Evidence-based Assessment of Health-related Quality of Life and Functional Impairment in Pediatric Psychology

Palermo, Tonya M.; Long, Anna C. J.; Lewandowski, Amy S.; Drotar, Dennis; Quittner, Alexandra L.; Walker, Lynn S.

doi:10.1093/jpepsy/jsn038

Cited by 198 publications

(157 citation statements)

References 55 publications

(62 reference statements)

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“…For example, future studies may consider examining health-related quality of life (HRQOL) as an outcome measure. HRQOL is a multidimensional concept which consists of functioning across several domains including school, social, physical, and emotional (Palermo et al, 2008). Positive changes in HRQOL could potentially be more meaningful for patients and perhaps more immediate than changes in BMI.…”

Section: Discussionmentioning

confidence: 99%

Pediatric weight management interventions in primary care settings: A meta-analysis.

2016

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Objective Although the primary care setting has been recommended as an acceptable environment for pediatric overweight/obesity treatment, a quantitative analysis has not been conducted to determine the effectiveness of pediatric weight management interventions delivered in these settings. Therefore, the purpose of the current study was to conduct a meta-analysis of weight management interventions for youth in primary care settings. Method A literature search using PsycINFO and PubMed was conducted to identify articles published through October 2015. Eighteen studies (3,358 participants) met inclusion criteria; studies included a treatment and comparison group and targeted individuals or families for treatment. Study characteristics were coded, and study rigor of articles was assessed. Results The overall effect size for change in BMI in primary care weight management interventions compared to control groups was small but statistically significant (d = 0.26, 95% CI [0.14, 0.38]). The number of treatment contacts, treatment months, and visits with a pediatrician emerged as significant moderators of outcome, such that BMI reduction was positively related to greater contact. Conclusions In comparison to control conditions, weight management programs in primary care settings can be effective for BMI reduction, suggesting that primary care is a suitable setting for treatment of pediatric overweight/obesity. Additionally, treatments that were longer in duration, included more contacts (in person or phone), and included more contacts by a pediatrician had greater impact on BMI reduction. Future studies should continue to examine other aspects of acceptability and accessibility as well as demonstrate the effectiveness of interventions on improving psychosocial outcomes.

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Section: Discussionmentioning

confidence: 99%

Pediatric weight management interventions in primary care settings: A meta-analysis.

2016

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“…10 Dual reporting of HRQOL from parental and pediatric perspectives may also provide insight into different perceptions of functioning. However, parental perceptions are most likely to influence whether healthcare services are sought.…”

Section: Measuring Hrqolmentioning

confidence: 99%

Health-related quality of life in obese children and adolescents

et al. 2009

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Objective: This review addresses the effect of overweight and obese weight status on pediatric health-related quality of life (HRQOL). Method: Web of Science, Medline, CINAHL, Cochrane Library, EMBASE, AMED and PubMed were searched for peer-reviewed studies in English reporting HRQOL and weight status in youth (o21 years), published before March 2008. Results: Twenty-eight articles were identified. Regression of HRQOL against body mass index (BMI) using pooled data from 13 studies utilizing the Pediatric Quality of Life Inventory identified an inverse relationship between BMI and pediatric HRQOL (r ¼ À0.7, P ¼ 0.008), with impairments in physical and social functioning consistently reported. HRQOL seemed to improve with weight loss, but randomized controlled trials were few and lacked long-term follow-up. Conclusions: Little is known about the factors associated with reduced HRQOL among overweight or obese youth, although gender, age and obesity-related co-morbidities may play a role. Few studies have examined the differences in HRQOL between community and treatment-seeking samples. Pooled regressions suggest pediatric self-reported HRQOL can be predicted from parent proxy reports, although parents of obese youths tend to perceive worse HRQOL than children do about themselves. Thus, future research should include both pediatric and parent proxy perspectives.

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“…Many studies lacked a theoretical basis and clearly defined and robustly measured outcomes. Some studies used parents as proxies despite evidence that parents and children can assess outcomes differently (Upton et al 2005;Palermo et al 2008). Outcomes relating to psychosocial well-being, condition-related knowledge and health behaviour were less frequently measured, particularly in mental health studies, even though self-care support interventions are essentially psycho-educational in nature and these types of outcomes are likely to be valued by families.…”

Section: Discussionmentioning

confidence: 99%

Self-care of young people with long-term physical and mental health conditions

Kirk

Pryjmachuk

2016

Nursing Children and Young People

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Increasing numbers of children and young people experience long-term physical and mental ill health and how well they and their families manage their health and wellbeing is likely to influence their health in adulthood and their future life chances. This paper examines the evidence about 'what works' in supporting self-care in relation to children/young people with physical and mental health conditions. This is based on two systematic reviews and on research evaluating different selfsupport programmes that have been developed in the United Kingdom. We identify four key components of an effective and acceptable self-care programme that nurses can include when developing and providing such programmes for children and young people with long-term physical and mental health conditions. We also highlight the increasingly important role that children's and mental health nurses will play in supporting young people's self-care as a result of transformations in health care and nursing education.

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Evidence-based Assessment of Health-related Quality of Life and Functional Impairment in Pediatric Psychology

Abstract: Recommendations for future work in this area of assessment are presented, including suggestions that further validation and exploration of measure properties such as factor analysis and changes in HRQOL over time be conducted.

Cited by 198 publications

References 55 publications

Pediatric weight management interventions in primary care settings: A meta-analysis.

Pediatric weight management interventions in primary care settings: A meta-analysis.

Health-related quality of life in obese children and adolescents

Self-care of young people with long-term physical and mental health conditions

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