2014
DOI: 10.1111/cch.12147
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Why the (dis)agreement? Family context and child–parent perspectives on health‐related quality of life and psychological problems in paediatric asthma

Abstract: Routine assessment of paediatric HrQoL and psychological problems in healthcare and research contexts should include self- and parent-reported data as complementary sources of information, and also consider the family context. The additional cost of conducting a more in-depth assessment of paediatric adaptation outcomes can be offset through more efficient allocation of health resources.

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Cited by 51 publications
(49 citation statements)
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“…Third, the replication of analyses crossing self-and proxy-reported data on pediatric QL outcomes contributes to improving the clinical validity of the observed results [98,105]. Fourth, not only does parent-child concordance tend to be moderate in pediatric QL assessments, but, perhaps most importantly, the strength and direction of this (dis)agreement may also be linked to modifiable family factors [106] that can be targeted in the assessments performed and the interventions designed for pedopsychiatric patients. Taking this rationale into account, a developmental approach would argue for the complementary use of self-reports and proxy reports in the QL assessment of children and adolescents with psychological disorders, which goes beyond the selective use of either source of information.…”
Section: Discussionmentioning
confidence: 98%
“…Third, the replication of analyses crossing self-and proxy-reported data on pediatric QL outcomes contributes to improving the clinical validity of the observed results [98,105]. Fourth, not only does parent-child concordance tend to be moderate in pediatric QL assessments, but, perhaps most importantly, the strength and direction of this (dis)agreement may also be linked to modifiable family factors [106] that can be targeted in the assessments performed and the interventions designed for pedopsychiatric patients. Taking this rationale into account, a developmental approach would argue for the complementary use of self-reports and proxy reports in the QL assessment of children and adolescents with psychological disorders, which goes beyond the selective use of either source of information.…”
Section: Discussionmentioning
confidence: 98%
“…However, discrepancies between children's and adults' attitudes regarding HRQoL have been noted to exist in studies concerning healthy individuals as well as in patients with asthma (13,14).…”
Section: Key Notesmentioning
confidence: 99%
“…The convergence or divergence of data obtained from multiple perspectives provides valuable information of different aspects of family processes. For instance, differences in family members' perspective regarding family processes could also suggest conflicting expectations and needs [53][54][55]. Left unresolved, these differences could lead to increased stress and conflict within families.…”
Section: Limitations Of This Study and Future Researchmentioning
confidence: 99%