Adolescent-parent disagreement on health-related quality of life of food-allergic adolescents: who makes the difference?
Summary (1 min read)
Background
- Food allergic adolescents are at highest risk for food allergy fatalities, which may be partly due to compromised self-management behaviour.
- Such behaviour may be negatively influenced by conflictual situations caused by child-parent disagreement on the adolescent’s Health-Related Quality of Life (HRQL).
- Comparisons of self- and parent-proxy-reported HRQL have never extensively been studied in food allergic adolescents.
- Therefore, the aims of this study were to investigate disagreement in self- and parent-proxy-reported HRQL of food allergic adolescents and to investigate the influence of participant characteristics, illness expectations and perceptions on adolescent-parent disagreement.
Methods
- Teenager Form (-TF) and -Parent Form (-PFA) of the Food Allergy Quality of Life Questionnaire , Food Allergy Independent Measure (FAIM) and BriefIllness Perception Questionnaire (Brief-IPQ) were sent to Dutch food allergic adolescents (13-17 years) and their parents.
- ICCs, t-tests and Bland-Altman plots were used to examine adolescent-parent agreement.
- Factors influencing agreement were studied (linear regression).
Results
- Bland-Altman plots showed relevant differences (exceeding minimal important difference) for 64% of all adolescent-parent pairs.
- Regression analysis showed that an older age of adolescents, poorer adolescent-reported illness comprehension (Brief-IPQ-TF, coherence) and higher adolescent-reported perceived disease severity (FAIM-TF) were associated with adolescent-parent disagreement on HRQL.
Conclusions
- Adolescent-parent disagreement on HRQL was mainly determined by the adolescent’s rather than the parent’s perceptions and characteristics.
- This may contribute to improved self-management of food allergic adolescents.
- 4University Medical Centre Groningen, University of Groningen, Department of Pediatric Allergy and Pulmonology, Groningen, Netherlands.
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Cites background from "Adolescent-parent disagreement on h..."
...…than did the children themselves (King et al. 2009), while it was found in a comparison of the teenager and parent versions of the Food Allergy Quality of Life Questionnaire (FAQLQ) that disagreement was associated with the adolescent’s perceptions and characteristics (van der Velde et al. 2011)....
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6 citations
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"Adolescent-parent disagreement on h..." refers background in this paper
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"Adolescent-parent disagreement on h..." refers methods in this paper
...Discriminative abilities were investigated comparing total questionnaire scores for boys vs girls, for adolescents who have two or fewer vs more than two food allergies (independent-samples t-tests), and for adolescents who experienced anaphylaxis (31) vs adolescents who did not (Mann–Whitney U-test)....
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"Adolescent-parent disagreement on h..." refers background in this paper
...Additionally, parental attitudes, beliefs, and fears can have an impact on the utilization of health care services for their child (18), and parents may provide information not provided by adolescents themselves (19)....
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