Exploring response shift in the quality of life of healthy adolescents over 1 year

Gillison, Fiona; Skevington, Suzanne M.; Standage, Martyn

doi:10.1007/s11136-008-9373-y

Cited by 15 publications

(14 citation statements)

References 37 publications

(57 reference statements)

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“…A recent crosssectional study on life satisfaction in German adolescents showed lower satisfaction in girls with a decrease in satisfaction for both genders from age 11 to 16 years [13]. However, another recent longitudinal study in England found a decrease only in physical health but not other HRQOL aspects in a cohort of adolescents over the course of 1 year [14].…”

Section: Introductionmentioning

confidence: 93%

“…We used multilevel regression modelling allowing direct comparison of children and adolescents in different countries rather than within-country comparisons as in previous studies [13,14]. In contrast to previous studies that only analysed gender differences for a few specific age groups, we included children and adolescents from all ages between 8 and 18 years [3].…”

Section: Introductionmentioning

confidence: 99%

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Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis

et al. 2009

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Objectives To determine age and gender differences in health-related quality of life (HRQOL) in children and adolescents across 12 European countries using a newly developed HRQOL measure (KIDSCREEN). Methods The KIDSCREEN-52 questionnaire was filled in by 21,590 children and adolescents aged 8-18 from 12 countries. We used multilevel regression analyses to model the hierarchical structure of the data. In addition, effect sizes were computed to test for gender differences within each age group. Results Children generally showed better HRQOL than adolescents (P \ 0.001). While boys and girls had similar HRQOL at young age, girls' HRQOL declined more than boys' (P \ 0.001) with increasing age, depending on the HRQOL scale. There was significant variation between countries both at the youngest age and for age trajectories. Conclusions For the first time, gender and age differences in children's and adolescents' HRQOL across Europe were assessed using a comprehensive and standardised instrument. Gender and age differences exist for most HRQOL scales. Differences in HRQOL across Europe point to the importance of national contexts for youth's well-being.

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis

et al. 2009

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“…The procedure has also been used to assess acute conditions such as back and fall injuries [24] as well as effects of treatment, such as dental implants [25], dermatological treatments [26], and knee surgery [27,28]. Finally, the thentest approach has been applied to the young [20,29,30], as well as to those nearing death [31].…”

Section: Introductionmentioning

confidence: 99%

Guidelines for improving the stringency of response shift research using the thentest

Schwartz

Sprangers

2010

Qual Life Res

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“…However, our scores appear to fit within the broad range of scores reported by previous studies. Previous studies which have used KIDSCREEN (or only its parent relation and home life dimension as we did) have found relatively small changes in these scores; however, the studies identified were all observational, [146][147][148] with the exception of Karasimopoulou et al 149 They used KIDSCREEN-52 with 10-to 12-year-olds in Greece as part of an evaluation of a health education/social skills programme (possible scores ranged from 6 to 30). The experimental group had a mean [± standard deviation (SD)] parent relation/home life score of 23.81 (± 6.46) before the intervention and 25.54 at follow-up (± 4.09).…”

Section: Effect Sizes Detected In Previous Studies (Secondary Outcomes)mentioning

confidence: 72%

Preventing alcohol misuse in young people: an exploratory cluster randomised controlled trial of the Kids, Adults Together (KAT) programme

et al. 2015

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BackgroundInvolvement of parents/carers may increase the effectiveness of primary school-based alcohol-misuse prevention projects. However, few interventions have been designed for pre-adolescent children, or specifically involve parents/carers. The Kids, Adults Together (KAT) programme in primary schools aimed to reduce alcohol misuse through such an approach.ObjectiveTo determine the value and feasibility of conducting an effectiveness trial of KAT.DesignParallel-group cluster randomised exploratory trial with an embedded process evaluation. Schools were the unit of randomisation.SettingPrimary schools (n = 9) in south Wales, UK.ParticipantsPupils in Year 5/6 (aged 9–11 years) and their parents/carers; school staff.InterventionThe Kids, Adults Together programme consisted of (1) classwork addressing the effects of alcohol; (2) a family event for children and parents/carers; and (3) a ‘goody bag’ containing fun items, including a digital versatile disc (DVD) for families to watch together. The intervention comprised KAT plus existing alcohol-related activities and lessons. Control-group schools continued with existing alcohol-related lessons and activities.Main outcome measuresKey outcomes related to the progression criteria for a potential future effectiveness trial. These included the acceptability, participation equity, feasibility and implementation of KAT; the recruitment and retention of research participants; and the acceptability and feasibility of research processes, including data collection methods and outcome measures.ResultsNine schools (free school meal entitlement ranging from 1% to 37.2%) participated. Two of five intervention schools withdrew but all four control schools were retained, and these seven schools facilitated all research data collections. Programme acceptability and participation rates were high in all three intervention schools (parent/carer participation rates ranged from 45.1% to 65.7%), although implementation quality varied. At baseline, approximately 75% of eligible children (n = 418) provided data, of whom 257 also provided data at follow-up. Only 27 parents/carers (estimated response rate 6.5%) completed interviews. Most children were willing to complete questionnaires but measures were not appropriate for this age group. Measures of alcohol consumption produced inconsistent responses. Intermediate outcomes on family communication showed no evidence of intervention effectiveness.ConclusionsIn the three schools that received the KAT intervention, it was found to be acceptable to schools and pupils and there were good levels of participation from parents/carers from across a range of socioeconomic groups. However, two intervention schools withdrew from the trial. Findings from intermediate outcomes on family communication did not support programme theory. In addition, the study highlighted challenges in identifying suitable outcome measures for children aged 9–11 years and the feasibility of long-term follow-up via secondary schools.Future workIt would not be appropriate to proceed to an effectiveness trial of KAT. There are doubts/uncertainties about the potential effects of KAT; suitability of measures; the large number of schools which would be required for an effectiveness trial of KAT, and the cost of this; feasibility of follow-up in secondary schools; and programme implementation and theory. There is a need to develop and validate measures for children aged 9–11 years; to test the feasibility of follow-up data collection methods in secondary schools; and to further consider sample size requirements and feasibility.Trial registrationCurrent Controlled Trials ISRCTN80672127.FundingThe exploratory trial of this project was funded by the National Institute for Health Research Public Health Research programme and the process evaluation was funded by the Economic and Social Research Council. The work was undertaken with the support of The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UK Clinical Research Collaboration Public Health Research Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. This project will be published in full inPublic Health Research; Vol. 3, No. 15. See the NIHR Journals Library website for further project information.

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Exploring response shift in the quality of life of healthy adolescents over 1 year

Abstract: The findings support the assumption that the conceptualisation of QoL is stable during adolescence in the absence of significant health threats. However, researchers and clinicians should be aware of potential recalibration effects of some life domains.

Cited by 15 publications

References 37 publications

Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis

Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis

Guidelines for improving the stringency of response shift research using the thentest

Preventing alcohol misuse in young people: an exploratory cluster randomised controlled trial of the Kids, Adults Together (KAT) programme

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