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 result from "Adolescent-parent disagreement on h..."
...We also found no differences between the mothers’ and fathers’ assessments of the child, but that both parents scored the child’s HRQL better than the child’s own assessment, a finding also reported by Van der Velde [35, 41]....
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...We also found no differences between the mothers’ and fathers’ assessments of the child, but that both parents scored the child’s HRQL better than the child’s own assessment, a finding also reported by Van der Velde (35, 41)....
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References
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Additional excerpts
...31 No idea 26 (38) 15 (22) Genetic/innate 29 (42) 34 (49) Environmental factors 6 (9) 5 (7) Dysfunction of immune system 3 (4) 3 (4) Coincidence/bad luck 2 (3) 5 (7) Other* 4 (6) 8 (11)...
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"Adolescent-parent disagreement on h..." refers background in this paper
...Food-allergic Dutch adolescents (13–17 years) and their parents were recruited from the pediatric allergy clinic or through Dutch food allergy support organizations (10) between May and July 2010....
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...Food Allergy Quality of Life Questionnaire-Teenager Form (FAQLQ-TF) The original Dutch FAQLQ-TF is an adolescent-self-report instrument for measuring the impact of food allergy on the adolescent’s HRQL (10)....
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