Wilson Kathleen S, Wiersma Lenny D, Rubin Daniela A
Department of Kinesiology, California State University, Fullerton, United States.
Department of Kinesiology, California State University, Fullerton, United States.
Res Dev Disabil. 2016 Oct;57:149-57. doi: 10.1016/j.ridd.2016.06.016. Epub 2016 Jul 18.
The purpose of this study was to evaluate the use of the Peds QL4.0 instrument to assess quality of life (QL) in children with Prader Willi Syndrome (PWS). This study also sought to compare differences in parent and child report as well as between children with PWS and without PWS.
Parents and children with PWS (N=44) completed the PedsQL 4.0 instrument. A sub-sample of children completed the Peds QL 4.0 a second time to assess test-retest reliability. A comparison sample of children who were obese but without PWS (N=66) also completed the PedsQL 4.0.
PedsQL 4.0 showed acceptable internal consistency for the child report (αs >0.72) and was acceptable for 4 out of the 6 scales for the parent report (αs >0.66). Test-retest reliability coefficients showed support for the reliability of the instrument (ICCs>0.64). Parents perceived lower QL than children with PWS. Children with PWS also showed lower QL than children without PWS.
This study provides support for the use of the PedsQL 4.0 instrument in children with PWS. As observed in other populations, parents perceive a lower QL for their children with PWS than the children themselves.
本研究旨在评估使用儿童生活质量量表4.0(Peds QL4.0)来评估普拉德-威利综合征(PWS)患儿的生活质量(QL)。本研究还试图比较家长报告与儿童报告之间的差异,以及PWS患儿与非PWS患儿之间的差异。
44名PWS患儿及其家长完成了儿童生活质量量表4.0(PedsQL 4.0)。部分患儿再次完成该量表以评估重测信度。选取66名肥胖但无PWS的儿童作为对照样本,他们也完成了儿童生活质量量表4.0(PedsQL 4.0)。
儿童报告中,PedsQL 4.0显示出可接受的内部一致性(α系数>0.72);家长报告的6个分量表中有4个显示出可接受的内部一致性(α系数>0.66)。重测信度系数表明该量表具有可靠性(组内相关系数>0.64)。家长认为PWS患儿的生活质量低于患儿自己的感受。PWS患儿的生活质量也低于非PWS患儿。
本研究支持将儿童生活质量量表4.0(PedsQL 4.0)用于PWS患儿。正如在其他人群中观察到的那样,家长认为他们患有PWS的孩子的生活质量低于孩子自己的感受。