Specific instruments to assess quality of life in children and adolescents with asthma

Objective: To identify and describe specific instruments to assess health-related quality of life (HRQoL) in children and adolescents with asthma. Data source: Searches were performed in the PubMed, Ovid, and LILACS databases using different combinations of key words (MeSH terms), selecting original...

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Bibliographic Details
Main Authors: Cristian Roncada, Rita Mattiello, Paulo M. Pitrez, Edgar E. Sarria
Format: Article
Language:English
Published: Elsevier 2013-05-01
Series:Jornal de Pediatria
Online Access:http://www.sciencedirect.com/science/article/pii/S0021755713000600
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Summary:Objective: To identify and describe specific instruments to assess health-related quality of life (HRQoL) in children and adolescents with asthma. Data source: Searches were performed in the PubMed, Ovid, and LILACS databases using different combinations of key words (MeSH terms), selecting original articles on the development of specific HRQoL questionnaires, published in English, Portuguese, or Spanish, between 1990 and 2012. Data synthesis: A total of 15 instruments that met the inclusion criteria were identified. Most studies assessed reliability through internal consistency, reproducibility, and/or sensitivity to changes. Validity was assessed by comparison with healthy controls (discordant validity) or factorial analysis. Conclusions: Of the 15 instruments, three are the most frequently used: Pediatric Asthma Quality of Life Questionnaire (PAQLQ), Pediatric Quality of Life Inventory 4.0 (PedsQL-Asthma), and Disability Kids (DISABKIDS). In general, these three tools have adequate psychometric characteristics and are practical to implement, but only PAQLQ has been culturally adapted to Brazil. Resumo: Objetivo: Identificar e descrever os instrumentos específicos que avaliam a QVRS de crianças e adolescentes com asma. Fontes dos dados: Realizamos buscas nas bases de dados PubMed, Ovid e LILACS utilizando várias combinações de descritores (MeSH terms), selecionando artigos originais sobre desenvolvimento de questionários específicos de QVRS, publicados em inglês, português ou espanhol, entre 1990 e 2012. Síntese dos dados: Foram identificados 15 instrumentos que preencheram os critérios de inclusão. A maioria dos estudos avaliou confiabilidade mediante consistência interna e/ou reprodutibilidade e/ou sensibilidade às mudanças. A validade foi avaliada mediante a comparação com hígidos (validade discordante) ou análise fatorial. Conclusões: Dos 15 instrumentos, três são os mais utilizados, o PAQLQ, o PedsQL-Asthma e DISABKIDS. Em geral, estes três instrumentos possuem características psicométricas adequadas e são práticos de aplicar, mas apenas o PAQLQ completou a adaptação cultural para o Brasil. Keywords: Asthma, Quality of life, Child and adolescent, Palavras-chave: Asma, Qualidade de vida, Criança e adolescente
ISSN:0021-7557