as reported by adolescents and parents is generally stable over time without intervention. Further research is needed to understand factors related to differential HRQOL outcomes.

Original languageEnglish (US)
Pages (from-to)1000-1006
Number of pages7
JournalPediatric Transplantation
Volume14
Issue number8
DOIs
StatePublished - Dec 1 2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

Keywords

  • adolescents
  • health-related quality of life
  • parent-adolescent agreement
  • transplant

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