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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...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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...Additionally, interventions reducing family conflict were associated with better blood glucose monitoring (14, 15) and HRQL (16)....
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...The Dutch FAIM was originally developed as an independent measure for food allergy (24) to evaluate the construct validity of the FAQLQs....
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...3% of adolescents (1), and they are at highest risk for food allergy fatalities (2)....
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