Properties of the CP-QOL-PCQ to measure health-related quality of life in children and adolescents with cerebral palsy in Argentina

Authors

  • Silvina Berra CONICET; Facultad de Ciencias Médicas, Universidad Nacional de Córdoba. http://orcid.org/0000-0003-3618-7041
  • Natalia Herrera Sterren Universidad Nacional de Córdoba. Consejo Nacional de Investigaciones Científicas y Técnicas. Argentina.
  • Javier Sánchez Rosas 3. Universidad Católica de Temuco, Facultad de Ciencias de la Salud, Departamento de Psicología, Chile.

DOI:

https://doi.org/10.31053/1853.0605.v80.n3.40042

Keywords:

cerebral palsy, disabled children, adolescence, surveys and questionnaires, reliability and validity

Abstract

Introduction: The impact of cerebral palsy (CP) on quality of life requires the incorporation of subjective assessments of health, functional status, and well-being. A specific health-related quality of life (HRQoL) measure for CP is the Australian CP-QOL questionnaire, whose version for caregivers (PCQ) was adapted in Argentina. This study aimed to achieve the final structure and evaluate the reliability and validity of the CP-QOL-PCQ for the Argentine child and adolescent population.

Methods: 100 caregivers of people from 3 to 24 years old with a diagnosis of CP from Argentina participated. In addition to the CP-QOL-PCQ, the KIDSCREEN-27 questionnaire was applied. Analysis of response distributions of all items, inter-item correlations, and internal consistency of the scales were performed using Cronbach's alpha. The convergent validity of the instrument was tested through the correlation with scales of similar content from the KIDSCREEN and through a priori hypotheses in groups of different ages and functional impairment.

Results: A final structure of the CP-QOL-PCQ was achieved with 8 multidimensional scales, with satisfactory inter-item correlations (>0.30) and internal consistency (>0.70). Moderate and high correlations (r>0.30) were obtained between similar dimensions of the CP-QOL-PCQ and the KIDSCREEN with similar concepts. Higher HRQoL scores were confirmed at a younger age and at a lower level of functional impairment (Cohen's d >0.20).

Conclusion: This provides evidence of reliability and validity to be expected for a HRQoL measurement instrument that can be implemented in the Argentine child and adolescent population with CP.

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Author Biographies

Silvina Berra, CONICET; Facultad de Ciencias Médicas, Universidad Nacional de Córdoba.

Prof. Titular de Métodos y Técnicas de la Investigación Científica; Investigadora adjunta CONICET-INICSA; Facultad de Ciencias Médicas, Universidad Nacional de Córdoba.  

Natalia Herrera Sterren, Universidad Nacional de Córdoba. Consejo Nacional de Investigaciones Científicas y Técnicas. Argentina.

Medical Surgeon (Faculty of Medical Sciences, UNC)

Doctoral Fellow. Center for Research and Studies on Culture and Society (CIECS), CONICET, UNC, Argentina.

Assistant Professor in Cell Biology, Embryology and Histology (Medicine, FCM, UNC).

Javier Sánchez Rosas, 3. Universidad Católica de Temuco, Facultad de Ciencias de la Salud, Departamento de Psicología, Chile.

PhD. in Psychology (UNC). Current work: Psychological and Educational Evaluation Laboratory, Faculty of Psychology. National University of Cordoba. Revista Evaluar’s Editor

Research interests: emotion and achievement motivation, self-regulation, educational assessment, and quality of instruction. Development and evaluation of scales.Research Interests: achievement emotion and motivation, self-regulation, educational assessment, and instructional quality.

References

Hurtado L. La parálisis cerebral. Actualización del concepto, pronóstico y tratamiento. Pediatr Integral. 2007; XI (8): 687-698.

Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D; Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005 Aug;47(8):571-6. doi: 10.1017/s001216220500112x.

Ruiz Brunner MM, Cuestas E. La construcción de la definición parálisis cerebral: un recorrido histórico hasta la actualidad. Rev Fac Cien Med Univ Nac Cordoba. 2019 Jun 19;76(2):113-117. doi: 10.31053/1853.0605.v76.n2.23649.

Póo P. Parálisis cerebral infantil. En: Campistol J, Arroyo HJ, Póo P, Ruggieri V, editores. Neurología para pediatras, enfoque y manejo práctico. Madrid: Editorial Médica Panamericana; 2011. p.93-109.

World Health Organization. Clasificación internacional del funcionamiento de la discapacidad y de la salud : CIF : versión abreviada [Internet]. Organización Mundial de la Salud; 2001. Disponible en: https://apps.who.int/iris/handle/10665/43360. Alonso J. La medida de la calidad de vida relacionada con la salud en la investigación y la práctica clínica. Gac Sanit. 2000; 14(2):163-7. doi: 10.1016/S0213-9111(00)71450-6

Grupo de trabajo sobre calidad de vida en la infancia. Calidad de vida relacionada con la salud en pediatría: instrumentos utilizados para su evaluación. Arch Argent Pediatr. 2014 Dec;112(6):571-6. doi: 10.5546/aap.2014.571

Valderas JM, Ferrer M, Alonso J. Instrumentos de medida de calidad de vida relacionada con la salud y de otros resultados percibidos por los pacientes. Med Clin (Barc) 2005;125(1):56-60. doi: 10.1016/S0025-7753(05)72211-9.

Carlon S, Shields N, Yong K, Gilmore R, Sakzewski L, Boyd R. A systematic review of the psychometric properties of Quality of Life measures for school aged children with cerebral palsy. BMC Pediatr. 2010 Nov 9;10:81. doi: 10.1186/1471-2431-10-81.

Waters E, Maher E, Salmon L, Reddihough D, Boyd R. Development of a condition-specific measure of quality of life for children with cerebral palsy: empirical thematic data reported by parents and children. Child Care Health Dev. 2005 Mar;31(2):127-35. doi: 10.1111/j.1365-2214.2004.00476.x.

Waters E, Davis E, Mackinnon A, Boyd R, Graham HK, Kai Lo S, Wolfe R, Stevenson R, Bjornson K, Blair E, Hoare P, Ravens-Sieberer U, Reddihough D. Psychometric properties of the quality of life questionnaire for children with CP. Dev Med Child Neurol. 2007 Jan;49(1):49-55. doi: 10.1017/s0012162207000126.x.

Badia M, Orgaz MB, Riquelme I, Gómez-Iruretagoyena J. Domains of the Cerebral Palsy Quality of Life Questionnaire (CP QOL) for Children and Adolescents: Spanish Adaptation and Psychometric Properties. J Dev Phys Disabil 2021; 33: 331-349. doi: 10.1007/s10882-020-09751-z.

Herrera Sterren N, Berra S. Adaptación transcultural de un cuestionario de calidad de vida relacionada con la salud en parálisis cerebral. Rev Argent Salud Pública. 2020; 12:e22. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1853-810X2020000200022.

Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018 Mar;2(3):223-228. doi: 10.1016/S2352-4642(18)30022-1.

Berra S, Bustingorry V, Henze C, Díaz Mdel P, Rajmil L, Butinof M. Adaptación transcultural del cuestionario KIDSCREEN para medir calidad de vida relacionada con la salud en población argentina de 8 a 18 años. Arch Argent Pediatr. 2009 Aug;107(4):307-14. doi: 10.1590/S0325-00752009000400007.

Berra S, Tebé C, Esandi ME, Carignano C. Reliability and validity of the KIDSCREEN-52 questionnaire to measure health related quality of life in the 8 to 18 year-old Argentinean population. Arch Argent Pediatr. 2013 Jan-Feb;111(1):29-35. doi: 10.5546/aap.2013.eng.29.

Nunnally JC, Bernstein IH. Psychometric theory. 1994; 3rd ed. Nueva York: McGraw-Hill.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates, Inc; 1998.

Palacio-Vieira JA, Villalonga-Olives E, Valderas JM, Espallargues M, Herdman M, Berra S, Alonso J, Rajmil L. Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Qual Life Res. 2008 Dec;17(10):1207-15. doi: 10.1007/s11136-008-9405-7.

Michel G, Bisegger C, Fuhr DC, Abel T; KIDSCREEN group. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Qual Life Res. 2009 Nov;18(9):1147-57. doi: 10.1007/s11136-009-9538-3.

Shelly A, Davis E, Waters E, Mackinnon A, Reddihough D, Boyd R, Reid S, Graham HK. The relationship between quality of life and functioning for children with cerebral palsy. Dev Med Child Neurol. 2008 Mar;50(3):199-203. doi: 10.1111/j.1469-8749.2008.02031.x.

Aaronson N, Alonso J, Burnam A, Lohr KN, Patrick DL, Perrin E, Stein RE. Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res. 2002 May;11(3):193-205. doi: 10.1023/a:1015291021312.

Valderas JM, Ferrer M, Mendívil J, Garin O, Rajmil L, Herdman M, Alonso J; Scientific Committee on "Patient-Reported Outcomes" of the IRYSS Network. Development of EMPRO: a tool for the standardized assessment of patient-reported outcome measures. Value Health. 2008 Jul-Aug;11(4):700-8. doi: 10.1111/j.1524-4733.2007.00309.x.

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P; ISPOR Task Force for Translation and Cultural Adaptation. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005 Mar-Apr;8(2):94-104. doi: 10.1111/j.1524-4733.2005.04054.x.

White-Koning M, Arnaud C, Dickinson HO, Thyen U, Beckung E, Fauconnier J, McManus V, Michelsen SI, Parkes J, Parkinson K, Schirripa G, Colver A. Determinants of child-parent agreement in quality-of-life reports: a European study of children with cerebral palsy. Pediatrics. 2007 Oct;120(4):e804-14. doi: 10.1542/peds.2006-3272.

Published

2023-09-29

How to Cite

1.
Berra S, Herrera Sterren N, Sánchez Rosas J. Properties of the CP-QOL-PCQ to measure health-related quality of life in children and adolescents with cerebral palsy in Argentina. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2023 Sep. 29 [cited 2024 Sep. 1];80(3):188-204. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/40042

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Original Papers