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Caregiver-Child Agreement in Health-Related Quality of Life of Autistic Children and Adolescents.

Journal of autism and developmental disorders2023

Lopez-Espejo Mauricio A, Nuñez Alicia C, Ruz Melanie, Saez Valentina, Moscoso Odalie C, Escobar Raul G

What this study means for families

Researchers studied whether autistic children and their caregivers agree on the child's quality of life using a standard questionnaire. They found good agreement overall, but caregivers and younger children (ages 5-7) were less likely to agree on emotional, social, and school issues compared to older children (ages 8-12). The questionnaire proved reliable for measuring quality of life in autistic children aged 5-12.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study examined agreement between caregivers and autistic children/adolescents (n=133, ages 5-12) regarding health-related quality of life using the PedsQL 4.0 assessment tool. Results showed good to excellent agreement overall across total, physical, and psychosocial health measures. However, agreement was lower for emotional, social, and school functioning domains in younger children (ages 5-7) compared to older children (ages 8-12). The findings support the PedsQL 4.0 caregiver module as a reliable instrument for measuring health-related quality of life in autistic children aged 5-12 years, while highlighting age-related differences in caregiver-child agreement patterns.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Good to excellent agreement between caregivers and autistic children on overall health-related quality of life measures

    Confidence: moderateRelevance: Supports use of caregiver reports for quality of life assessment in clinical settings
  • 2

    Lower agreement on emotional, social, and school functioning in younger children (5-7 years) compared to older children (8-12 years)

    Confidence: moderateRelevance: Suggests need for age-appropriate assessment approaches and additional consideration of child perspectives in younger age groups
  • 3

    PedsQL 4.0 caregiver module demonstrated reliability for measuring HRQOL in autistic children aged 5-12

    Confidence: moderateRelevance: Validates this tool for clinical and research use in autism populations within this age range

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Clinicians can reliably use PedsQL 4.0 caregiver reports for autistic children aged 5-12, but should consider seeking additional input from younger children regarding emotional and social concerns. Age-specific assessment strategies may improve accuracy of quality of life measurement.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Single study with unclear methodology details. Sample characteristics and study design not specified in abstract. Limited age range (5-12 years) restricts generalizability to other developmental periods.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

This study examined the agreement of perceived health-related quality of life (HRQOL) between caregivers and autistic children and adolescents (n = 133, 5-12 years) using the Pediatric Quality of Life Inventory Generic Core Scales, Fourth Edition (PedsQL 4.0). Results reveal good to excellent agreement over this age range across the total, physical, and psychosocial health scales. However, the emotional, social, and school functioning scores demonstrated lower agreement in dyads with children aged 5-7 than in dyads with children aged 8-12 years. Despite these differences in agreement, overall, the PedsQL 4.0 caregiver-module is a reliable instrument for measuring HRQOL in autistic individuals aged 5-12 years.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Journal of autism and developmental disorders
Year
2023
PMID
35922687
DOI
10.1007/s10803-022-05689-7

MeSH Terms

HumansAdolescentQuality of LifeCaregiversAutistic DisorderAutism Spectrum DisorderEmotionsSurveys and Questionnaires