Predictors of parent-reported quality of life of adolescents with cerebral palsy: A longitudinal study

Rapp, Marion; Eisemann, Nora; Arnaud, Catherine; Ehlinger, Virginie; Fauconnier, J.; Marcelli, Marco; Michelsen, Susan Ishøy; Nystrand, Malin; Colver, Allan; Thyen, Ute

doi:10.1016/j.ridd.2016.12.005

Cited by 39 publications

(51 citation statements)

References 29 publications

(41 reference statements)

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“…Investing in mother's education and provision of targeted interventions through mothers has the potential to increase understanding of effective mechanisms for improving the HRQoL of adolescent with CP. Moreover, the present study confirmed previous reports that caregiver mental health is an important predictor of adolescent HRQoL (9,35) although effect in the present study was small.…”

Section: Hierarchical Multiple Linear Regressionsupporting

confidence: 92%

What predicts the health-related quality of life of adolescents with cerebral palsy in Bangladesh?

Power

Galea

Muhit

et al. 2019

Preprint

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Background: The health-related quality of life (HRQoL) of adolescents with CP in low and middle-income countries is often poor, as is the case in Bangladesh. This exploratory study examined what factors predict the proxy-reported HRQoL of adolescents with CP in rural Bangladesh, a typical low- and middle-income country (LMIC). Methods: Adolescents with CP (10 to 18y) were identified using the Bangladesh Cerebral Palsy Register. HRQoL was assessed using the Cerebral Palsy Quality of Life-Teens proxy-report questionnaire (CPQoL-Teens), adolescent mental health using the Strengths and Difficulty Questionnaire (SDQ) and caregiver mental health using the Depression, Anxiety and Stress Scale (DASS-21). Theoretical and statistical interests (i.e. bivariate analysis, p<0.05) identified potential predictors which were entered into hierarchical multiple linear regression (HMLR) models in order of clinical significance; HMLR related adolescent clinical characteristics, adolescent and caregiver mental health and proxies of socioeconomic status to CPQoL-Teens dimensions. Results: 154 adolescents with CP (mean age 15y 1mo, SD 1y 8mo, female 31.2%) participated in this study. Twenty-four factors were identified to explore for relationship to adolescent proxy-reported HRQoL. Fifteen of the factors correlated to one or more CPQoL-Teens dimension; strongest correlation was between ‘feelings about functioning’ and motor impairment (r=0.545). Nine were predictive of CPQoL-Teens dimensions; adolescent sex, school attendance, severity of motor impairment, hearing and speech impairment, mother’s education, primary caregiver depression and stress, and having a sanitary latrine at home resulting in score changes of between 0.79 (95% CI 0.24 to 1.35) to 35.1 (95% CI 6.03 to 64.22). Conclusions: Many of the factors predicting the proxy-reported HRQoL of adolescents with CP are amenable to intervention, and have the potential to improve adolescent wellbeing. Several determinants are priorities of the sustainable development goals (SDGs); these findings should inform resource prioritization to improve the wellbeing of adolescents with CP in Bangladesh and other LMICs.

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Section: Hierarchical Multiple Linear Regressionsupporting

confidence: 92%

What predicts the health-related quality of life of adolescents with cerebral palsy in Bangladesh?

Power

Galea

Muhit

et al. 2019

Preprint

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“…10,12 The concept of Oral Health-Related Quality of Life (OHRQoL) is related to the impact that health or oral diseases have on the functioning, well-being, or quality of daily life of the individual. 1 Few studies have evaluated possible factors associated with the HRQoL [13][14][15] and OHRQoL 3,16 of children with CP. The international literature reports the association of low HRQoL scores of children and adolescents with type of CP, 14 high levels in the evaluation of the Gross Motor Function Classification System, 13,14 low intellect, 14 pain, 15 epilepsy, 13 maternal psychological changes, 14,15 and parental stress levels.…”

Section: Introductionmentioning

confidence: 99%

“…1 Few studies have evaluated possible factors associated with the HRQoL [13][14][15] and OHRQoL 3,16 of children with CP. The international literature reports the association of low HRQoL scores of children and adolescents with type of CP, 14 high levels in the evaluation of the Gross Motor Function Classification System, 13,14 low intellect, 14 pain, 15 epilepsy, 13 maternal psychological changes, 14,15 and parental stress levels. 15 Regarding OHRQoL, the studies have shown their association with dental caries, 3,16 bruxism, 3 family income, 3,16 and communication skills.…”

Section: Introductionmentioning

confidence: 99%

“…The international literature reports the association of low HRQoL scores of children and adolescents with type of CP, 14 high levels in the evaluation of the Gross Motor Function Classification System, 13,14 low intellect, 14 pain, 15 epilepsy, 13 maternal psychological changes, 14,15 and parental stress levels. 15 Regarding OHRQoL, the studies have shown their association with dental caries, 3,16 bruxism, 3 family income, 3,16 and communication skills. 16 Thus, further clarification on factors associated with the quality of life of individuals with CP is necessary in order to subsidize the planning of interventions and clinical protocols that seek to improve their quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with health and oral health–related quality of life of children and adolescents with cerebral palsy

Cardoso

Medeiros

Gomes

et al. 2018

Special Care in Dentistry

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“…To date, the majority of HRQoL research has been conducted in high-income countries (HICs) and findings suggest it is predicted by a range of personal and environmental factors (8). For example, a European study of 551 adolescents with CP found psychological problems and parenting stress predicted HRQoL whereas socio-demographic and impairment severity characteristics did not (9).…”

mentioning

confidence: 99%

What predicts the proxy-reported health-related quality of life of adolescents with cerebral palsy in Bangladesh?

Power

Galea

Muhit

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: The health-related quality of life (HRQoL) of adolescents with CP in low and middle-income countries is often poor, as is the case in Bangladesh. This exploratory study examined what factors predict the proxy-reported HRQoL of adolescents with CP in rural Bangladesh, a typical low- and middle-income country (LMIC). Methods: Adolescents with CP (10 to 18y) were identified using the Bangladesh Cerebral Palsy Register. HRQoL was assessed using the Cerebral Palsy Quality of Life-Teens proxy-report questionnaire (CPQoL-Teens), adolescent mental health using the Strengths and Difficulty Questionnaire (SDQ) and caregiver mental health using the Depression, Anxiety and Stress Scale (DASS-21). Theoretical and statistical interests (i.e. bivariate analysis, p <0.05) identified potential predictors which were entered into hierarchical multiple linear regression (HMLR) models in order of clinical significance; HMLR related adolescent clinical characteristics, adolescent and caregiver mental health and proxies of socioeconomic status to CPQoL-Teens dimensions. Results: 154 adolescents with CP (mean age 15y 1mo, SD 1y 8mo, female 31.2%) participated in this study. Twenty-four factors were identified to explore for relationship to adolescent proxy-reported HRQoL. Fifteen of the factors correlated to one or more CPQoL-Teens dimension; strongest correlation was between ‘feelings about functioning’ and motor impairment ( r =0.545). Nine were predictive of CPQoL-Teens dimensions; adolescent sex, school attendance, severity of motor impairment, hearing and speech impairment, mother’s education, primary caregiver depression and stress, and having a sanitary latrine at home resulting in score changes of between 0.79 (95% CI 0.24 to 1.35) to 35.1 (95% CI 6.03 to 64.22). Conclusions: Many of the factors predicting the proxy-reported HRQoL of adolescents with CP are amenable to intervention, and have the potential to improve adolescent wellbeing. Several determinants are priorities of the sustainable development goals (SDGs); these findings should inform resource prioritization to improve the wellbeing of adolescents with CP in Bangladesh and other LMICs.

show abstract

Predictors of parent-reported quality of life of adolescents with cerebral palsy: A longitudinal study

Cited by 39 publications

References 29 publications

What predicts the health-related quality of life of adolescents with cerebral palsy in Bangladesh?

What predicts the health-related quality of life of adolescents with cerebral palsy in Bangladesh?

Factors associated with health and oral health–related quality of life of children and adolescents with cerebral palsy

What predicts the proxy-reported health-related quality of life of adolescents with cerebral palsy in Bangladesh?

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