Reliability, acceptability, validity and responsiveness of the CHU9D and PedsQL in the measurement of quality of life in children and adolescents with overweight and obesity

Hayes, Alison; Raghunandan, Rakhee; Killedar, Anagha; Smith, Sarah C.; Cvejic, Erin; Howell, Martin; Petrou, Stavros; Lancsar, Emily; Wong, Germaine; Craig, Jonathan C.; Howard, Kirsten

doi:10.1038/s41366-023-01305-5

Cited by 2 publications

(1 citation statement)

References 43 publications

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“…Specific to Australia, a CHU9D value set has been developed for Australian adolescents [ 42 ], and the construct validity of the CHU9D has been evaluated across multiple studies. Examples of these studies include practicality and validity with general Australian adolescents [ 41 ], testing the validity of the CHU9D as a routine outcome measure for use in child and adolescent mental health services [ 43 ], reliability, acceptability, validity and responsiveness of the CHU9D for Australian children who are overweight and obese [ 44 ], data quality, feasibility, acceptability and construct validity [ 45 ], as well as via comparison with other adolescent quality of life tools [ 45 , 46 ].…”

Section: Methodsmentioning

confidence: 99%

Parent-Reported Child and Parent Quality of Life during COVID-19 Testing at an Australian Paediatric Hospital Outpatient Clinic: A Cross-Sectional Study

Brusco,

Danchin,

Watts

et al. 2023

Healthcare

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Globally, we have seen a drop in adult and child quality of life (QOL) during the COVID-19 pandemic. However, little is known about adult or child QOL during the height of the pandemic in Australia and the impact of government-imposed restrictions, specifically attending school on-site versus home schooling. Our study aimed to establish if QOL in children and parents presenting to a Respiratory Infection Clinic in Victoria, Australia, for COVID-19 PCR testing differed from pre-pandemic population norms. We also explored whether on-site versus home schooling further impacted QOL. Following the child’s test and prior to receiving results, consenting parents of children aged 6 to 17 years old completed the Child Health Utility 9 Dimension (CHU9D) instrument on their child’s behalf. Parents of children aged birth to five years completed the EuroQOL 5-Dimension 5-Level (EQ-5D-5L) instrument on their own behalf (cross-sectional study). Data analyses utilised quantile regression, adjusting for the child’s age, COVID-19 symptoms, gender and chronic health conditions. From July 2020 to November 2021, 2025 parents completed the CHU9D; the mean age for children was 8.41 years (±3.63 SD), and 48.4 per cent were female (n = 980/2025). In the same time period, 5751 parents completed the EQ-5D-5L; the mean age for children was 2.78 years (±1.74 SD), and 52.2 per cent were female (n = 3002/5751). Results showed that QOL scores were lower than pre-pandemic norms for 68 per cent of the CHU9D group and 60 per cent of the EQ-5D-5L group. Comparing periods of on-site to home schooling, there was no difference between the median QOL scores for both CHU9D (0.017, 95% CI −0.05 to 0.01) and EQ-5D-5L (0.000, 95% CI −0.002 to 0.002). Our large-scale study found that while QOL was reduced for children and parents at the point of COVID-19 testing during the pandemic, differing levels of government-imposed restrictions did not further impact QOL. These unique insights will inform decision-making in relation to COVID-19 and future pandemics.

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