The results demonstrate the reliability and validity of the PedsQL 4.0 Generic Core Scales. The PedsQL 4.0 Generic Core Scales may be applicable in clinical trials, research, clinical practice, school health settings, and community populations.
The results support the PedsQL as a reliable and valid measure of HRQOL. The PedsQL core and modular design makes it flexible enough to be used in a variety of research and clinical applications for pediatric chronic health conditions.
Efforts to ensure effective participation of patients in healthcare are called by many names—patient centredness, patient engagement, patient experience. Improvement initiatives in this domain often resemble the efforts of manufacturers to engage consumers in designing and marketing products. Services, however, are fundamentally different than products; unlike goods, services are always ‘coproduced’. Failure to recognise this unique character of a service and its implications may limit our success in partnering with patients to improve health care. We trace a partial history of the coproduction concept, present a model of healthcare service coproduction and explore its application as a design principle in three healthcare service delivery innovations. We use the principle to examine the roles, relationships and aims of this interdependent work. We explore the principle's implications and challenges for health professional development, for service delivery system design and for understanding and measuring benefit in healthcare services.
Sirolimus was efficacious and well tolerated in these study patients with complicated vascular anomalies. Clinical activity was reported in the majority of the disorders.
Guided by Grych and Fincham's theoretical framework for investigating the relation between interparental conflict and child adjustment, a questionnaire was developed to assess children's views of several aspects of marital conflict. The Children's Perception of Interparental Conflict Scale (CPIC) was initially examined in a sample of 222 9-12-year-old children, and results were cross-validated in a second sample of 144 similarly aged children. 3 factor analytically derived subscales (Conflict Properties, Threat, Self-Blame) demonstrated acceptable levels of internal consistency and test-retest reliability. The validity of the Conflict Properties scale was supported by significant relations with parent reports of conflict and indices of child adjustment; the Threat and Self-Blame scales correlated with children's responses to specific conflict vignettes. The CPIC thus appears to be a promising instrument for assessing perceived marital conflict, and several issues regarding its interpretation are discussed.
Guided by Grych and Fincham's theoretical framework for investigating the relation between interparental conflict and child adjustment, a questionnaire was developed to assess children's views of several aspects of marital conflict. The Children's Perception of Interparental Conflict Scale (CPIC) was initially examined in a sample of 222 9-12-year-old children, and results were cross-validated in a second sample of 144 similarly aged children. 3 factor analytically derived subscales (Conflict Properties, Threat, Self-Blame) demonstrated acceptable levels of internal consistency and test-retest reliability. The validity of the Conflict Properties scale was supported by significant relations with parent reports of conflict and indices of child adjustment; the Threat and Self-Blame scales correlated with children's responses to specific conflict vignettes. The CPIC thus appears to be a promising instrument for assessing perceived marital conflict, and several issues regarding its interpretation are discussed.
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