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Abstract 


Aims

To identify currently available generic and disease specific measures of quality of life (QoL) for work with children; and make recommendations about the future development and application of QoL measures.

Methods

Systematic searches were conducted to identify measures of QoL. Primary research papers were coded by the authors on the basis of predefined inclusion and exclusion criteria.

Results

Of the 137 papers included in the review, 43 involved the development of a new measure. These included 19 generic and 24 disease specific measures. Almost half the measures were developed in the USA. Measures were identified which were appropriate for children across a broad age range, and included provision for completion by different respondents (child only, parent only, or both). There were no clear distinctions between measures of QoL, health, or functional status.

Conclusions

We have identified a small number of measures which fulfil basic requirements and could be used to assess QoL in clinical trials or following interventions. However, there remain a number of problems in measuring QoL in children. These include limited availability of disease specific measures; discrepancies between child and parent ratings; limited availability of measures for self completion by children; lack of precision regarding the content of domains of QoL; and the cultural appropriateness of measures developed elsewhere for children in the UK.

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Arch Dis Child. 2001 Mar; 84(3): 205–211.
PMCID: PMC1718699
PMID: 11207164

A review of measures of quality of life for children with chronic illness

Abstract

AIMS—To identify currently available generic and disease specific measures of quality of life (QoL) for work with children; and make recommendations about the future development and application of QoL measures.
METHODS—Systematic searches were conducted to identify measures of QoL. Primary research papers were coded by the authors on the basis of predefined inclusion and exclusion criteria.
RESULTS—Of the 137 papers included in the review, 43 involved the development of a new measure. These included 19 generic and 24 disease specific measures. Almost half the measures were developed in the USA. Measures were identified which were appropriate for children across a broad age range, and included provision for completion by different respondents (child only, parent only, or both). There were no clear distinctions between measures of QoL, health, or functional status.
CONCLUSIONS—We have identified a small number of measures which fulfil basic requirements and could be used to assess QoL in clinical trials or following interventions. However, there remain a number of problems in measuring QoL in children. These include limited availability of disease specific measures; discrepancies between child and parent ratings; limited availability of measures for self completion by children; lack of precision regarding the content of domains of QoL; and the cultural appropriateness of measures developed elsewhere for children in the UK.

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Selected References

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  • Patrick DL, Bergner M. Measurement of health status in the 1990s. Annu Rev Public Health. 1990;11:165–183. [Abstract] [Google Scholar]
  • Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993 Apr 15;118(8):622–629. [Abstract] [Google Scholar]
  • Aaronson NK, Meyerowitz BE, Bard M, Bloom JR, Fawzy FI, Feldstein M, Fink D, Holland JC, Johnson JE, Lowman JT, et al. Quality of life research in oncology. Past achievements and future priorities. Cancer. 1991 Feb 1;67(3 Suppl):839–843. [Abstract] [Google Scholar]
  • Testa MA, Simonson DC. Assesment of quality-of-life outcomes. N Engl J Med. 1996 Mar 28;334(13):835–840. [Abstract] [Google Scholar]
  • Eiser C, Jenney ME. Measuring symptomatic benefit and quality of life in paediatric oncology. Br J Cancer. 1996 Jun;73(11):1313–1316. [Europe PMC free article] [Abstract] [Google Scholar]
  • Starfield B, Riley AW, Green BF, Ensminger ME, Ryan SA, Kelleher K, Kim-Harris S, Johnston D, Vogel K. The adolescent child health and illness profile. A population-based measure of health. Med Care. 1995 May;33(5):553–566. [Abstract] [Google Scholar]
  • Wasson JH, Kairys SW, Nelson EC, Kalishman N, Baribeau P. A short survey for assessing health and social problems of adolescents. Dartmouth Primary Care Cooperative Information Project (The COOP). J Fam Pract. 1994 May;38(5):489–494. [Abstract] [Google Scholar]
  • Eiser C, Cotter I, Oades P, Seamark D, Smith R. Health-related quality-of-life measures for children. Int J Cancer Suppl. 1999;12:87–90. [Abstract] [Google Scholar]
  • Stein RE, Jessop DJ. Functional status II(R). A measure of child health status. Med Care. 1990 Nov;28(11):1041–1055. [Abstract] [Google Scholar]
  • Ravens-Sieberer U, Bullinger M. Assessing health-related quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Qual Life Res. 1998 Jul;7(5):399–407. [Abstract] [Google Scholar]
  • Lindström B, Eriksson B. Quality of life among children in the Nordic countries. Qual Life Res. 1993 Feb;2(1):23–32. [Abstract] [Google Scholar]
  • Varni JW, Seid M, Rode CA. The PedsQL: measurement model for the pediatric quality of life inventory. Med Care. 1999 Feb;37(2):126–139. [Abstract] [Google Scholar]
  • Eiser C, Havermans T, Craft A, Kernahan J. Development of a measure to assess the perceived illness experience after treatment for cancer. Arch Dis Child. 1995 Apr;72(4):302–307. [Europe PMC free article] [Abstract] [Google Scholar]
  • Raphael D, Rukholm E, Brown I, Hill-Bailey P, Donato E. The Quality of Life Profile--Adolescent Version: background, description, and initial validation. J Adolesc Health. 1996 Nov;19(5):366–375. [Abstract] [Google Scholar]
  • Iorio R, Pensati P, Botta S, Moschella S, Impagliazzo N, Vajro P, Vegnente A. Side effects of alpha-interferon therapy and impact on health-related quality of life in children with chronic viral hepatitis. Pediatr Infect Dis J. 1997 Oct;16(10):984–990. [Abstract] [Google Scholar]
  • Theunissen NC, Vogels TG, Koopman HM, Verrips GH, Zwinderman KA, Verloove-Vanhorick SP, Wit JM. The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res. 1998 Jul;7(5):387–397. [Abstract] [Google Scholar]
  • Vogels T, Verrips GH, Verloove-Vanhorick SP, Fekkes M, Kamphuis RP, Koopman HM, Theunissen NC, Wit JM. Measuring health-related quality of life in children: the development of the TACQOL parent form. Qual Life Res. 1998 Jul;7(5):457–465. [Abstract] [Google Scholar]
  • Spencer NJ, Coe C. The development and validation of a measure of parent-reported child health and morbidity: the Warwick Child Health and Morbidity Profile. Child Care Health Dev. 1996 Nov;22(6):367–379. [Abstract] [Google Scholar]
  • Boyle MH, Furlong W, Feeny D, Torrance GW, Hatcher J. Reliability of the Health Utilities Index--Mark III used in the 1991 cycle 6 Canadian General Social Survey Health Questionnaire. Qual Life Res. 1995 Jun;4(3):249–257. [Abstract] [Google Scholar]
  • Apajasalo M, Rautonen J, Holmberg C, Sinkkonen J, Aalberg V, Pihko H, Siimes MA, Kaitila I, Mäkelä A, Erkkilä K, et al. Quality of life in pre-adolescence: a 17-dimensional health-related measure (17D). Qual Life Res. 1996 Dec;5(6):532–538. [Abstract] [Google Scholar]
  • Apajasalo M, Sintonen H, Holmberg C, Sinkkonen J, Aalberg V, Pihko H, Siimes MA, Kaitila I, Mäkelä A, Rantakari K, et al. Quality of life in early adolescence: a sixteen-dimensional health-related measure (16D). Qual Life Res. 1996 Apr;5(2):205–211. [Abstract] [Google Scholar]
  • Bradlyn AS, Harris CV, Warner JE, Ritchey AK, Zaboy K. An investigation of the validity of the quality of Well-Being Scale with pediatric oncology patients. Health Psychol. 1993 May;12(3):246–250. [Abstract] [Google Scholar]
  • Mishoe SC, Baker RR, Poole S, Harrell LM, Arant CB, Rupp NT. Development of an instrument to assess stress levels and quality of life in children with asthma. J Asthma. 1998;35(7):553–563. [Abstract] [Google Scholar]
  • Gibson PG, Henry RL, Vimpani GV, Halliday J. Asthma knowledge, attitudes, and quality of life in adolescents. Arch Dis Child. 1995 Oct;73(4):321–326. [Europe PMC free article] [Abstract] [Google Scholar]
  • Christie MJ, French D, Sowden A, West A. Development of child-centered disease-specific questionnaires for living with asthma. Psychosom Med. 1993 Nov-Dec;55(6):541–548. [Abstract] [Google Scholar]
  • Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res. 1996 Feb;5(1):35–46. [Abstract] [Google Scholar]
  • Phipps S, Hinds PS, Channell S, Bell GL. Measurement of behavioral, affective, and somatic responses to pediatric bone marrow transplantation: development of the BASES scale. J Pediatr Oncol Nurs. 1994 Jul;11(3):109–119. [Abstract] [Google Scholar]
  • Armstrong FD, Toledano SR, Miloslavich K, Lackman-Zeman L, Levy JD, Gay CL, Schuman WB, Fishkin PE. The Miami pediatric quality of life questionnaire: parent scale. Int J Cancer Suppl. 1999;12:11–17. [Abstract] [Google Scholar]
  • Varni JW, Katz ER, Seid M, Quiggins DJ, Friedman-Bender A, Castro CM. The Pediatric Cancer Quality of Life Inventory (PCQL). I. Instrument development, descriptive statistics, and cross-informant variance. J Behav Med. 1998 Apr;21(2):179–204. [Abstract] [Google Scholar]
  • Lansky LL, List MA, Lansky SB, Cohen ME, Sinks LF. Toward the development of a play performance scale for children (PPSC). Cancer. 1985 Oct 1;56(7 Suppl):1837–1840. [Abstract] [Google Scholar]
  • Lansky SB, List MA, Lansky LL, Ritter-Sterr C, Miller DR. The measurement of performance in childhood cancer patients. Cancer. 1987 Oct 1;60(7):1651–1656. [Abstract] [Google Scholar]
  • Hoare P, Russell M. The quality of life of children with chronic epilepsy and their families: preliminary findings with a new assessment measure. Dev Med Child Neurol. 1995 Aug;37(8):689–696. [Abstract] [Google Scholar]
  • Keene DL, Higgins MJ, Ventureyra EC. Outcome and life prospects after surgical management of medically intractable epilepsy in patients under 18 years of age. Childs Nerv Syst. 1997 Oct;13(10):530–535. [Abstract] [Google Scholar]
  • Wildrick D, Parker-Fisher S, Morales A. Quality of life in children with well-controlled epilepsy. J Neurosci Nurs. 1996 Jun;28(3):192–198. [Abstract] [Google Scholar]
  • Cramer JA, Westbrook LE, Devinsky O, Perrine K, Glassman MB, Camfield C. Development of the Quality of Life in Epilepsy Inventory for Adolescents: the QOLIE-AD-48. Epilepsia. 1999 Aug;40(8):1114–1121. [Abstract] [Google Scholar]
  • Lewis-Jones MS, Finlay AY. The Children's Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol. 1995 Jun;132(6):942–949. [Abstract] [Google Scholar]
  • Ingersoll GM, Marrero DG. A modified quality-of-life measure for youths: psychometric properties. Diabetes Educ. 1991 Mar-Apr;17(2):114–118. [Abstract] [Google Scholar]
  • Duffy CM, Arsenault L, Duffy KN, Paquin JD, Strawczynski H. The Juvenile Arthritis Quality of Life Questionnaire--development of a new responsive index for juvenile rheumatoid arthritis and juvenile spondyloarthritides. J Rheumatol. 1997 Apr;24(4):738–746. [Abstract] [Google Scholar]
  • Reid DT, Renwick RM. Preliminary validation of a new instrument to measure life satisfaction in adolescents with neuromuscular disorders. Int J Rehabil Res. 1994 Jun;17(2):184–188. [Abstract] [Google Scholar]
  • Juniper EF, Howland WC, Roberts NB, Thompson AK, King DR. Measuring quality of life in children with rhinoconjunctivitis. J Allergy Clin Immunol. 1998 Feb;101(2 Pt 1):163–170. [Abstract] [Google Scholar]
  • Rabbett H, Elbadri A, Thwaites R, Northover H, Dady I, Firth D, Hillier VF, Miller V, Thomas AG. Quality of life in children with Crohn's disease. J Pediatr Gastroenterol Nutr. 1996 Dec;23(5):528–533. [Abstract] [Google Scholar]
  • Langeveld JH, Koot HM, Passchier J. Headache intensity and quality of life in adolescents. How are changes in headache intensity in adolescents related to changes in experienced quality of life? Headache. 1997 Jan;37(1):37–42. [Abstract] [Google Scholar]
  • Rosenfeld RM, Goldsmith AJ, Tetlus L, Balzano A. Quality of life for children with otitis media. Arch Otolaryngol Head Neck Surg. 1997 Oct;123(10):1049–1054. [Abstract] [Google Scholar]
  • Pilpel D, Leiberman E, Zadik Z, Carel CA. Effect of growth hormone treatment on quality of life of short-stature children. Horm Res. 1995;44(1):1–5. [Abstract] [Google Scholar]
  • Parkin PC, Kirpalani HM, Rosenbaum PL, Fehlings DL, Van Nie A, Willan AR, King D. Development of a health-related quality of life instrument for use in children with spina bifida. Qual Life Res. 1997 Mar;6(2):123–132. [Abstract] [Google Scholar]
  • Climent JM, Reig A, Sánchez J, Roda C. Construction and validation of a specific quality of life instrument for adolescents with spine deformities. Spine (Phila Pa 1976) 1995 Sep 15;20(18):2006–2011. [Abstract] [Google Scholar]
  • Bullinger M, Anderson R, Cella D, Aaronson N. Developing and evaluating cross-cultural instruments from minimum requirements to optimal models. Qual Life Res. 1993 Dec;2(6):451–459. [Abstract] [Google Scholar]

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